I am 38 years I am suffering from diabetes since from 6y ears now my Fasting 243 mg/dl, post practical 359 mg, and HbA1c is 12%. I take medicine istamet 5omg/1000 mg at night after meal and early mv2 at empty stomach please help to control diabetes.

Dr. Manish SachdevEndocrinologist27yrs exp

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Dear lybrate-user, I understand your worries. Your requirements for medicine is a bit higher for your age and duration of diabetes. Tired or exhausted pancreas unable to secrete insulin in optimum amount along with mental stress and physical inactivity may be contributing to such high sugars. You need to become physically very active, regular with healthy food habits and if possible learn some kind of stress management techniques like aol i. E art of living or vipassana. Also follow up with diabetologist regularly with self monitoring of blood glucose (smbg). If required your doctor may advise insulin for a period. Hope this helps you! 

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