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I am 49 yr old male dm2 + htn since 10 yrs. Pressure normal 130/ 80 with medication repace 25mg + stamlo (amlodipine) 2.5mg and blood glucose control pp 120 with zoryl 1mg at the time of break fast but fasting readings vary between 6.5 - 7.5. I take metformin extended release 1000mg after supper. But the fasting readings never fall below 6.5. I am sports enthusiast and play badminton thrice a week at expert level. With exercise in the evening the reading tend to rise as my intake goes up. Please advise me any long acting glucose control medicine for 24 hrs control well within 5.8. My hb1ac has always been well below 7.0 mostly remains 6.5. If hb1ac readings are well with in the range can ignore the fasting readings or is it equally important to maintain the fasting reading below 5.8 to prevent cardiac issues later. I also take cholesterol lowering drug fibator - half tab to maintain my ldl well below 80. Should you need any further details please write to me. Last but not the least use of sulfonylurea antidiabetic drug in the morning some cause hypo close to lunch time. I am worried of the side effects of this drug in long term. Kindly advise me alternate if any to this. My staple food is rice with daal, curry and curds. Pure veg
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Looking at your details it appears your diabetes is in check. Slight high fasting is no problem. Nowadays hba1c level is looked at as guideline to assess control. You need not change anything. If pp levels go up can add voglibose 0.3 mg three times with each meal. Otherwise you are doing well. While playing if you feel levels are low always carry candy or gluco tabs.
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