Dear sir, I am diabetic in April I check my HbA1c was 7.5, I was taking 750 mg of glyciphage so my Doctor advised to take 500 mg glyciphage 2 times after half hour taking food (ie, 1000 mg), after exactly in July last month my HbA1c showing 9.0, what will be the reason, is any thing went wrong with the laboratory where I am testing , is this possible to shoot from 7.5 to 9.0 in a matter of 3 months. Kindly advise. I am on a tour for a month in Gulf, once I back will check again, I am very careful about my diet , never take sugar or sugar items, will go for gym for half hour without fail every day, thanks

Dr. Prabhakar Laxman JatharEndocrinologist46yrs exp

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Mr. Lybrate-user, it appears that only metformin is not enough in controlling your diabetes, that is the reason hba1c has gone up. You need to add some more drugs to the treatment for better control of blood glucose. Another aspect your weight is high and bmi is 27.77 kgs/m2, (normal <23 kgs/m2). That also contributes to increased blood blood glucose level. There is an urgent need to add a new drug. If you are willing to do that, then please come in a private conversation with current blood sugar details (fasting and pp). Then I can advise. Or else if you want to weight till your return then my suggestion is exercise more vigorously daily, increase dose of metformin to 1500 mg to 2000 mg daily, tisll you return. Thanks. 

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