I am 59 yrs. I am diabetic since 7 yrs. Recently my blood sugar levels are fluctuating. Today fbs is 150 yesterday it was 119. Pbs today is 300 yesterday it was 319. Four days it was 240 only. I am following strict diet plan. I am taking gemer 1 mg in the morning from today's onward I am taking 2 mg in the night iam taking vog loyd3d2.3 half tablet. Please advise.

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Hi looking at your fluctuating sugar levels, it is better to shift to glargine the basal analogue insulin along with oral drugs (which can be reduced). Glargine is a long acting insulin needing just one prick a day. It will produce excellent control of blood sugar. Initial dosage can be 6 units once/d, to be increased based on fasting sugar level every alternate day by 2 units till target sugar level (say 100 mg or so) is achieved. For this self monitoring of sugar level is necessary. If you are willing I can guide you. In the long run this will be a better treatment. 

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