I am Diabetic since 9 years. I was on Getrol and Bimet for the first 6 years and my HB1AC was 6.20 until the doctor changed me to Diamicron MR30 before food and Jalra 50/500 after food. I have been taking since past 30 months. Now my HB1AC level is 9.10 (Avg 214 Blood Sugar). What could be the reason? I am on proper diet and exercise too.

Dr. Jagdish Prasad MehrotraGeneral Physician42yrs exp

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Mr. lybrate-user good evening the medicine other than diabetes continue, you require following management of drug 1. Amaryl 1 mg 1/2 hour before breakfast 2. Janumet 100/1000 in morning after breakfast 3. Amaryl 2 mg before dinner 1/2 hour 4.obimet 1000 mg after dinner 5. Read health tip on diabetes and diet on at following link and follow instructions 6. You may consult to local endocrinologist for this change for follow up 7 before change of treatment you require following investigation a. Fbs b. Ppbs c. Lipid profile d. Sr. Creatinine all test after 10- 12 hours fasting consult on line by text chat for onward management before starting above treatment. 

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