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I Am Diabetic For 15 Years. My Fasting Remain 180

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Posted on Tue, 27 Aug 2019
Question: I am diabetic for 15 years. My fasting remain 180 to 200 and PP remain 200 to 260. MY HBA1c is always around 9 to 9.8. I am on med Galvis Met 50/1000 and Amergr 3 - One each moring and night. Advise me further medicine. I am 54 years of age. No other problem.
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Answered by Dr. Dr. (3 hours later)
Brief Answer:
would recommend inj. lantus (insulin) after consultation....

Detailed Answer:
Hello,

I have gone through your query and reviewed attached image. Here is my advice.

As per your history and reports, your fasting and postprandial blood sugar level, HbA1c level are on much higher side which indicate uncontrolled diabetes.

As your blood sugar level is not under control with only oral antidiabetic medications.

So if you would have been my patient, I would suggest you to start insulin injections. I would recommend injection lantus 6 IU at bedtime at start and have to adjust dosage as per blood sugar level. So I would suggest you to consult with your diabetologist regarding the same.

Along with that do regular blood sugar monitoring at least three times a day. Maintain proper diabetic diet and do regular exercises like brisk walking.

Watch for symptoms of hypoglycemia like sweating, shivering, dizziness...

Hope I have answered your query.
Let me know if I can assist you further...
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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I Am Diabetic For 15 Years. My Fasting Remain 180

Brief Answer: would recommend inj. lantus (insulin) after consultation.... Detailed Answer: Hello, I have gone through your query and reviewed attached image. Here is my advice. As per your history and reports, your fasting and postprandial blood sugar level, HbA1c level are on much higher side which indicate uncontrolled diabetes. As your blood sugar level is not under control with only oral antidiabetic medications. So if you would have been my patient, I would suggest you to start insulin injections. I would recommend injection lantus 6 IU at bedtime at start and have to adjust dosage as per blood sugar level. So I would suggest you to consult with your diabetologist regarding the same. Along with that do regular blood sugar monitoring at least three times a day. Maintain proper diabetic diet and do regular exercises like brisk walking. Watch for symptoms of hypoglycemia like sweating, shivering, dizziness... Hope I have answered your query. Let me know if I can assist you further...