Brief Answer:
Proper diet and exercise is also needed.

Detailed Answer:
Hi, I had gone through your query and understood your concerns.

Sir, First let me appreciate you for your positive approach.
Diabetes is a condition where blood sugar levels are high and the medication to control them should be continued as long as they under control. After some time if blood sugar levels are persistently high even with that medication, then we need to increase the dose under guidance of treating doctor.

The sugar levels you have mentioned are slightly higher to good control, but not to worry much. The anti diabetic drugs you are taking are very effective. You can continue same medication for some more time and see. Once the doses are set to control sugar levels, then you can discuss with treating doctor and take combination of drugs, so that number gets reduced. You need to take medication life long. The are no considerable side effects for these drugs.

Acidity may be a coincidence. Any how, you can try stopping them and see a while, with no spicy food, no empty stomach, taking milk products etc.,

There are no medicines which could reverse the condition. Any medicine could only help us to control the sugar levels. With sugar levels under control, you can lead very much normal life as a non diabetic individual.

The other care you have to take in diabetes is regarding diet and exercise.

Diet:

Avoid single high concentrated meals.
Small frequent meals more times in a day.
Food high in fibre content like vegetables, whole pulses, fruits, etc.
Ideal combination of diabetic diet should be:--
Carbohydrates: 55-60%.
Fat: 30%.
Proteins: 15-20% (0.8g /kg /body wt).
Fibres 40 g/day.
Take unrestricted:--
Salads (cucumber, tomato, onion, raddish, salad leaves).
Vegetables (cabbage, baigan, lady fingers, french beans, methi, palak).
Fruits (except banana, chockoo or mangoes).
Sprouted beans and pulses. XXXXXXX biscuit (with less sugar).
Clear soups, Lemon juice, Buttermilk

A 40 minute physical activity every day like morning walk, evening walk or a visit to the gym or swimming pool.


Hope this guides you. For any other queries you can write to us. we will be happy to help you. Thank you.
Dr Phanindra Dulipala
Diabetologist.

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Brief Answer:
No, You can experiment on diabetic drug dosage.

Detailed Answer:
Hi, I had gone through your query and understood your concerns.

Sir, Different classes of drugs act in different ways, For eg. Dianorm acts on pancreas and helps in increase in insulin production. Istamet is a combination of sitagliptin and metformin of which metformin acts by reducing release of glucose from liver and sitagliptin is dpp IV inhibitor. Voglibose acts on post prandial sugar. What ever the route they take, all together act in reducing the blood sugar levels.

They are prescribed depending on time of action and dose required so that they reduce blood sugar levels and at the same time does not cause hypoglycemia which very low blood sugars. Most of them have an average action upto 12 hrs. Some slightly lesser and some upto 24hrs.

I forbid you against doing any changes / trials with your antidiabetic medications. That should be absolutely done under clear instruction of treating doctor after checking sugar levels in order to prevent complications.
As such I am ok with your current regimen. Instead of you doing drug changes, I suggest you continue the same for couple of month. Blood sugar can be assess 2 months post treatment. If the sugars are not in control, your doctors will modify the regimen.

Hope this guides you. For any other queries you can write to me. I will be happy to help you. If you have no more clarifications, you can close the discussion and rate the answer. Thank you.
Dr Phanindra Dulipala
Diabetologist.

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