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What Causes High Blood Sugar Level When On Galvasmet?

Posted on Tue, 31 Mar 2015

Question: As per my doctor's advise, I am taking galvasmet 50/500 mg and reclide XR-60 before and after breakfast and dinner.
Today my fasting blood sugar is 200 mgdl and postlunch count is 300 mgdl.
Please advise me suitable medicines to control my diabetes.

Answered by Dr. Ajish TP (1 hour later)

Brief Answer:
You have to increase medications or start insulin

Detailed Answer:
Hi,

Welcome to HCM. I have gone through the question and understand your concerns.

Please do additional tests like HbA1c and kidney function tests. If HbA1c is less than 9% we can try with increasing the medications like Reclide XR 60 to thrice daily and wait for 2 months to see if sugars are controlled. If HbA1c is higher, it is better to start on insulin.

Hope I have answered your questions. If you have any further queries I will be happy to help you.

Regards,

Dr Ajish TP [MD,DM]
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Ajish TP (46 minutes later)

Thank you for your advise Doctor.

Next week I will undergo tests advised by you. In the meantime shall I start Reclide XR-60 thrice a day or wait until the test result known. Please advise me.

Thanking you,

XXXX

Answered by Dr. Ajish TP (32 minutes later)

Brief Answer:
You can increase the dose

Detailed Answer:
HiXXXX

Welcome back.

You can increase the dose of Reclide XR 60 to thrice daily till you get blood tests as your sugars are high now.

You can continue GalvusMet twice daily as you were taking.

Regards
Dr Ajish TP

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D