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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fasting Sugar Increased With Increased Dose And Change In Medicine. Why?

dear Doctor My hb1c is 7.4 I was taking Amaryl 1 mg with 500 mg Metamorphine twice a day. My fasting sugar was around 130 . I was taking these medicine since last six months. My doctor advised me to improve the control and changed the medicine as 2 mg Amyral twice a day and added Galv us 50 mg once a day. After 3 days of use I did not observe any change but fasting sugar increased to avg 140. Please advise about the change of medicine and outcome. I am of 56 years male .
Fri, 18 Jan 2013
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General & Family Physician,  's  Response
Hello and thanks for the query
HbA1c 7.4 is slightly high and indicative of fair control of blood sugar. In addition to this your fasting sugar was also high. Your doctor gives you the right advice to increase the doses of medicine. But again by increasing the medication your blood sugar was not under satisfactory control.
You need to consult your doctor again and he/she may order you to use Insulin as a short time period to control the blood sugar.
In addition to drugs you need to take a proper check on your diet and please follow diabetic diet.
Hope this will help you.
Best Wishes
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Fasting Sugar Increased With Increased Dose And Change In Medicine. Why?

Hello and thanks for the query HbA1c 7.4 is slightly high and indicative of fair control of blood sugar. In addition to this your fasting sugar was also high. Your doctor gives you the right advice to increase the doses of medicine. But again by increasing the medication your blood sugar was not under satisfactory control. You need to consult your doctor again and he/she may order you to use Insulin as a short time period to control the blood sugar. In addition to drugs you need to take a proper check on your diet and please follow diabetic diet. Hope this will help you. Best Wishes