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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Control My Fasting High Blood Sugar?

I am taking Diamicrone XR 60mg twice+ metformin thrice + Jalro 50 mg once + Misobit 50 mg thrice .
My fast sugar remains more than 130 & after breakfast it goes upto 180-190 ( though i take one each diamicrone + Jalra+ misobit + metformine before breakfast ).
before lunch sugar comes to 140 . I take one each metformin & misobit . after 2 hrs sugar level is about 110 .which remains around this till dinner .
My main problem is my fast sugar always remains high & I get hungry around 0400 hrs after going for urination .
suggest how to time my doses of these medicine to control Fast sugar ....LKSINHA
Wed, 25 Jun 2014
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Diabetologist 's  Response
Dear sir i can understand your concern.
i am very happy to see your diabetes is under good control.
Then early morning low sugars at the time of 0400 should be prevented to keep excessive shooting up of fasting blood sugar This specific phenomenon is called as Somogyi Effect.
In a nutshell the shooting up of blood sugar can be avoided by reducing medication during night time.
The main reason for me to think like this you gave a valuable piece of information that early morning 0400 your are feeling hungry,This might be due to low sugars
I suggest you to check sugars during that time if low kindly reduce night medication to avoid shooting up of sugars in morning.
Regards
Dr vamsi krishna
Diabetologist
Apollo Hospitals
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How To Control My Fasting High Blood Sugar?

Dear sir i can understand your concern. i am very happy to see your diabetes is under good control. Then early morning low sugars at the time of 0400 should be prevented to keep excessive shooting up of fasting blood sugar This specific phenomenon is called as Somogyi Effect. In a nutshell the shooting up of blood sugar can be avoided by reducing medication during night time. The main reason for me to think like this you gave a valuable piece of information that early morning 0400 your are feeling hungry,This might be due to low sugars I suggest you to check sugars during that time if low kindly reduce night medication to avoid shooting up of sugars in morning. Regards Dr vamsi krishna Diabetologist Apollo Hospitals