Thankyou for your query.
As per your details regarding blood sugars it is certain that your blood sugar is raised despite taking medication. Kindly mention your dietary patterns because as per your post prandial sugar levels it is clearly evident that you are taking heavy dinner.
You can do one thing that you can start small frequent meals, low
carbohydrate diets, brisk walking 30 minutes a day for 5 times a week, green leafy vegetables, nuts, skimmed milk products.
Regarding medical treatment instead of janumet you can take galvusmet 5/1000mg in the morning, one tablet glucobay along with
metformin at the time of having lunch, and then at dinner you can take
gliclazide in combination with
pioglitazone and metformin.
Yes sometimes too much of medicine at a time can cause
hypoglycaemia, kindly let me know if you ever feel lethargy or get up from sleep due to intense hunger, or altered sensorium. Do mention it as you might have to change your drugs if such symptoms occurs.
Get in touch anytime
God Bless