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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment To Control Blood Sugar

I have type 2 diabetes I have lost 65 lbs in last year down from 269 to 264 I take metformin glimepride and onglyza in the morning and at night I take metformin and glimepride at night .My problem is every morning my blood sugar is in the low 60s .please help me with any info .thanks nicklemanguitar.
Thu, 19 Mar 2015
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Diabetologist,  's  Response
Hello there. It looks like you have lost a substantial amount of weight. However, please check your target weight and try to get to that gradually. The weight loss should be done in a healthy way as it is to be done for life. Your medications are surely helping you get to the desired control but your fasting glucose could be a little higher. The normal cut off is from 70-130. So there are two options here. You could take a light late night snack or come down on the dose of glimepride. Please try coming down slightly on the dose of glimepride at night and recheck your blood glucose levels. Please do a post prandial level also when you check. Kindly revert if needed. Hope this helps. Stay healthy. Regards, Dr Praveen.
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Suggest Treatment To Control Blood Sugar

Hello there. It looks like you have lost a substantial amount of weight. However, please check your target weight and try to get to that gradually. The weight loss should be done in a healthy way as it is to be done for life. Your medications are surely helping you get to the desired control but your fasting glucose could be a little higher. The normal cut off is from 70-130. So there are two options here. You could take a light late night snack or come down on the dose of glimepride. Please try coming down slightly on the dose of glimepride at night and recheck your blood glucose levels. Please do a post prandial level also when you check. Kindly revert if needed. Hope this helps. Stay healthy. Regards, Dr Praveen.