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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes An Elevation In The Blood Sugar Level Despite Taking Metformin And Glipizide?

I am taking Metformin and Glipizide and blood sugar in the am are elevated. I follow a strict diet, no sweets, carbs only twice a week. My diet is mainly meat, vegetables or salad and ONLY water. I am trying to loss weight and I am exercising. Before dinner on last night blood sugar was 167. This am without anything but water, blood sugar was 268. I took another glipizide 10mg on today. My regular dose is glipizide 10 mg a day and Metformin 500mg BID . I think I should take the glipizide twice a day also. .
Thu, 15 Jun 2017
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Diabetologist,  's  Response
Hello,

The levels mentioned 167 mg and 268 mg are high, showing uncontrolled diabetes. It means either present treatment is inadequate and/or dietary intake is more. Since there is no mention of weight and height, no comment can be made regarding that. Increasing the dose of Glipizide can benefit.

Taking an additional tablet randomly is not advised. To suggest appropriate treatment I need to know your FBG, PP, and HbA1c%, exact dietary intake and extent of daily exercise. Therefore, please do these tests and get back with all the necessary information or consult your regular diabetologist.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Prabhakar Laxman Jathar
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What Causes An Elevation In The Blood Sugar Level Despite Taking Metformin And Glipizide?

Hello, The levels mentioned 167 mg and 268 mg are high, showing uncontrolled diabetes. It means either present treatment is inadequate and/or dietary intake is more. Since there is no mention of weight and height, no comment can be made regarding that. Increasing the dose of Glipizide can benefit. Taking an additional tablet randomly is not advised. To suggest appropriate treatment I need to know your FBG, PP, and HbA1c%, exact dietary intake and extent of daily exercise. Therefore, please do these tests and get back with all the necessary information or consult your regular diabetologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prabhakar Laxman Jathar