Hello,
important information is lacking about her situation but I'll try to give you the best answer I can.
23mmol/l is very high either as a fasting or postprandial blood
glucose level and suggests inadequate treatment and/or patient compliance.
Is she overweight? Is she committed to a healthy diet? Does she take any other drugs (like
steroids - which cause blood sugar elevation)? Since you mentioned the 'highest dosage of medicine' I suppose she's type 2. You haven't mentioned her glycosylated
hemoglobin levels (
HbA1c). I guess they should be sky high (>10%).
The best treatment for
diabetes consists of three elements:
- healthy diet: avoid fatty foods and sweets (just a general direction - please inquire for more details if you'd like)
- daily exercise: walking is enough for her. Thirty minutes of fast walking every day unless contraindicated for other medical reasons.
- appropriate treatment regimen: if her HbA1c is indeed sky high I doubt she could carry on with the pills alone. Patients that have high HbA1c can only reach the target (I could not provide specific details about
insulin regimens without having a complete picture of her medical history.
Also please note that diabetic patients can be harmed more by a
high blood pressure than a high blood glucose. She needs tight control of her blood pressure which can be achieved by reduced salt intake, a healthy body weight and exercise - you see, this is all about leading a healthy lifestyle.
Keep in mind that 'better drugs' cannot make up for unhealthy eating habits.
I hope I've shed some light on her situation.
If you have further queries, I'll be glad to answer.
Kind Regards!