Shall I switch to Glycomet SR 500 mg to control my glucose?

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I understand your concern. From your blood glucose levels, it is clear that the medication you are taking is not sufficient to control your blood glucose. You have not mentioned if you are taking Glycomet 250 once or twice a day. If you are taking Glycomet 250 once a day, then it would be a good option to switch to 500 mg SR. Glycomet contains Metformin, which is the best drug for first line treatment of diabetes. It is a relatively safe drug and you can take it. Regarding your concern about Metformin affecting kidney function, I would like to tell you that high blood glucose levels definitely affect kidney function, while Metformin has been taken by people having diabetes for decades without any side effects. If you search the internet for side effects, you will see that every medicine, including the harmless Paracetamol has deadly side effects. At this stage, I advise you to focus on reducing your blood glucose level. There is no magic recipe to improve pancreas function. Unproven research says food like garlic, mushroom, broccoli, spinach and tomatoes are good for improving pancreatic health. While this is not proven yet, there is no harm in trying. Exercise definitely helps to improve insulin sensitivity. I also see that your weight is slightly higher than the normal range. Reducing about 6 to 8 kg will bring about a big change in your blood glucose levels. It will require some more dedication. Fatty liver is a very common condition. Garlic can help to reduce it slowly with regular intake. Regular physical exercise and weight reduction can also help. It is good to avoid intake of oily, fat rich food, deep fried food, food containing cream, bakery food and red meat like mutton, pork and beef. I advise you to regularly test lipid profile and liver function tests once in six months and ultrasonography of the abdomen once in a year to check progress.

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You can take Metformin in the morning after breakfast or in the night after dinner. Choose the time most convenient for you and always stick to that time of the day. That way your body will understand the pattern.