HomeAnswersEndocrinologyfasting blood sugar levelWhat is the reason for persistent high FBS even after medication?

My FBS is high even after increasing the dose of Metformin. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At August 3, 2020
Reviewed AtJune 8, 2023

Patient's Query

Hello doctor,

My FBS used to be around 100-115 while on Metformin 500 mg twice daily (diabetic and PCOS). Recently I have been tired, and feeling hot in the nights, getting night sweats. My FBS was between 150-165 and I visited my doctor and some tests confirmed and he diagnosed me with NASH and put me on Atorvastatin 10 mg. He increased my Metformin to 1000 mg twice daily and I took it for a week and a half and my FBS was still high. He then changed it back to Metformin 500 mg twice daily and Diamicron 30 mg once daily and my FBS is still high. Any suggestions? I am currently on Presaratan H, Amlodipine 10 mg, and Qlaria.

Hello,

Welcome to icliniq.com.

You have to wait at least two weeks to know whether the drug is working or not. Do regular exercise and yoga. Avoid alcohol and smoking. Eat green leafy vegetables and fruits.

Avoid irregular meals, please check whether you are suffering from hypothyroidism or metabolic syndrome or other hormonal imbalance in which blood sugar may not come down. Weight reduction is very important. Millets like foxtail millet, oats, and other millets are useful to control blood sugar.Still, your blood sugar not under control you may need to change oral hypoglycemic drugs.

Investigations to be done

Ultrasound abdomen. Thyroid profile. Serum creatinine.

Differential diagnosis

Treatment plan

Continue the same treatment.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Penchilaprasad Kandikattu
Dr. Penchilaprasad Kandikattu

Internal Medicine

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