Dr. Saumya Mittal
Internal Medicine
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Patient's Query
Hi doctor,
I am a 46 year old male. I have a weight of 132 pounds and a height of 5' 3". I am diabetic for the past ten years. I have an Hba1c of 8.3 %, with no other health issues. I do exercise regularly, and I am taking a healthy diet every day. I am using Gemer 2 mg twice a day, and I am unable to bring Hba1c below 7.5 %. I have an FBS of 130 mg/dL and PBS of 220 mg/dL. Sometimes, I sweat in the morning. When I check my sugar levels, I have an FBS of 120 mg/dL. I am not interested in increasing the dose of Metformin to 1000 mg twice as a concern of weight loss. Would a change in medicine help me to reach my Hba1c target? Please advice.
Hi,
Welcome to icliniq.com.
You are taking Gemer 2 mg (Glimipride with Metformin) twice daily. Please say whether you take Metformin alone and tell about the dose. If you are on Gemer 2 mg only, then you can take Glycomet 500 mg (Metformin). You do not need to begin with Metformin 1000 mg directly. Diet and exercise help you a lot. Loss of weight will help to control sugar levels better. Your FBS (fasting blood sugar) is fine. Your PBS (postprandial blood sugar) level is high. So, I suggest controlling diet. If there is no improvement, you can consider taking Metformin.
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Internal Medicine
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