My father is diabetic patient for last 32 years. He is taking 18U novomix 30 along with trajenta 5 at 11 am before lunch and 12 U novomix 30 at 10 am before dinner. He has a good post prandial glucose level after lunch at around 140-150 but his post prandial sugar after dinner rises to 200-210 and the next day fasting glucose too remains high at around 160. He takes equal amount of food (50 gm rice with veggies) both during lunch and dinner. He is 64 years old with Creatinine level of 1.03. How can I lowered down the PP sugar at dinner so as to keep the fasting sugar at acceptable limits ? Moreover he have isolated systolic hypertension for 3-4 hours during day time. He takes Cilacar T (Cilnidipine 10 + Telmisarten 40) at 8 pm daily. Should he be taking one more Cilacar 10 in the morning or will it suffice ?
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