Advice on Diabetic Medication

Patient

Q: I do take glucophange 1000mg in morning and same at night and daoni 5mg morning night and still test read 281 before this was 255 please what can i us to bring it back to nomal

Doctor

A:   Since your sugar levels are not under control with metformin (glucophage) and daonil (oral sulphonylurea), you may require injectable insulin. Sometimes underlying factors can worsen glycemic control, these can include :
i) Decreased compliance with diet, exercise, or the medical regimen or weight gain.
ii) An underlying illness or an indigestion of the oral drugs.
iii) Progression of the underlying disease process including insulin resistance and deficient insulin secretion causing type 2 diabetes.
I would suggest that your father consult his doctor or preferably an endocrinologist/diabetologist to see whether insulin is warranted in his case. Insulin is a reasonable choice for initial therapy in patients who present with symptomatic or poorly controlled diabetes, and is the preferred second-line medication for patients with A1C >8.5 percent or with symptoms of hyperglycemia despite initial management with metformin and lifestyle interventions.

Related Q&A

Q: My 68 year old father has been diagnosed with an unknown virus. Prior to this diagnosis, he was generally healthy, wi...

Q: Ive been so tired for months now! Out of the blie this morning I tested my fasting blood sugar level and it was 164. ...

Q: When my sugar is low I experience exaggerated movements. Why

Q: When my sugar is low I get exaggerated movements. This has happened 3 times now Why?

Q: Think have diabetes..dont have medical insurance nor a primary physician. Found a lab that will test for diabetes sho...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews