My fasting blood sugar is under 100, but my after-meal sugar levels spike to 200-240, and my HbA1c is 7.4. I am currently taking Glimiprime M4 and Volibo 0.2 before breakfast, Glucobay 25 with lunch, and Glycomet SR 500 along with Nervup Forte after dinner. How should I adjust my current medicines to better control my after-meal sugar levels?

Your fasting blood sugar is well controlled, but your post-meal sugar levels (200?240 mg/dL) are likely contributing to your HbA1c of 7.4%. The medicines you are currently taking, such as Acarbose, help control blood sugar after meals, but your doctor may need to adjust the dose or add another medicine such as a DPP-4 Inhibitor to improve post-meal sugar control. Do not change your medication on your own. Please consult your doctor with your blood sugar records so that your treatment can be adjusted safely and appropriately.