A fasting blood sugar of 176 indicates your diabetes is not fully controlled on Diamicron XD and Inogla. Consult your doctor to review your dose, diet, and lifestyle, as adjustments or additional treatment may be needed to bring your sugar to a safer range.

Yes, there are substitutes for Diamicron MR (Gliclazide), such as other sulfonylureas like Glimepiride or Glipizide. Please consult your doctor before changing your treatment, as they will determine the most suitable option based on your blood sugar levels and overall health.