It is completely understandable to feel concerned when your blood sugar rises despite your hard work with dieting. When adding Volix M (voglibose and metformin) to Dynaglipt (teneligliptin), your body often needs a week or two to fully adapt, as metformin takes time to reach its full effect. Additionally, temporary factors like stress, minor sleep disruptions, or hormonal fluctuations can sometimes trigger these unexpected spikes. Please don't worry, as this is a very manageable situation. I encourage you to share these readings with your doctor, who can safely evaluate your progress and fine-tune your treatment plan to help bring your levels back into balance.