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  5. patient with diabetes since 2002. currently taking matilda ER OD and glycomet gp2 + galvas 50 mg BD. 150 and PP 190 are still being fasted. What should I do? Should I increase my metforming from 500 to 1000? I have a 6.7 HB1AC.

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patient with diabetes since 2002. currently taking matilda ER OD and glycomet gp2 + galvas 50 mg BD. 150 and PP 190 are still being fasted. What should I do? Should I increase my metforming from 500 to 1000? I have a 6.7 HB1AC.

Asked by Male, 50 ยท 15 days ago

With long-term Type 2 diabetes, a HbA1c of 6.7% is really pretty well controlled, and fasting sugar levels of about 150 and post-meal levels of about 190 are just slightly above target. Since you are already taking several diabetes medications, including metformin and vildagliptin, do not increase your metformin dosage from 500 to 1000 on your own. Prioritise food, consistent meal timing, frequent exercise and walking, and weight control. Talk to your diabetologist about any changes to your dosage so they can make a safe decision based on kidney function and overall control.
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  1. Medical history context
  • A 50-year-old male with diabetes since 2002 likely has a history of managing blood sugar levels and potential complications such as cardiovascular issues or neuropathy.
  1. Dosage and usage of medications
  • Matilda ER OD: Take with or without food, once daily, as prescribed.
  • Glycomet GP2: Take after meals, usually once daily.
  • Galvus 50 mg BD: Take twice daily, either with or without food.
  1. Interpretation of blood sugar levels
  • Fasting blood sugar of 150 mg/dL and postprandial level of 190 mg/dL suggest inadequate blood sugar control, typically indicating the need for tighter management.
  1. Meaning of HbA1c 6.7
  • An HbA1c level of 6.7% indicates diabetes control is not optimal, as guidelines suggest aiming for values below 6.5% for better control.
  1. Considerations for metformin dose increase
  • Before increasing from 500 mg to 1000 mg, evaluate kidney function, current blood sugar control, and potential side effects. Always consult a healthcare provider first.

Answered 15 days ago

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