Your fasting blood sugar is near target, but your post-meal levels (240-250 mg/dL) are significantly high. Please do not adjust your doses yourself. Notably, you are taking Metformin in three different medications (Gemer, Metlong, and Galvus Met), which likely exceeds the safe daily limit of 2000mg. To control post-meal spikes, your doctor needs to urgently streamline these oral medicines to avoid toxicity. They may also adjust the timing or dosage of your Human Mixtard insulin (typically taken 30 minutes before meals). Please consult your diabetologist immediately with a 3-day blood sugar log to safely restructure your prescription.

Fasting sugar levels of 180?191 mg/dL despite taking Gemer 2 or Glimistar PM2 indicate that your diabetes is not well controlled. A change in medicine may take some time, but such high levels usually need dose adjustment or adding another drug like insulin or other oral agents. Also review your diet, reduce sugar and refined carbs, exercise regularly, and check HbA1c. It?s important to consult your doctor soon for proper treatment adjustment rather than waiting.