While artificial sweeteners are generally safe in moderation?typically up to 5 to 10 tablets daily?they will not lower your blood glucose. Your fasting blood sugar of 200 mg/dL is elevated, even with Gluconorm SR (metformin). I gently encourage you to consult your doctor to review your treatment plan, as your medication or lifestyle habits may need a gentle adjustment. Please do not worry; with the right guidance, we can get your levels back into a safer, healthier range.

Since your fasting and after-meal blood sugars remain high despite these efforts and your current medications, Gluconorm SR (extended-release metformin) and Pioz (pioglitazone), it may be time for a treatment adjustment. Sometimes, our bodies need a change in medication dosage or a different combination over time. Please share your daily blood sugar readings with your doctor. They can safely adjust your current doses or explore other options to help you reach your targets smoothly and safely.

Your elevated ketone levels with normal blood sugar are likely due to your low-carbohydrate diet and active lifestyle. When you limit carbs, your body naturally burns fat for fuel, producing ketones. This is known as nutritional ketosis. Your medication, Gluconorm G1 (which contains glimepiride and metformin), is doing its job to keep your blood sugar stable. While this is generally safe, it is always a good idea to share these results with your doctor to ensure your medication dosage is still perfect for your new, healthier lifestyle.

Given your three-month average, attempting to manage your blood sugar through diet and exercise is a very safe and highly reasonable next step. Slightly elevated fasting blood sugar can often be improved by adjusting evening meals and staying active. I encourage you to partner with your doctor to monitor your progress as you transition to lifestyle management.

Even with Gluconorm SR (metformin), Zorem (ramipril), and Roseday (rosuvastatin), your fasting blood sugar of 170 and post-meal of 245 show your diabetes is not yet fully controlled. Sometimes, the body needs a dosage adjustment or an additional medication to assist the metformin. Also, gradually increasing your daily walk beyond 1 km can help. Please consult your doctor soon so they can safely adjust your treatment plan to bring your levels into a healthier range.

Please be reassured that her post-meal reading of 169 shows her body is recovering. A blood sugar of 40 is dangerously low. If this happens again, immediately give her 15 grams of fast-acting sugar, like half a cup of fruit juice, and recheck in 15 minutes. Since she takes Gluconorm 1mg Forte, which helps lower blood sugar, this morning dosage may need to be adjusted by her doctor to prevent these drops. Please contact her healthcare provider soon to safely review her medication plan.