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  5. I have been suffering from diabetes for 5 years. My fasting blood sugar is 135-147, and after meals, it is 195. I am taking Metformin 1000 mg before breakfast and 500 mg after dinner. Please suggest the right dosage.

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I have been suffering from diabetes for 5 years. My fasting blood sugar is 135-147, and after meals, it is 195. I am taking Metformin 1000 mg before breakfast and 500 mg after dinner. Please suggest the right dosage.

Asked by Female, 45 · 4 months ago

Dr. S Aneela

Dr. S Aneela

M. Pharm (Pharmacology)., PhD

4 months ago

Your sugar levels are slightly high, which means the current treatment may need adjustment. Do not change the dose on your own. Your doctor can review your readings and decide if the dose needs to be changed or if another medicine should be added.
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Can I increase my Metformin dose safely?What are the risks of higher Metformin doses?Should I add another diabetes medicine?How often should I check my blood sugar?What lifestyle changes can improve my blood sugar?

  1. Understanding Metformin Dosage Guidelines

    • Metformin is typically started at a low dose and gradually increased. The maximum recommended dose is 2000-2500 mg per day, depending on individual tolerance and blood sugar control.

  2. Current Blood Sugar Levels and Treatment Goals

    • Your fasting blood sugar (135-147) and post-meal levels (195) suggest suboptimal control. Target fasting levels are generally below 130 mg/dL, and post-meal levels below 180 mg/dL.

  3. Evaluating Current Metformin Dosage

    • You are currently taking 1500 mg daily (1000 mg AM, 500 mg PM). This is within the typical range but may need adjustment for better control.

  4. Possible Adjustments and Next Steps

    • Consider discussing with your doctor the possibility of increasing the evening dose or adding another medication. Do not adjust the dose without medical advice.

  5. Monitoring and Follow-up

    • Regularly monitor your blood sugar and schedule follow-up appointments to evaluate treatment effectiveness and safety.

  6. Additional Lifestyle Considerations

    • Maintain a balanced diet and regular exercise to support blood sugar management.

Answered 4 months ago

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