Glycomet GP1 (Glimepiride and Metformin) is usually taken with or immediately after meals to reduce stomach upset, not before. Since your fasting and postprandial sugar levels are high, please consult your doctor urgently to adjust your dose or review your treatment.

A fasting plasma level of 290 is significantly high and requires prompt medical attention. Homoeopathic medicines are not sufficient at this level. She should consult a doctor immediately, who can prescribe appropriate allopathic medication like metformin or other blood sugar-lowering drugs, along with diet and lifestyle guidance to safely control her diabetes.

A random blood sugar of 297 mg/dL is high and should not be ignored. Do not start or change medicines on your own. It is important to see a doctor as soon as possible so they can prescribe or adjust diabetes medication or insulin safely. Meanwhile, avoid sugary foods and drinks, drink plenty of water, and monitor your blood sugar regularly.

If your sugar levels are still high while taking Glycomet GP 1, do not switch medicines on your own. Your doctor may adjust the dose or add another medicine (or insulin), based on your condition. Please consult your doctor for proper evaluation. Meanwhile, follow a strict diet, regular exercise, and monitor your blood sugar regularly.

Fasting levels of 180 to 200 and post-meal 200 to 250 are not well controlled. It is important not to start or change medicines on your own. Usually, the doctor may adjust your current dose, add another medicine, or sometimes start insulin, depending on your reports and overall health. Please consult your doctor soon, and meanwhile, follow a strict diet, regular exercise, and monitor sugar levels regularly.