Review of Current Medications and Potential Interactions

• Your current regimen includes Metformin, Vildagliptin, Voglibose, and Glibenclamide. These medications work to lower blood sugar by different mechanisms. However, persistent high levels may indicate the need for adjustment.

Possible Reasons for Persistent High Blood Sugar

• Consider factors like medication adherence, dietary habits, physical activity, stress, or other health conditions that might affect blood sugar control.

Recommendations for Managing High Blood Sugar

• Lifestyle Modifications: Focus on a balanced diet and regular exercise.
• Monitoring: Regularly check blood sugar levels.
• Consultation: See an endocrinologist for potential medication adjustments.

Importance of Medical Follow-up and Testing

• Regular HbA1c testing is crucial for assessing long-term glucose control. Check for any complications or underlying issues.

Safety Considerations and When to Seek Immediate Help

• Be aware of symptoms like severe hypoglycemia or hyperglycemic emergencies that require urgent medical attention.

Summary and Encouragement

• Stay in close communication with your healthcare provider to optimize your diabetes management.