Understanding Your Current Blood Sugar Level

• A level of 253 mg/dL is high and indicates poor blood sugar control, which can lead to complications if not addressed.

Review of Current Medications

• Pioglitazone: Improves insulin sensitivity.
• Metformin + Glimepiride: Reduces liver sugar production and stimulates insulin release.
• Glimepiride: Increases insulin secretion.
• Sitagliptin: Enhances insulin production and reduces sugar production by the liver.

Possible Reasons for High Blood Sugar

• Medication adherence, dietary habits, lifestyle factors, or progression of diabetes.

Importance of Medical Evaluation

• Consult your healthcare provider to reassess your treatment plan. They may recommend tests or monitoring.

Potential Adjustments to Treatment

• Your doctor might consider dosage changes, adding insulin, or other medications based on your health status.

Lifestyle and Monitoring Recommendations

• Maintain a balanced diet, regular exercise, and monitor blood sugar levels consistently.

When to Seek Immediate Medical Attention

• If you experience symptoms like severe fatigue, confusion, or difficulty breathing, seek urgent care.

Encouragement and Support

• With proper care and follow-up, diabetes can be managed effectively. Stay in close contact with your healthcare team.