I developed diabetes in 2012 after a steroid treatment. Currently, my fasting blood sugar level is 130, and my post-meal level is 230, even though I take Glycomet-GP 1 in the morning and afternoon. I also have a blood pressure of 140 over 90 and take Losanorm 25 daily. What medicines or dosage adjustments would you suggest to help lower my blood sugar levels further?
Your fasting blood sugar level of 130 and post-meal level of 230 suggest that your diabetes is not fully controlled at present. Glycomet-GP 1 contains glimepiride and metformin, which are commonly used to treat diabetes, but over time, some people may need dose adjustments or additional medicines for better control. Steroid-induced diabetes may sometimes continue long-term, especially if there is underlying insulin resistance. A blood pressure reading of 140 over 90 is also slightly above the usual target for people with diabetes, so both sugar and blood pressure need regular monitoring. Doctors may consider increasing your current medication doses or adding newer diabetes medications, such as DPP-4 inhibitors, SGLT2 inhibitors, or GLP-1-based medicines, depending on your weight, kidney function, and HbA1c level. Lifestyle measures are equally important. Reducing intake of sweets and refined carbohydrates, regular walking or exercise, weight control, and taking medicines on time can significantly improve blood sugar control. Do not change doses on your own. You should consult your doctor for HbA1c testing and a full review of your treatment plan to avoid long-term complications.