Your father's readings confirm diabetes. A negative urine ketone test is positive news as it helps rule out acute complications, but doctors typically differentiate Type 2 diabetes using HbA1c tests and clinical history. While 223 is elevated, it is not an immediate emergency. I recommend consulting his doctor for an HbA1c test to assess long-term control. For his height and weight, a balanced, low-glycemic diet of about 1,500?1,800 calories daily, rich in fiber and lean proteins, will help gradually lower his blood sugar.

Since you have long-standing Type 2 diabetes mellitus and are using Zoryl, Vobit, and Vonderd Met, it?s important to continue them regularly as prescribed, monitor your blood sugar levels, and maintain a proper diet with controlled carbohydrates and regular exercise.Have regular follow-ups with your doctor to adjust doses and check HbA1c, kidney function, and overall diabetes control.

This type of pain is common in diabetes and is often due to nerve damage (diabetic neuropathy). Since you are already managing your blood sugar with Zoryl M3 and Lantus, keeping those levels stable is a wonderful first step. To ease the burning, doctors frequently prescribe specific medications that calm overactive nerves, such as gabapentin, pregabalin, or duloxetine. Gentle foot care can also help. Please share these symptoms with your doctor soon so they can safely prescribe the right treatment to help you sleep comfortably again.

Your fasting blood sugar of 153 and post-meal of 159 suggest your current doses of glimepiride and metformin (found in Metride DS 2 and Zoryl) may need adjustment. Sometimes, factors like diet, stress, sleep, or changes in how your body processes insulin can temporarily affect these results. It is also important to ensure your medication doses aren't overlapping. Please share these readings with your doctor, who can safely review your regimen and help get your levels back on track.

Zoryl M4 Forte (glimepiride/metformin), Voglutor (voglibose), Tendia (teneligliptin), and Tezloc (telmisartan)?are already working so well, I recommend avoiding paneer ke phool water. This herbal remedy can further lower your blood glucose, putting you at risk for hypoglycemia (dangerously low blood sugar). Since your current regimen is keeping you perfectly balanced and healthy, it is best to stick with it. Please always consult your doctor before introducing any new herbal supplements.

An HbA1c of 12%, along with blurry vision and tiredness, means your body needs supportive care right away. Since you take Zoryl (glimepiride), we can explore highly effective, travel-friendly non-insulin options. These include daily oral medications like metformin or SGLT2 inhibitors, and weekly non-insulin injections (GLP-1 receptor agonists) that are very convenient for travel. However, because of your current symptoms, please consult your doctor promptly to safely adjust your treatment.