Fasting Sugar under control; problem with PP level, please help

I was taking Triglucored forte (metformin 500 mg, glibenclamide 5 mg and pioglitazone 15 mg) 1 tablet morning and 1/2 tablet at night. My fasting sugar was between 105 to 115 but the problem was with my PP sugar levels which were around 225. I consulted physician and she put me on Glimisave 2 forte (Glimepiride 2 mg Metformin 1000 mg) at breakfast and Glimisave 1 (Glimepiride 1 mg Metformin 500 mg) at night. Now my fasting level is also raised to about 135 and my PP has instead risen to 270. On the other hand my intake of Metformin has doubled. Please help with your advise.

29 Replies

  • What do you eat throughout the day ?

  • Bed Tea: without sugar, with 2 cookies (salted or very low sugar).

    Breakfast: 1 stuffed course grain chapati with curd and about 8-10 blanched almonds.

    Lunch: 1 chapati (made with half wheat flour and half gram flour) with daal, green vegetable and a dry vegetable.

    Evening Tea: without sugar, with 2 cookies prefer oat meal or from local bakery.

    Dinner: 1 chapati (made with half wheat flour and half gram flour) with daal, green vegetable and a dry vegetable.

    Apart from this I do east some non-sweet fruit like guava, jamun, pear etc.

  • Hi Rajan, you must down all baked goods and cookies. Also do not eat any fruit until you have a good control over your sugar. Even after having good control over sugar , only eat berries in limit like strawberry, blueberry, blackberry. Have a morning glass of Karela, Ginger, spinach juice. Also start having apple cider vinegar (ACV) - 2 tsp in 8 oz of water in the morning and 1/2 hour before every meal. Must swish your mouth clean after ACV, to avoid any enamel damage. Reduce Carb to 75g per day and increase your Fat intake to 120-140g per day. Overall, have 75% food from Fat, 15% from Protein and 10% from Carb. Measure your sugar FBS in the morning and every 2 hours after the meal to see what food suits you. Good Luck!

  • rajanmittal

    u have gud advise from AkhilG

    forget abt that theory of eating 10 times a day. v r humans and not cows that v need to graze 24x7. buy a meter, test glucose after eating 2 chapati, 1 chapati, 1/2 chapati and no chapati at all. yr meter will tell u what's harmful for you.

  • Dear rajan,

    There is some inconsistency in the results observed.

    Hope you keep a right Bmi and life style.

    Otherwise it will be a lot wastage of time.

    Since your ppbs was only abnormal

    It would have got corrected by a shift to a short acting meglitinide like repaglinide.

    Consult a diabetologist.

    You can also do what I did.

    Split meals. Several small meals.

    Hope you are not expecting a special reply like some people

    Who come here to advocate a special therapy.

    Good luck

  • Indiacratus


    You could have omitted last few lines. Sarcasm doesn't help


  • their therapy failed big time so helpless. they have to spice up post wid sarcasm and insults. they play games on private message telling ppl that i am a clone. they get away with that.

  • Agreed. But what happens in this forum proves my position. It is not sarcasm.

    I sincerely believe it is possible : many fake patients can and wasted my time in the past.

    Why Mr Mittal is not interested in his own disease. What does it show?

    Good luck

  • what r u? a doctor? so you call yr patients also fake? great. nice way to respect a patient who pays u for yr living in case u r a doctor. luks like calling every1 who doesn't agree wid u fake is your strong point. gud i do't pay such Drs who take da money and den call patients fake when their therapy fails big time.

  • 😄😃👍

  • Thank you for the advise and I appreciate your scientific approach. As per my occupational routine it is not practical for me to have multiple meals. I shall be consulting my diabetologist at weekend and shall discuss about including a short acting meglitinide to the prescription. Any other suggestions will help please. regards.

  • Mr. Mittal,

    My diagnosis is always perfect since I pick up knowledge from,

    the perfect websites like the American diabetes association, the harvard university and so on.

    I have given above thousand presentation in this forum.

    Can anyone point out a single error? Thanks In advance

    If anyone can.

    Because I want to be in possession of knowledge with zero error.

    Good luck.

  • Eating 10 times a day is most impractical solution for a working professional and here's why:

    I eat only 2 meals a day.

  • Rajan...

    Understand your disease. Doctors would scribble a few medicines. Nutritionists are also trained empirically.

    The basic defect is with carbohydrate metabolism. Restrict carb intake and take low gi carbs. You have to learn to count carbs prots and fats in the diet. Also GI and GL of foods. Good or bad fats and good or bad carbs. No to sugar. Take fruits with caution and calculate what you are eating in terms of sugar and gi.

    You have to learn yourself. IF and prolonged fasting suitable to you are good.

    In the end only a few words. Diet management is better than medicines. Medicines tend to fail in the end leading to higher and costly medicines. May be insulin

    Best luck.

  • "In the end only a few words. Diet management is better than medicines."

    And here's why -- the lovely Invokana (Modern Drug?)

    Some guys here don't tire praising so called "Modern Drugs"

    Wish India also had strong class action law suit provision. Then these companies will be coughing up billion dollars like they do in USA for all the drug fraud.

  • Anup

    "Wish India also had strong class action law suit provision. "

    This is true not only for pharma companies but also for other administrators.

    Our civil services if sued the governments/country will go bankrupt.

    Goods sold, any service rendered, advocates showing gross negligence in handling cases and the docs/ hospitals not providing competent services. List is inexhaustible. Sometimes i feel i had better become advocate i would be filing daily one case.

    Yes. Alas our courts could be more efficient.

    We are paying tons of rupees to rbi governor and all the bank employees. We treat them as raja maharajas. Bunches of leaves, so much fringe benefits, loans at throw away rates and huge pension. Still our npa is 2.08 trillions. Why should we not recover these money from them ? They are taking salary from the taxes we pay. They feed on our money but are loyal to others. Policies formed are for the benefits of strong and mighty. Poors commit suicide. Western countries applauds by 9 standing ovations because the policies are formed to benefit them and their country. And we like fools happy that indian pm got 9 standing ovations. It's my personal experience that when americans praise you so much beware they are going to kick you in your butts. We look at gdp - god knows what that is and how it benefits poor and needy - but these reverend economists don't know what is and how to increase GHI - gross happiness index. And we can't sue them !!!!????

  • So what's your opinion on this MODERN drug which causes DKA even at normal blood suagrs, increases LDL also.

    Great drug ins't it. More moola for stain industry for UTI, Candida etc etc :(

    Abhi toe party shuru huyee hai.

    This may meet the same fate as Avandia/Actos -- but after raking in billions of dollars and paying pocket change in penalties.

  • Forget meeting diabetologist ,they will put you on more medicine ,instead start LCHF diet you'll get rid off all medicines ,I am on lchf since last 23 days and quitted lantus 26 unit/per day , jalra statins ,beta blockers ,aspirin etc etc my fbs comes to 90-100 and ppbs 115 maximum.visit diet doctor web you will learn more

  • Welcome to the club. But, talking about LCHF is no more allowed here, though it helps anyone who switches. Your case is just 1 example.

    600+ Indians that I know of have gained good numbers on 90% less or nil drugs. I am drug free foir sixth year running.

  • There was a person called medfree in this forum. What happened to him?

  • Hey, did you read my interview in RP Goenka group magazine? In case you missed, just check it out:

    You will find few other brave-hearts there in the same article that also mentions Dr Prakash Chhajed with 30 years clinical experience doing same as what we talk.

    See where someone's hate here against me here took me to? Good work doesn't go unnoticed. So do good work instead of hating. People will notice. How about some magazine interviewing you on your theory even in some local Kerala publication? Did it happen?

    As for medfree, do you want his email address? let me know and i will post it and then you can communicate with him over email. He will himself tell you where he is. This question of yours has been answered umpteen times in the past, but perhaps your memory is failing you so you keep asking same question over and over again.

  • Hi, I will not prefer any medicine and it is just an experience. To bring FBS in control have dinner min 2 hour before you go to bed and needs to have sound sleep min 6-7hours. Excersize daily min 30-45min in the morning. Restrict corbs 25gms per meal. To avoid spike in PPBS.

  • "Restrict corbs 25gms per meal. To avoid spike in PPBS"

    You got it right. That's the way. No more than 3 meals a day.

  • I want to know how to control on eating of type 1 diabetes petition

  • Dear gaurang,

    Reduce weight. Exercise., amount of carbs and insulin, all three should match.

    Learn carbohydrate counting and food exchange. Follow a balanced food.

    Good luck

  • You will have to first learn what spikes the most?

    (1) 1 gram glucose will spike by 4 points.

    So if you eat 300 grams carbs, you will have to cover for 1200 rise in blood glucose.

    (2) If you eat 100 grams carb you need to cover for only 400 spike. This is basic science for managing blood sugar.

    (3) If dividing in 3 meals --

    (1) above will need 26 units bolus every meal.

    (2) above will just need just 9 units bolus every meal.

    Less wild swings == less crash delta == lower hunger pangs == lower diabetic complications.

    Compare to carbs, one ounce (~27 grams) protein would need about ~1 unit bolus. But you cannot go beyond 0.8 to 1.0 g/Kg on proteins.

    Fat will need almost none.

    Which one do you think is more manageable?

    So the answer holds the key to solution.

    Since you are type 1, watch videos of Dr Richard K Bernstein (A Type 1 with 70 years diabetic history and still alive at 82) on youtube and learn good things. There are around 40+ videos. His videos are all FREE. You can join his monthly tele-seminars (again FREE) to ask questions. No one can guide you better than him as you are Type 1.

  • Isn't blood sugar and blood glucose used interchangeably? Is one gram sugar same as one gram glucose?

    Insulin dosing is based on CARB load of the meal (not glucose load of the meal) and f 8 grams carb need 2 to 2.5 units fast acting insulin for a type 1 adult what does that mean? It is used interchangeably, however wrong it may be.

    How much did 2-2.5 reduce the blood sugar/glucose by? Yes, this range is there to take into account impact of some normal physical activity.

    At least this is the theory by which MD mother of a 10 year old diabetic is computing too, though it's less for the kid as kids are more active than adults, normally.

    And, this iis what the master -- Dr Richard Bernstein also says in his video lectures.

    I guess best would be post your diet, let people follow it f they want to and lets see the results -- 3 months, 6 months, 9 months, 12 months and 36 months and how numbers behave.

  • Read and understand it. I have posted whatever I had to. I am not answering to an advocate or standing up in some court that I have to even answer with just a a Yes/No.

    Waiting for a post from you on your diet, so that diabetics coming here can start following it and start reporting their numbers.

  • @Gaurang,

    Whatever starch the Type 1 patient takes, make it Long Wheat based, monitor & report Blood Sugar results.

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