Fasting BS not coming down

[suji]

I have checked my BS today and the results are as follows:

Fasting sugar : 110

PP : 86

Fasting sugar is not coming.

I am taking half tab of Glyciphage Sr (250 GM)

Activities: morning walk for 45 min + 20 min exercise

evening walking of 30 min.

Food: morning - green tea, oats

Lunch : 2 chappathies + veg subji

Even. tea & dinner at 8pm long wheat dhalia uppuma

age: 72 kg, wt: 71.5

Diabetic since 2012

[Activity2004 Administrator]

Have you talked to your Endocrinologist ( Diabetes doctor)? If so, what did he/she suggest? Do they want you to count your carbs for each meal and snack? Do they want you to do different exercises along with the walking?

Please check out the Diabetes Research and Wellness Foundation for the free leaflets on "A Healthy Diet and Diabetes " and "Exercise and Diabetes ". Go to: drwf.org.uk/diabetes-leaflets

All leaflets are free to be downloaded, read and/or listened to at anytime. Hope this helps.

[Rbdesai]

Start Apple cider vineger 10ml in the 200ml water @bed time. surely 5 to 8% FBS decreased.

[JBPHM]

Eating disorders

[Activity2004 Administrator in reply to JBPHM]

Eating disorders? How?

[suji]

250 gm tabs are not available hence I used to break the tab into 2 pcs.

[suji]

Then what is the remedy?

[cure Administrator in reply to suji]

Have you ever done liver scanning to rule out possibility of fatty liver????

[suji in reply to cure]

Not yet

[suramo Star]

Anup

for a long time i had something to say on sr preparations. Usually the drug dosages are determined based on their effective serum levels. So a plain formulation dissolves and gets into blood and achieves a plateau vmax, which is the effective levels, remains to that level for some time depending on clearance by the body- this decides the dosage schedule if to be taken once, twice, thrice or xy times daily. So 500 mg sr formulations do not achieve the same serum levels as plain preparations. Even sr preparations achieve desired blood levels or not can't be relied upon. So plain preparations are better effective than sr preparations. Most of the sr preparations are marketing gimmicks. Personally i'd like to give plain preparations. The only problem with plain ones is that they have to be taken more frequently.

In case of metformin the drug is required to delay insulin destruction. So plain preparation is advisable whenever you eat large meals. We have to take into consideration the clearance time also which is about 6 hours in the case of metformin meaning it remains effective for 6 hours and if you eat during that period you need not take metformin.

[suramo Star]

Anup

ironically if there are side effects mean the drug is taken and acting. 😜😜😜😜.

Well. The drugs need to act on the disease and for that it needs to achieve certain blood concentration which sr preparations may not. There are many sr formulations in the market for various drugs. Few are iron preparations to avoid side effects but our standard books clearly say that they are " totally useless ". The drugs can't go on getting absorbed throughout the entire length of GIT. Drugs released beyond that part of git would not get absorbed.