Hi I am taking one Gluconorm 500 mg SR tablets every day. My Glucos levels are not fluctuates a lot even with these medicines
Todays results
8.30 morning -168 (Empty stomach)
9.30 am-255
10.30 am-243
1.20 pm-175 (Before lunch)
3.30 pm-220 ( 2 Hours after lunch)
Is is required to increase the dosage or change the medicine. In the evenings normally the glucose levels falls as low as 108.Please guide.
First choice for diabetes management should be diet management followed by level of physical activity.Review your diet through the day and see how much of simple carbohydrates you are consuming,like sugar,sweets,rice,potato,beet etc that spike blood sugar levels.Replace with foods like pulses,sprouts,greens,vegetables,eggs.dairy etc. that do not spike blood sugar levels quickly.In essence,you should be eating foods with low glycemic value and less of high glycemic value foods.You can get more information on this subject from the net,and this forum also.Increasing physical activity is also helps.Walking 30 to 40 minutes a day or playing a game is advisable.If these do not work adequately,then only we should take recourse to medicines.
Composition of Gluconorm 500 mg SR is Metformin. I think you need dual drug therapy. Metformin + Glimepiride (Gluconorm g1) is the most prescribed medicines for diabetic patients.
Glimepiride is used along with diet and exercise, and sometimes with other medications, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Glimepiride lowers blood sugar by causing the pancreas to produce insulin (a natural substance that is needed to break down sugar in the body) and helping the body use insulin efficiently. This medication will only help lower blood sugar in people whose bodies produce insulin naturally.
Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Metformin is in a class of drugs called biguanides. Metformin helps to control the amount of glucose (sugar) in your blood. It decreases the amount of glucose you absorb from your food and the amount of glucose made by your liver. Metformin also increases your body's response to insulin, a natural substance that controls the amount of glucose in the blood.
A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains. In fact, a diabetes diet is the best eating plan for most everyone.
Eat less food more times in a day.
Walk for 15 minutes after every meal.
Adopt diabetic diet.
Undergo HbA1c test.
Consult your doctor.
Sources:--
en.wikipedia.org/wiki/Glime...
medlineplus.gov/druginfo/me...
en.wikipedia.org/wiki/Metfo...
medlineplus.gov/druginfo/me...
en.wikipedia.org/wiki/Glyca...
medlineplus.gov/ency/articl...
What meter do you use
If I were you, I would visit the doctor asap and get on the right medication to get my BS to under 180 first and under 140 next at all times as I alter diet, lifestyle enough to start tapering medicines, if possible. At these levels, there is almost certain metabolic and cellular damage happening with consequences far more severe than any side effects of any medicines and hence I would not hesitate for a moment to get BS under control with right medicines and diet. Everything else can follow.
Thanks vijay sir. Today I have undergone all detailed checkups at a diabetic center.I was surprised to see the glucose level results through the blood sample given in their lab.
My glucometer reading
Empty stomach 185 mg/dl
Lab sample reading was 150 mg/dl
After break fast
My glucometer reading after 1 hr 311 mg/dl
Lab reading 180 mg/dl after 2 hours.
I found descripancy in my instrument.it is GLUCO ONE Meter.
Anyways all through check up results are normal except few for which separate medication has been advised.
My HB1C was 7.7 which is on higher side
Anyway thanks.I will seek further guidance from you all
Manish
I would also suggest that you do not do any form or exercise except very light strolls for no more than 15 mins at a time until your BS is atleast < 180 lest you want to trigger other stressor responses like lactic acid build up etc which is good in regular diabetics, but not so good under these levels. My personal opinion one should not do any exercise of any form when BS>200. Of course, ymmv..
Thanks sir my A1C Result is 7.7 done today.its on higher side.i am going the follow the suggestions from u all.thanks for guiding
EFFECT OF EXERCISE IN DIABETES I. CHANGES IN ACID-BASE EQUILIBRIUM AND THEIR RELATION TO THE ACCUMULATION OF LACTIC ACID , HE Himwich, RO Loebel, DP Barr - Journal of Biological Chemistry, 1924 - ASBMB
Lactic and pyruvic acids in the blood after glucose and exercise in diabetes mellitus - MK Horwitt, OW Hills, O Kreisler - American Journal of …, 1949 - Am Physiological Soc
Also interesting might to be read about Cori cycle , oxadative phosphorylation and how the responses are in a case of high BS, most likely high Insulin and hence related metabolic signaling.
Glucose Levels are normal but Hba1C Level is 7.1
BSL high sometimes after lunch
Fluctuation in Sugar levels
High lipase and amylase levels
Big difference between two results 
