Big difference between two results

[Burhani_]

Hello iam 40 years old

Iam diabetic since 6 months i take zoryl mv2 2 time before meal. Yesterday I checked my sugar levels aftre lunch its 200(2 hours) & in evening 6 pm it just 84 so it is okay or any problem with the number please give advice

[Burhani_]

Last A1c 6.4

[Activity2004 Administrator in reply to Burhani_]

How low does your doctor want your A1c to get down to in the next 3 months, Burhani_ ?

[Burhani_]

Why so much difference 200&84?

[Activity2004 Administrator in reply to Burhani_]

Are you eating more carbs for any of your meals?

[Burhani_]

Oj

[ramana42 Volunteer]

Test before and after lunch.If the spike is too high,then you may try moderating the quantity and replacing carbs with lower glycemic foods like egg,pulses sprouts etc.You have try different lunch menus and make necessary changes.I think you should treat post lunch test as random test and aim for a reading below 160.

[gangadharan_nair]

Composition for Zoryl-MV 2 Tablet (brand name) is Glimepiride (2mg), Metformin (500mg) and Voglibose (0.2mg) (generic names).

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.

Voglibose is an alpha-glucosidase inhibitor used for lowering post-prandial blood glucose levels in people with diabetes mellitus. Contraindications for voglibose: Irritable bowel disease, Liver disease and creatinine more than 2.0 mg/dL.

Fasting blood sugar should be less than 100 mg/dL. Postprandial blood sugar (2 hours after consuming food) should be less than 140 mg/dL.

Undergo HbA1c test once in every 3 months.

Pay more attention to diabetic diet and aerobic exercise.

Learn more about type 2 diabetes and it's complications.

Sources:--

en.wikipedia.org/wiki/Glime...

medlineplus.gov/druginfo/me...

en.wikipedia.org/wiki/Metfo...

medlineplus.gov/druginfo/me...

en.wikipedia.org/wiki/Vogli...

en.wikipedia.org/wiki/Alpha...

en.wikipedia.org/wiki/Glyca...

medlineplus.gov/ency/articl...

en.wikipedia.org/wiki/Diabe...

medlineplus.gov/ency/articl...

en.wikipedia.org/wiki/Aerob...

medlineplus.gov/ency/patien...

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Spikes are not really good. Try various permutations and combinations of lunch/dinner menus to see what suits you. Try LCHF diet and increase your physical activity. Good luck!