Q: I am a 45-year-old male, weighing 105 kg. I have type 2 diabetes for the last 15 years. I am doing business, which has been very stressful and also suffering from a little depression. What is the best method to control my diabetes as my reading does not go lower than 15? I take one tablet 850 mg glucophage after breakfast and one tablet amyril 2.0 and one tablet glucophage 850 mg after dinner. Will stem transplant help to cure diabetes? Are there any other alternatives?

A:Stress may be one of the big factors causing uncontrolled sugars. But as your diabetes is there for 15 years you need insulin to control. My suggestion will be to increase Amaryl to 3 mg/d, increase glyciphage to 1 gm twice daily and be strict with your diet and exercise. Wait for a month. If it is not under control, i.e., FBG>120 and PP>160 mg/dl, then add insulin Glargine 15 units once daily. Stem cell transplant is still in an infant stage, and is more suitable for type 1 diabetic patients. Most importantly, you need to reduce your weight with the help of medical nutrition therapy, exercise and Sibutramine 10 mg once daily.