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Is my father taking the right medications for diabetes?

Q: My 51 years old father is having diabetes. He takes Amaryl 2 mg in the morning and 1 mg in the evening before his meal, Cardace once daily and Gluconorm 500 mg twice after his meal. Is he taking the right medications? His fasting sugar is 179 mg/dl and nil in urine but postprandial plasma glucose is 271 mg/dl and present in urine, HbA1c is 8.1%. He has high triglycerides 242 mg/dl too. Please advise.

A:The aim of treating diabetes is to prevent complications, for which controlling blood sugar is important. Your father's blood sugar is not under control. The dose of drugs needs to up titrated to get a Fasting blood sugar of <110 mg% an PP <140-150 along with adequate control of BP and lipids. Yearly thorough assessment of involvement and complications is required. Monitor blood sugar weekly and adjust dose 2-weekly till controlled then less often. Life long monitoring is required.

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