Doctor. My Dad Is A Diabetic Patient. He Normally Takes

Posted on Fri, 20 Sep 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 20 Sep 2019 Answered on

Last reviewed on

Question : Doctor. My dad is a diabetic patient. He normally takes Glicazide MR 30mg and Metformin Hydrochloride extended release tablet 500mg twice a day. He took his night pills now. His blood sugar is 274 now and he is saying his whole body is aching. What should I do now. Shall I give another tablet from each of the tablet I have mentioned above?

Answered by Dr. Mirjeta Guni (1 hour later)

Brief Answer:
About high blood glucose treatment;

Detailed Answer:
Hello and thank you for asking!
I can understand your concern regarding your father's health.

The XXXXXXX dose of Gliclazide is 120 mg and it is recommended to be taken once daily, not to be divided.

As it has a long action, taking 2 tablets can have the risk of hypoglycemia tomorrow if the high blood sugar is not continuos but is due to a high caloric meal.

So it would be safer to take 2 tablets of Metformin now, of course, if he does not have chronic renal disease.

For the correction of the maintaining dose, HbA1c that shows the mean glucose level of the last three months is needed.

Hope the information will help.

Best wishes
Dr. Mirjeta

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Mirjeta Guni (2 hours later)

Doctor. what I should do next it? He is having similar levels of blood sugar most of the days.

Answered by Dr. Mirjeta Guni (24 hours later)

Brief Answer:
About high blood sugar;

Detailed Answer:
Hi again,
As i mentioned you need to check HbA1c, that shows the mean glucose levrl of the last 3 months and depending on it his physician will adjust the therapy.
Of course, there are some causes that incerease the blood dugar that should be treated if present ( infections the most common).
So, he needs to see jis physician to adjust the therapy.
Best wishes
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. Raju A.T