Brief Answer:
This is diabetes. Relax

Detailed Answer:
Hi
I am Dr Mittal.
I have read your query.
I think I would be able to help you.

First, I think I would tell you not to worry.
Your wife has diabetes.
Diabetes is a disease of pancreas.
But it's not as if the pancreas have stopped altogether.

Besides, Diabetes is something that can be well controlled. All one has to do is take care of her diet, do regular physical exercise, try to loose weight and take medicine regularly.

So as explained, you need to be careful but there is nothing to worry about. Taking precautions is of course necessary. Because diabetes affects every part of the body.
So you need to take precautions.

Your sugars reported are high. I would have started the same combination of drugs. I am unaware of the dose suggested though.

I will also suggest buying a glucometer. Once you start tablets, the sugars will reduce. You will need to monitor sugars regularly.
It will also guide the dose of medicine needed.

I have tried to make it as simple as possible.
I hope that the information helps you.
Please feel free to contact us for more information.
Best of luck.
Dr Mittal

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Brief Answer:
insulin is best

Detailed Answer:
Hi
I have read your query.

I think the best way to control the symptoms would be to start her on insulin. It's better because the sugar control is better and also the sugar control is more flexible once you get the hang of it.

This I suggest more in view of the high sugars that you have stated despite being on medications.

In case you are interested to switch to insulin, please let me know. I can suggest therapy accordingly. If you want to continue tablets, that can be done. But as I said, the results will be less under control.

Best of luck.
Dr Mittal.

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Brief Answer:
1 option

Detailed Answer:
If you want to control those kinds of sugars on tablets,
You will have to be tough on yourself as well.

I would suggest a calory intake of not more than 1600 K
That may be bordering on 2000C once in a while.
I would suggest you meet a dietician who can explain this
to you in regards to the local dishes and your chosen foods.

Second component would be exercise.
Walking at least 1/2 to 1 hour twice a day will be good.
As the stamina builds up, you can keep increasing the exercise
duration and the strain.

I would suggest to increase to 2 Janumet 100/1000 tablets-
1 in morning, 1 in evening, before food
And try Reclide XR 60 once at lunch. Before changes in dosage medications please consult your doctor.

I think in toto the therapy will help you
Best of luck
Dr Mittal

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