Suggest Treatment For Hypoglycaemia

Posted on Wed, 21 Jan 2015

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

Wed, 21 Jan 2015 Answered on

Wed, 18 Feb 2015 Last reviewed on

Question : Hi
I am 52 yr old having diabetes from last ten years. height 5.6 weight 82Kg. as per physician directions i am taking following tablets
Before Breakfast at 9 AM - GP2 half, Remistar 2.5 & Nervigin
Before Dinner at 9 PM - GP2 half
It is working but frequently i observed low blood sugar (70-90) before lunch i.e. approx 1 PM and high blood sugar in the morning (140-150).
Please suggest

Answered by Dr. Ajish TP (3 hours later)

Brief Answer:
Diet modification/ change of medications

Detailed Answer:
Hi XXXX

Welcome to HCM. I had gone through your question and understand your concerns.

You are having hypoglycaemia due to glimipride (GP2), still your fasting blood glucose and HbA1C are above the desired level.

There are 2 options:

1. Diet modification

Make the diet into frequent low calorie foods. 3 major meals (break fast, lunch and dinner) and 3-4 snacks will help. A small snack at 11 am will help to prevent low sugars

2. Modify medications

Add medications that will not cause low blood sugars. Medications like metformin and gliptins can be added that will also control the fasting sugars without the risk of low blood sugars.

Hope I have answered your question. If you have any further questions I will be happy to help.

Regards
Dr Ajish TP
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Vaishalee Punj