Hello Madam,
Welcome to Healthcare Magic.
I have read your question fully and understand your concerns.
You are taking the right medications – Carbophage XR,
Diamicron and Volix are all the medication that I would prescribe in a diabetic patient. But your blood
glucose levels are still high. For blood glucose to be in normal range your fasting blood glucose should be less than 110 and your 2 hour post prandial should be less than 160. Your HbA1C which is your 3 month average blood glucose value should be around 6.5%. (If you have not yet got your HbA1C done, kindly get it done soon)
You could increase your Carbophage dose. The molecule in it is
Metformin. So, if your kidneys are functioning normally (you may have had
serum creatinine levels, serum urea levels and eGFR test done by your
diabetes specialist before), you could increase your Metformin to 1000 mg twice a day. You could take Carbophage XR 1000 MG twice daily.
You could also increase your Volix 0.3 mg to three times a day instead of 2 times a day.
You can continue your Diamicron XR 60 mg, or you could stop it completely and take
Amaryl 1-2 mg once or twice a day depending on your FBG, PPG and HbA1C levels.
I think you may need another tablet in –addition to the above. You could ask your doctor if he could prescribe either Vildagliptin 50 mg-100 mg or
Dapagliflozin 10 mg to your existing medication above. This decision again should be based on your blood glucose levels and HbA1C levels.
I would advise you to see your doctor first, so that he could check if you have any contraindications to not to take any of the medicines mentioned.
I hope this answer has helped you.
Thank you
Regards
Dr Sunita Sayammagaru