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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have High Sugar Level. Taking Glucored Forte 1-0-0 And Glocored 0-0-1. How To Bring Down The Sugar Level.

Doctor, I take Glucored forte 1-0-0 and Glocored 0-0-1. My sugar level which was 164(pp) 2 months back went up to 252 in one and a half hour after breakfast today. I go for 30min walking every morning. The only mistake I did was a little lenient in my diet for 2 months. My doctor says one particular tablet wont work for more than a year. what does this mean.Am I taking high dose already. If I have strict control over diet can I bring it to 140mg/dl atleast. pl throw light.
Fri, 19 Apr 2013
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General & Family Physician,  's  Response
Hello,
Your doctor is right that gradually the effect of anti diabetic drugs diminish.
Most of the oral anti diabetic drugs act by stimulating the beta cells of pancreas resulting in production of hormone insulin which is responsible for controlling blood sugar levels.
The day a person is diagnosed with type 2 diabetes,more than 50% beta cells in his pancreas are dead and gradually as the time passes rest of beta cells start getting dead and within 5 to 10 years all the beta cells become dead.This is the stage when oral diabetic drugs totally loose their effect.
I think you can still do with different combinations of oral anti diabetic drugs along with proper precaution of diet with regular aerobic exercises for 45 minutes a day.
You can consult your doctor and get the prescription of medicines revised.
Once you feel that oral drugs are not affecting,immediately switch over to injection insulin.
It is very important to keep your blood sugar levels in complete control to avoid future micro as well as macro vascular complications.
Thanks
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Have High Sugar Level. Taking Glucored Forte 1-0-0 And Glocored 0-0-1. How To Bring Down The Sugar Level.

Hello, Your doctor is right that gradually the effect of anti diabetic drugs diminish. Most of the oral anti diabetic drugs act by stimulating the beta cells of pancreas resulting in production of hormone insulin which is responsible for controlling blood sugar levels. The day a person is diagnosed with type 2 diabetes,more than 50% beta cells in his pancreas are dead and gradually as the time passes rest of beta cells start getting dead and within 5 to 10 years all the beta cells become dead.This is the stage when oral diabetic drugs totally loose their effect. I think you can still do with different combinations of oral anti diabetic drugs along with proper precaution of diet with regular aerobic exercises for 45 minutes a day. You can consult your doctor and get the prescription of medicines revised. Once you feel that oral drugs are not affecting,immediately switch over to injection insulin. It is very important to keep your blood sugar levels in complete control to avoid future micro as well as macro vascular complications. Thanks