How can high FBS levels be brought down while on Metformin and Invanka and a suitable low carbohydrate and low sugar diet?
Patient: I have Diabetes 2. I am a 65 year old female....I take Metformin and Invanka.....Lately, even not eating sugar or bread or flour...very little carbs...my sugar is running over 200 in the mornings before eating. This morning it was 283....I go to my physician for my 6 month checkup in April....I want to get this down...I don t want to go on insulin....what can I do? Doctor: Hi,  If the fasting blood sugar is high then there's will increased glycogen lysis by the liver. So it may lead to high fasting sugar. It may be due to the dawn phenomenon also.  It may also due to the insufficient dosage of before night insulin or drugs.  So you may have to take sufficient dosage of oral antihyperglycemic drugs regularly.  So you have to change your oral antidiabetic drugs.  Please consult your diabetologist, he will examine and treat you accordingly to your fasting, postprandial blood sugar reports.  Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Penchila Prasad Kandikattu,  Internal Medicine Specialist