Conversation: The conversation between human and AI assistant.
[|Human|] Dear Doctor, I am a 45 years old Diabetic patient. Last 10 years I am suffering the diabetic. Last few month I found my FF is not controlled. It vary from 120 - 140 where as PP is 135-145. I am taking Glipizide 5mg at morning before breakfast and Metformin SR 500mg at Night. Please advice how to control my FF Sugar. Thanks Aloke Debnath
[|AI|]  His am Chat Doctor. I have read your message. I think I can help you. The fact remains that FBS of 120-140, and PPBS of 135-145 is usually considered a fine control. Too tight a control may actually predispose one to hypoglycemia and thereby may cause severe problems. However, if you do want to lower the sugars, you need to alter and watch your diet. And control your weight. Make sure that you are not an any other medicines (like some BP and cholesterol medicines) that can raise the sugars. If all this does not help, the dose of medicine will need to be adjusted further. A small dose of metformin in the afternoon may help you get a better control on the sugars. However, please make sure that the dose should not be changed on the basis of just one set of readings. And if you do change the dose, please inform your local dietician as soon as possible. I have tried to make this as simple as possible. Please feel free to ask a follow-up query on any point that you feel needs clarification. Best of luck,