Glycomet dosage

[bharath1942]

DIABETOLOGY QUESTION
Dear Doctor,
I am 73 year old man.I had prediabetes  4 years back. I had good control over diabetes all these years. But since an year i have been observing that my fasting level is hovering between 115 to 125. My post lunch levels are always within the range below 140.i have been taking 250 mg glycomet after breakfast and 500 mg after dinner.The values are as under.
levels as on  May 2015        Nove 2015        may 2016
Fasting            105                     120                  122
HBA1 c             6.6                        6-7                 6.8
My question is whether  i have to take 500 mg instead of 250 mg as at present after breakfast also. i.e 1000 mg per day.?
Since i have been taking the glycomet always after breakfast and after dinner, If i  change  it to take before food does  this  have a better effect over diabetes? Also please advise me how to control tryglycerides .At present it  is 196.I am taking Ecosprin AV 75 one a day
Thanking you sir

[Super_sally888]

Hello,

we cannot recommend medication changes online.  These instructions need to come from your doctor.

However, it is common practice to increase medication dose to help control blood sugar (the maximum dose of metformin is about 2500 mg/day, in split doses).  Some people do take their medication before eating. Please discuss changes in medication dosing with your md.

You may also find that restricting carbs (eat more fat, non-starchy vegetables instead to replace the calories) may help in reducing your blood sugar.

Some exercise / a brisk walk after eating may also help in lowering blood sugars.