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Woodland Hills, CA
A 42-year-old female asked:

Is there any one sure way to get my pp in control.am taking 2000mg metformin, 4mg glimperide daily.walking too for 35 to 40 mins but its not brisk.

1 doctor answer1 doctor weighed in
Dr. Ward Dean
Anti-Aging Medicine 43 years experience
Yes--: I assume "PP" is post-prandial blood sugar? In addition to the Metformin and the daily walks (good job), I recommend discontinuing the glimeperide. Sulfonylureas put a squeeze on the pancrease, (pancrelipase) causing the release of insulin, which makes it difficult to lose weight, and wears out the pancreas. I recommend adding Acarbose (starch blocker) to every meal, and reducing carbohydrates.
Dr. Ward Dean
Dr. Ward Dean commented
Anti-Aging Medicine 43 years experience
Provided original answer
In addition, I recommend a glucagon-like peptide 1 agonist like Byetta, Victoza, Byedureon, etc. If you're still high, add Invokana, which inceases glucose excretion. Finally, you may need insulin--but that should be the last choice. Avoid sulfonylureas.
May 17, 2015

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Last updated May 17, 2015

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