instruction: hello doctor I am a diabetic one month back I used to drink alcohol about 350 my every night and in the morning I take one tablet of trajenta since I have stopped drinking I feel to eat some sweet and I do eat some ice cream once a day or a bournvita milk when I check my sugar randomly now on touch ultra it is between 200 to 265 my do so to maintain my sugar level can I have two tablets of trajenta in the morning and evening
output: hi from your history I could understand that you are suffering from uncontrolled type diabetes for one month usually uncontrolled blood sugars may not initially show symptoms that does not mean it is safe to have high blood sugars for a long time we are controlling sugars to prevent complications which are usually manifested 10 years later in your case the blood sugars might have slightly lowered after stopping drinks that might be causing relative hypoglycemia symptoms which usually will be over within a couple of weeks anyway still your blood sugars are uncontrolled I will advise you to follow a better diet pattern with limited calories according to your activities and a low glycemic index food intake also try to spend 30 minutes daily for regular aerobic exercises coming to your medication do not increase trajenta linagliptin continue the same dosage you can add a new tablet for better sugar control avoid drinks completely for avoiding sugar fluctuations hba1c glycated hemoglobin serum creatinine and urine albumin creatinine ratio continue trajenta my 1 add tablet amaryl my 0 before food funds examination by an ophthalmologist to rule out diabetic retinopathy review after three weeks