She has been taking Galvus Met 50/500 mg once daily before breakfast and Glizid M 500 mg twice daily for the past 5 years, but her blood sugar levels are still not getting controlled properly. Does she need a change in medicine or treatment?
Blood sugar can remain uncontrolled even after years of treatment because diabetes often changes gradually over time. Galvus Met and Glizid-M may work well for many people, but factors like diet habits, stress, poor sleep, low physical activity, weight changes, infections, or irregular meal timings can still affect sugar control. Sometimes the body also becomes less responsive to the same treatment after many years. A treatment change may be needed in some cases, but that decision depends on fasting sugar, post-meal sugar, HbA1c, kidney function, age, and overall health condition. Her doctor may review these reports before deciding whether to adjust the dose, add another medicine, or consider a different treatment plan. It is important not to stop or increase medicines without proper medical guidance. Regular walking, balanced meals, avoiding sweets and refined carbohydrates, proper sleep, and taking medicines at the correct time can support better sugar control naturally. Consult her doctor if sugar readings continue to stay high or if she develops excessive thirst, blurred vision, frequent urination, unusual tiredness, or repeated low sugar symptoms.