A fasting blood sugar level of 194 mg/dL is high and is usually due to diabetes or poor blood sugar control. Start with diet control by reducing sugar and refined foods, eating balanced meals, staying active with daily walking, and maintaining a routine. Keep checking your blood sugar and watch for symptoms such as increased thirst or urination. A doctor may advise on suitable medication and tests, so consult soon to bring your blood sugar under control safely.

Metform SR 500 should be taken with or after meals, as this helps prevent stomach upset, nausea, or discomfort that can occur when taken on an empty stomach. Taking it with food also helps improve tolerance and more consistent absorption of the medicine.