Hi doctor, I am diabetic since last 9 years and thalassemia minor as well. Recently, the fatigue symptoms have increased, especially when I am not able to sleep properly. I am 45 years old. My height is 167.5 cm and weight is 85 kg. Being thalassemia minor, is my HbA1c test reliable to decide my diabetic medication? If doctor increases the dose of medication, then my sugar levels drop below 70. Rarely, in the last 9 years my blood sugar level has crossed 200 in some two or three occasions. My fasting sugar level is normally between 130 to 140 or less. Postprandial is also surprisingly the same. Owing to HbA1c test, the doctor changed my medicines three days back and prescribed Glycomet GP 2 forte, Zemiglo 50 and Voglibose 0.2. Earlier, I had Glycomet GP 2, Voglibose 0.2 and Janumet 50/500. I have also attached my recent blood test report. I also have BP problem since last four months and on medication too. Can you please elaborate what should I do? I have read HbA1c test in thalassemia minor is not reliable. I am a female and heading towards menopause. I have undergone gallstone surgery 20 years back. The symptoms of fatigue have increased and it has started hampering my physical activity, which is must for diabetes. Please help.
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