Fasting RBS 160- 170 @ 7 AM followed by 135- 140 @ 9AM without intervention Before lunch 110 - 130 @ 1 PM with glimepiride 1 mg + metformin 500 mg in morning after breakfast @ 9AM OD followed by After 2hrs dinner 120-140 @ 10 PM Above pattern is continuous for 3 consecutive days in recently diagnosed 23 aged female with fasting c-peptide 1.23 and fasting insulin 7.20. What are options to control morning hyperglycemia?
Morning Hyperglycemia