### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Can my use of famotadine cause increase in nlood glucose levels?  Type II diabetic with three years of a1c levels being no greater than 6 - on antihypertensives andimdur for vasodilation but have been steady on thee for years.  The only new factors in the equation have been the addition of pepcid and occasional .5 mg of alprazolam at bedtime due to some spinal stenosis causing new pain.  Im 67, good energy, brain at least mimics its previously good intellectual function.  Concerned - ate bowl of plain oatmeal and slice of cantaloup at 11 am, nothing since, just tested with out-of-date strips and was 287!!!!!  Testing a rare occasion, have gone by a1c levels.  Help???  (and I have a couple of good physicians but its 6 pm on Sunday...

### output:

Hello, I understand your concern. Famotidine is not known to increase blood sugar. The blood glucose value tested without of date strips is likely to be wrong. The A1c is an average of the blood glucose over a period of 3 months. It is helpful in knowing the over all diabetes control. A low fasting blood glucose can compensate a high after food glucose and make the A1c normal. This is not good diabetes control and the complications of diabetes can be high in such individuals. So it is good to check the fasting blood glucose and 2 hour post lunch blood glucose in addition to A1c to reduce the risk of complications due to uncontrolled diabetes. I am available over the week ends if you have any query. Take Care,