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

### input:
Doctor, I underwent CABG in 2006 and I am taking the prescribed medication like Meto-ER, plagryl, atorlip and repace regularly. My periodic health check-up shows normal result from the hospital where I underwent by-pass. I have diabetes since 2005 for which I have been prescribed to take reclide-40 at morning and night, which was keeping me fine till 6-month back. Thereafter, my blood sugar level shot up to over 300 mgdl and the doctor changed me to Glycomet GP1 (500 mg) one in the morning and one at night. While my fasting sugar is in the range 80 - 105, my pp shoots up to 300 by 10:30 am and slowly reduces to around 200 by evening. I have continued dizziness during the day till evening and I become reasonably fresh between 7:30 pm till about 2:00 am next day when I go to bed. I am 61-yrs and 85-kg, 5 3 ht. Can u suggest ways to control my pp and solve my giddiness.Ananthanarayanan

### output:

Hi, thanks for posting in Chat Doctor I have understood your concern 1. Your post radial sugars are high so you need increase in the morning dose as a tablet or basal insulin. I can suggest you to take tab.januvia50mg once in the morning, recheck the sugars after one week and needs dose adjustment. If not getting controlled with tablets, better to take low dose basal insulin.2. Reason for giddiness may be due to hypotension or vertigo.  Or uncontrolled blood sugars, or I can suggest you to get done CZECH BP check while having giddiness tab.vermin 8 mg twice daily for 5 days3. Your weight is more and that is also contributing to uncontrolled sugars suggest you to reduce weight by regular exercise and diet control. Hope this helps you any further questions please let me know thanks