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

### input:
for my mother, her sugar level is fasting 135 and postal prandial is 238 tested @8 march 2017 .she taking glycomet gp 0.5/500.vogo 0.2g.ovlance/olmin20g ,crevan f 5/67.before test.now doctor refer to take glycimark.m 40/500,vogo0.2olmetec 20g, remyelin.d.but we again take postal prandial sugar test today her sugar level is 195 and pressure is 100.4

### output:

Hello, Thank you for your query. I understand your concerns. For ideal blood glucose control the fasting blood glucose should be less than 110 mg/DL, the 2-hour post radial blood glucose should be less than 160-170 mg/do. I am not sure of your mothers age as these values are patients who are less than 55-60 years old and who are reasonably in good health.  As a person becomes older or if there is a diabetic patient who has multiple problems, then these target values would also be a little higher than too tight control of an elderly persons blood glucose will cause them to have low blood glucose (hypoglycemia) and this can cause in serious complications. I am also not sure how often your mother is taking the Glycimark M and the Logo 0.2 mg. Assuming your mother is less than 60 years old and that she is reasonably good health, if she is taking Glycimark M 40/500 only once a day then it can be increased to twice a day (15 -30 min before breakfast and before dinner). If she is already taking this tablet twice a day, then she can increase the dose of this, she can take Glycimark M 80/500 twice a day. Recheck her blood glucose levels in 2 weeks. If her blood glucose is still high then she can take Logo 0.2 mg either twice a day (if previously she has been taking it only once) or up to three times a day (if she has been taking it only twice a day). If at any point she experienced low blood glucose symptoms like sweating, hunger, dizziness, fast heart beat, mood changes etc., then it is the Glycimark-m that is causing the symptoms, and she needs to reduce the dose of this. The immediate treatment of low blood glucose is by taking a tablespoon of honey/sugar, sugar candies, glass of fruit juice or regular Pepsi/coke etc. This should be followed by a carboy Chat Doctor. Her blood pressure is fine, and she needs to continue with her Advance and Cretan. I hope this answer has helped you. Regards 