Patient Profile:
•54-year-old male
•Type 2 Diabetes for 8 years
-Medications:
•Metformin 1000 mg BD
•Glimepiride 2 mg OD
•Pioglitazone 15 mg OD
Recent fasting glucose: 210 mg/dL
HbA1c: 9.5% (high)
-During counseling, patient admits:
Taking herbal “sugar-lowering” powder daily
Skipping breakfast regularly
Drinks alcohol on weekends
→ What factors could be causing his poor sugar control?
→ Are there any drug-herb interactions to worry about?
→ How would you counsel this patient to improve control?
→ Should his treatment regimen change?