Can I cut out 1 dose of medication in the evening when my blood sugar is stable?

(Ms. Nguyen Thi Van, 45 years old, residing in Bau Can commune, Long Thanh district)

Doctor replied:

Hello Ms. Van!

She has controlled her diabetes very well after 2 years of following a strict diet, exercising and taking medication, with her HbA1c level decreasing from 7.23% to 5.93%. This is a very positive result, showing her perseverance and efforts in maintaining her health.

However, before deciding to reduce the evening dose, we need to consider some important factors:

- Medication information: You need to tell your doctor more about the medications you are taking (oral medications), as well as any side effects you may experience, such as feeling hungry, tired or other symptoms when taking the medication. This will help your doctor assess whether your medication needs to be adjusted.

- Reduce medication dose : You can consider reducing your evening medication by one pill, or if necessary, you can stop taking the medication completely (if your doctor allows it). However, when changing your treatment regimen, you need to closely monitor your blood sugar level.

- Blood sugar monitoring : You should check your blood sugar regularly, especially: measure fasting blood sugar; check blood sugar after meals (1-2 hours); retest HbA1c after 3 months to evaluate long-term changes and the effectiveness of reducing medication.

Based on blood sugar levels and test results, your doctor can decide to adjust your medication or change your treatment regimen accordingly.

You need to continue to monitor and work closely with your doctor to ensure that your blood sugar control remains effective.

Wish you good health and maintain good treatment results!

MD, PhD Dao Van Tung,

Department of Endocrinology, Hoan My Dong Nai Hospital

Source: https://baodongnai.com.vn/alo--bac-si-oi/202505/co-the-cat-1-cu-thuoc-vao-buoi-toi-khi-duong-huyet-on-dinh-khong-3ed1b78/