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Galvus Met 50mg/1000mg Tablet Health Feed

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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, thanks for the query.
The forxiga (dapagliflozin) belongs to a comparatively newer class of drugs called sglt - 2 inhibitors. There are other similar molecules like campagliflozin, canagliflozin. I am not sure if any othese drugs are being considered by the insurance companies. You may check the same. If none of those molecules are covered then doctor may look at dpp - iv inhibitors like saxagliptin, vildagliptin, linagliptin and tenelegliptin as alternative. Thanks.
Asked for female, 44 years old from Bangalore
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MRCP (UK), MRCGP int, MRCP (UK) Endocrin...read more

Endocrinologist•Thrissur
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You might need an increase in metformin. But check your creatinine first. Also vildagliptin or empagliflozin may help. Your weight goes against insulin initiation. If you can afford semaglutide once weekly should be helpful for u, especially helping to decrease the cardiac risk.
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Endocrinologist•Hubli-Dharwad
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Mr. lybrate-user, Thanks for the query.
Both Vildagliptin and metformin remain over 8 to 10 hours in the blood and tisues. Hence their action continues even during the post lunch period. Vildagliptin will produce its effect as well as metformin also. Thus glucose rise does get controlled with twice a day dosage. Thanks.
Asked for female, 64 years old from Meerut
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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lybrate-user ji, thanks for the query.
Madam you have mentioned quite a few drugs, which you want to take. Even though your glucose levels are too high, it is difficult to say whether you can all of these. The treatment for diabetes is not just taking a bunch of medicines which reduce glucose. Each medicine has a specific role and based on each patients needs the treating doctor decides how to begin the treatment. Plus it is also necessary to know patient's age, dietary habits, kidney functi...more
32 people found this helpful
Asked for male, 33 years old from Hyderabad
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M.D. Consultant Pathologist, CCEBDM Diab...read more

Sexologist•Sri Ganganagar
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G zide 20 min before breakfast and dinner Jardiance after lunch
Glucobay 50 with first bite of meal Nulog trio for blood pressure after breakfast. Any more query ask without hesitation.
27 people found this helpful
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MD, BHMS

Homeopath•Bhilai
Please consult a diabetician and my advice is don't take any medicines for diabetes make it under control by eating habits and lot of salads and some homeopathic medicines and call me on 9406160991.
220 people found this helpful
Asked for male, 30 years old from Karimnagar
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, thanks for the query.
I have seen the details given. Since there is no information on fasting, pp glucose, hba1c%, lipid profile, dietary pattern & extent of daily exercise, there is no way to give any suggestion. Secondly your bmi (body mass index) is 28.65 kgs/sq meter (normal < 23 kgs/sq meter) which means you have an excess of over 15 kgs. This is a major hindrance in better glucose control. Plus I do not understand the reason for changing the medication. Please come ba...more
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Asked for Female, 49 years old from Mumbai
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Diploma in Diabetes management , MBBS , ...read more

Diabetologist•Pune
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Whether you should continue metformin or not, depends on your fasting and pp sugar levels. Kindly get your sugar tested and share reports. If reports are normal, you might have to continue, as they are normal cause you are taking metformin. However if they are low, it can be stopped.
Metformin does not cause hair fall.
Check for other vitamin deficiency.
Eat healthy. Follow strict diabetic diet. Exercise regularly.
15 people found this helpful
Asked for MALE, 37 years old from Gurgaon
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
If only metformin is taken it should be after food. If sustained release tablet is there then od may ok. If not twice a day is better. Side effects are less if taken after food.
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