Gibtulio 25mg Tablet Health Feed

JARDIANCE can be taken along with many common type 2 diabetes medications, such as metformin, sulfonylurea, pioglitazone, and insulin. But, if you take JARDIANCE with another medicine that can cause low blood sugar, such as sulfonylurea or insulin, your risk of hypoglycemia (low blood sugar) is higher.

Mr. lybrate-user, thanks for the query.
I have seen the query. However, there is no mention of how the glucose levels are controlled. It is essential to know fasting & pp levels as well as hba1c% before any comment can be made or any suggestion is given. As regards dapagliflozin and vildagliptin+ metformin combination usage, both these (dapagliflozin & vildagliptin) are totally different drugs. One can not be substituted for the other. Mode actions are totally different. Thanks.

You can stop gibtulioas it is not suiting you and as you are young we can start a medicine that will reverse your diabetes.

You can continue the same medications, along with go for regular physical activity with proper diabetic diet +yoga and meditation. Go to bed regular timing and also wake up after (7 or 8 hrs sleep). All the best.

Hello, Thanks for the query.
Most of the drugs used in treating diabetes are fairly safe, on all vital organs including kidneys. Certain drugs are not recommended if the kidneys are already affected due to long standing diabetes and eGFR is low (<30 ml/minute). Thanks.

Mr Vasudev, Thanks for the query.
You are multiple drugs for controlling blood glucose. The reason these drugs have been prescribed must be improperly controlled blood glucose. Plus you are also on a drug combination to reduce LDL & TGL. There is nothing like high or low dose. Drugs are given based on the need. Since there is no mention of either fasting, PP glucose HbA1c% or lipid profile, it is difficult to know how good the control is. Thanks.

Yes you right in your comments on Jardiance, if the patient is suffering from recurrent UTI, withdraw the drug for time being and treat with topical as well as systemic antifungal, control of blood sugars by adjusting dosage of insulin, mostly in this pt low sugar may be due to insulin over dosage or poor intake and delayed intake, not because of Jardiance. After complete recovery from fungal infection restart Jardiance with minimal dose of 10 mg, to minimise the requirement of total dose of ins...more

1.no alcohol
2. Reduce body weight 3. No smoking/ tobacco/drugs/ avoid pollution
4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice. Less salt.
5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily
7. Meditation daily for 10 mts. 6-8 hrs of sleep at night
8. Expose your body to sun for 1...more

Your reports of hba1c is very good.
Gfr is low due to your weight and age.
Donot worry about that.

Hello, thanks for the query.
I have gone through the details given. However, I did not see any mention of important info like fasting & pp glucose and current hba1c%, dietary details, extent of daily physical exercise and bp as well as lipid profile.
Another aspect is that drugs like udupa (dapagliflozin), invokana (canagliflozin) tablet motyvyst 300 (canagliflozin 300 mg) & jardiance (empagliflozin) all these are similar drugs, known as sglt - 2 inhibitors, which act by excreting extra ...more