Istamet 50 Mg/500 Mg Tablet Health Feed

Januvia has only sitagliptin while Janumet has two oral antidiabetics that is sitagliptin and metformin.

Along with medicines follow diabetes diet which simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains.
U can take (moderate amount)
grapes.
Apples.
Berries.
Citrus fruits.
Papaya.
U should avoid
sugar-sweetened beverages. Sugary beverages are the worst drink choice fo...more

Istamet is not the right type of medicine to de-escalate since you are having such a good sugar control by diet and exercise. The correct way forward should be to stop istamet altogether and just give you Metformin (which is present in Istamet). I believe you would do well on Metformin alone.

The delayed version releases the drug more slowly and this usually eliminates the gastrointestinal problems.

Ir is immediate release and sr is sustained release formulations. Both work well but usually sr formulations have lesser gastrointestinal side effects.

Yes, glycomet is on of the brands of the salt metformin that is used to manage diabetes. Other brands are- glyciphage, cetapin, exermet.

Hello, thanks for the query.
Both the products are same. The er refers to extended release, which means the drug is released slowly over 12 hours in the gut. That helps maintain a longer therapeutic level. It is beneficial more so if a person has any side effects like gastrointestinal disturbances if plain metformin is taken. Both are fine. Thanks.

This kind of pain in legs can be due to poor circulation of blood in the legs. Another reason in diabetic patients is diabetic neuropathy. She needs absolute control of diabetes. Check her vitamin B12 and D3 and calcium levels. USG colour Doppler can detect blood circulation problems in the legs. Vitamin E supplements sometimes help.

Most of the patients whose HB1c is more than 10% with blood sugar in range of 500 mg I always initiate with insulin therapy and continue insulin for 3 months till Hb1c is less than 7% and continue control of sugars with the help of suitable oral tablets. Only in some group of patients where there is chronic infections, hormonal imbalance - kidney or liver malfunction than some times it is safer and better to continue insulin injections for long term .As the awareness regarding proper diet and re...more

Mr. lybrate-user
as I can see here you are quite obese I request you to reduce your weight and about fasting you have to consult a doctor.