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Sitagliptin Health Feed

Asked for female, 51 years old from Vadodara
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I am male 49 age, 81 kgs body weight average, body height 176 cms, I check diabetes every month and check H1bC1 every 6 month Results are in H1BC1 171 average Fasting 140 to 164 After lunch 161 to 197 I regularly check with local MD medicine doctor in our city vadodara Gujarat India Doctor write janumet 100 mg after dinner 1 Tab. Medical shop always given, a januvia 100 mg After one year my nearest friend referred my medical file and he ask, I take a wrong medicine. Doctor suggested janumet 100 mg And take januvia 100 mg. recently I meet other MD medicine doctor suggested I have to take before breakfast Homer1 one Tab and as routine januvia 100 mg after dinner 1 tab. Then I have to know why change or add one tablet medicine in routine. Please let me know above all matter which tab medicine is results oriented Janumet 50/500 Or Januvia 100 mg + gemer1 Regards

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

Endocrinologist•Dharwad
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Mr Dharmesh, Thanks for the query.
Janumet is containing Sitagliptin + metformin and Januvia 100 has only 100 mg Sitagliptin.
Doctor has asked you take the combination for better action. As regards the other medicine recommended by another doctor is it Homer 1 or Gemer1?
What is the HbA1c% value? What is mentioned is unclear.
If diabetes is under control then Fasting blood glucose should be <100 mg, PP 150 to 160 mg & HbA1c%<6.8.
If you want any specific treatment advise pl...more
Asked for male, 38 years old from Kolkata
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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. Mentioned glucose levels are too high. In such case usually we adviseInsulin treatment for at least first 3 months along with oral antidiabetics then after achieving strict glucose control Insulin can be reduced or discontinued. That is always a better line of treatment. The reason is with such high glucose levels, beta cells are very severely affected. Hence early glucose control is advisable. Thanks.
22 people found this helpful
Asked for Male, 42 years old from Hyderabad
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M.Sc - Dietitics / Nutrition, Diploma in...read more

Dietitian/Nutritionist•Bangalore
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hello sir , do walk daily and fix the meal timing .don't skip your meals. have small and frequent meals. take high fiber diet. take plenty of water. take plenty of fruits. avoid potatoes, fried foods, oily foods, junk foods, rice, pumpkin, sugar, sweet, glucose, egg yolk, gravy food.
Asked for male, 66 years old from Mumbai
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PGDD, RD, Bachelor of Home Science

Dietitian/Nutritionist•Mumbai
For a diabetic it is best advised to have a diet planned as per the sugar levels, lifestyle and history.
Though you can follow some guidelines -
have small frequent meals.
Do not fast for more than 2-3 hours.
Avoid a very heavy meal at one time.
Avoid fruit juices, aerated drinks or sugarcane juice, honey, jaggery, sugar.
Avoid junk foods.
Exercise and stay active.
Do not attempt to try out too many remedies as you could go into hypoglycaemia.
Sleep well. It's...more
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PGDDM Diploma In Diabetology

Diabetologist•Siwan
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Glycomet is milder than istamet 50/500 .As glycomet contains only metformin where as in istamet 50/500 is a combination of sitaglyptin and metformin.
389 people found this helpful
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CDIABT, MBBS

Endocrinologist•Mumbai
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It depends upon what is fasting blood sugar, PP blood sugar and HbA1c .Currently your PP is very high .Get your Fasting and HbA1c also done.
Asked for male, 45 years old from Purulia
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Bachelor of Ayurveda, Medicine and Surge...read more

Sexologist•Yamunanagar
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IT should be taken with meals to help reduce stomach or bowel side effects that may occur during the first few weeks of treatment.

Swallow the tablet or extended-release tablet whole with a full glass of water. Do not crush, break, or chew it.

While taking the extended-release tablet, part of the tablet may pass into your stool after your body has absorbed the medicine. This is normal and nothing to worry about.
270 people found this helpful
Asked for female, 65 years old from Kolkata
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MBBS, CCEDM, CCMTD

Diabetologist•Gurgaon
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Sry, random does not reflect anything. Check years fasting and post 2 hours of year major meal every day for 10 days, share that chart with me, then we can help you see how is years control.
57 people found this helpful
Asked for male, 69 years old from Mangalore
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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.
You have mentioned only fasting glucose, it would have been better if after food values were also given. HbA1c% 8.6, is definitely high. Which means your blood glucose control has not been good during last few months. There is a need to upgrade the present treatment plus a closer look has to be given to your diet and daily exercise. You are on Glibenclamide, an old sulfonylura, it is better to change it to a newer compound. Thanks.
Asked for female, 31 years old from Delhi
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Diabetologist•Gulbarga
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Miss lybrate-user. It would help if you could send me hba1c levels along with weight so that the titration of the mediation can be done.
Thank you.
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