Hi I am recently been diagnosed with Diabetes from the HBa1c value 8.22,doctor has prescribed Januvia 50 mg and Metamorhin 500 mg, would like to know can I take these tablets? I usually avoid tablets, Can I take only one out of these which is metamorphin which is cheaper, Current prescription is to take Januvia 50 mg in early morning half an hour before breakfast and Metamorphin to be taken at night after finishing the dinner I would like to change the schedule to Metamorphin in the morning half an hour before breakfast thats it, I do not want any other medicine apart from it, I am Fitness freak and I take care of my diet with millets recently I had stopped medicine for 15 day the symptom I had is frequent urination, then I consulted a Junior doctor who suggested for a fbs and ppbs test in which the result was fbs 97 and ppbs 193, based on which junior doctor suggested to take metamorphin tablet alone in the morning then no further tablets in day can you help me here which schedule to follow, appreciate your response as I need a super expert advice on this Kindly help me.

Dr. Sajeev KumarGeneral Physician32yrs exp

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You have a significant diabetes and need to take these tablets and check again after one month and increase or decrease the dose .Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose ? SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil) 2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.  

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