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Dear Doctor, I am taking oral medication to control blood sugar levels for past 9.5 years. At present I take morning and night one tablet each having combination of 500 mg metformin with 40mg Gliclazide. In the afternoon it is Vildagliptin 50mg. With this I have kept my HBA1C under 7.0. Do I still have a choice of medicines before turning on finally to Insulin?


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