Sir I am 52 years male type 2 dm taking janumet50/500 1 tab be for last 6 month but my hb1ac 7 and fading sugar 149 pp 180 urea creatinine lft complete haemogram normal lipid profile normal taking stator 10 and telmisartan 40 in morning my question is whether tenegliptin or vildagliptin will be better for me as fasting is high but my doctor is not willing to change kindly advice my wt is 57 but it was 65 but I gradually stated losing at after taking metformin I am a orthopaedic surgeon non smoker takes alcohol twice in a wk approx 90 ml moderately busy work in a medical college please advice regarding my treatment protocol.
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Start glitazone for beta cell preservation which can reverse your diabetes. Teneligliptin and vildagliptin both are beneficial as you are young your hba1c should be less than 7 for prevention of complications fasting should be less than 130 and post lunch shoul be less than 180 glitazone will help and if your diabetes is reversed we can remove gliptins and only metformin and glitazone can b taken.
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Better to add Glimipiride 1mg with dinner snd continue your present medicine.
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You should not take any medicine without doctor's advise as it may be harmful. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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