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Hi i Am a 65 year old male with diabetes. Hba1c 7.2% and on max dose of metformin and voglibose. Last blood test showed insufficiency in vitamin d (total) 25 ng/ml ; vitamin b12 192 pg/ml and low testosterone 191.6 ng/ml. Iron and calcium within limits as is cholesterol/ triglycerides. T3/t4/ tsh suggest thyronormalcy. Key difficulty is insufficient and interrupted sleep. 5 hrs per night -this is my major problem. 1. What should I do next since metformin is at max dosage- 2250 per day? no insulin please. Sitagliptin? 2. Is there a natural method of improving testosterone? how far below normal am i? does it need action? thank you,
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At 65 yrs, hba1c is fine, but I would recommend to bring to 7, you can start with sitagliptin 100 mg once a day, and continue metformin and voglibose. Take vitamin d3 and vitamin b12 supplements, testerone levels decreases with age, tester one caps can be taken, but under guidance of urologist or sexologist.
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