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Diabetes medication
My father is on Istamet DXR - 500 but recently his blood sugars have peaked and hba1c is 7.
So doctor has suggested additional dosage of vildagliptin 50 in the night.
I wanted second opinion on this. If two different gliptins are not recommended, and if Istamet d alone is not sufficient then what are the options? Kindly suggest.
Answers (7)
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For HbA1c 7% on Istamet D-XR, adding Vilda (another DPP-4 inhibitor) is generally not recommended due to class duplication (sitagliptin vs vildagliptin), risking limited extra benefit and higher costs
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Continue Istamet D-XR alone
HbA1c of 7% indicates moderately controlled type 2 diabetes, aligning with the upper target range for many adults per RSSDI guidelines (7-8%)
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Two gliptins together not recommended
Need further history to decide on medication regimen
Consult for further treatment guidance
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No they cant be added
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Dr. Gurumoorthi Ponnuswamy Naidu
Diabetologist
49 yrs exp
Coimbatore
Genuinely not second gliptin derivative , instead ask your doctor to give another hypoglycaemic drug
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. A Raja Prasanna Kumar
Pulmonologist
46 yrs exp
Hyderabad
Our target is Hba1c 7. So do not worry. If Hba1c goes below 7 in elderly, low glucose can occur, which is danger. So 2 glyptin addition is not necessary. Pl consult your doctor.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.