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Diabetic since eight years
I have Diabeties since 8 yrs i m taking medicine of glucomet 500 sr once in the morning and olmy 20 bp tablet my hba1c done around 1 month ago is 6.6 yesterday I have done ppbs it's 200 in glucometer bcoz day before yesterday I have taken alloo parathas big quantity should I change medication wen I was newly diagnosed in 2015 my hba1c was 10 that doc was different doc he prescribed janumet 50/500 two times day n night and vobit 0.3 two times day n night then after 6 months my hba1c came to 6 but my weight was reduced from 60 kg to 43 kg so i went to another doctor he prescribed glycomet 500 sr once and current weight is 51 and height is 160 cm so should I change medication and sitagliptin is not suiting me it is decreasing my weight so which medicines to be taken pls suggest
Answers (8)
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Your HbA1c 6.6 suggests overall sugars are fairly controlled. A single PPBS 200 after heavy carbohydrate intake may not always need medicine change. Weight loss with sitagliptin is usually uncommon; evaluation is needed before changing treatment.
Next Steps
Please consult with recent reports and follow-up with:
• FBS, PPBS
• HbA1c
• CBC
• LFT, KFT
• Urine routine + microalbumin
• Lipid profile
• TSH
• Vitamin B12 & Vitamin D
Health Tips
Further medication adjustment can be planned after review of reports, weight trend and diet history.
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Unlikely to change the treatment
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Dietary and light exercise
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Sitagliptin are generally considered as weight neutral drugs, meaning they usually do not cause weight loss. Compared to sitagliptin, metformin has a better effect on reducing body weight. Since you are already taking a metformin, better to change it to the sitagliptin + metformin combination, it would be giving to a better sugar control.
Next Steps
Consultation with me for a detailed discussion
Health Tips
You mainly focus on protein intake and muscle strengthening exercise. You will get a healthy weight gain
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Hi you need to have SMBG prog for diabetes management. It’s recommended for strict diabetes control and to understand your diabetes. It will teach you how to control sugar level even after having high carb diet . You are on OHA but you are not following correct dietary and exercise routine. Consult your diabetologist or take online consultation
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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. A Raja Prasanna Kumar
Pulmonologist
46 yrs exp
Hyderabad
Pl continue the same treatment and whenever you are eating high quantity of meals, Pl take voglibose0.2 mg sos. Pl maintain Dietcontrol, exercise. Pl consult.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Sure
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Dr. Anuj Mothsra
Diabetologist
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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.