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Suggest Ways To Lower The Fasting Blood Sugar While On Metformin And Janumet

Posted on Tue, 22 Dec 2015

Question: I am on metformin 500SR at breakfast and Janumet 500/50 at dinner. I do regular exercise like walking for 1 hr daily and some light exercise in the morning. I take breakfast like puri,dosa,idli and fruits like apple and papaya. Lunch 2 rotis a bit of rice and vegetables. Dinner 2 rotis with dal and vegetables. take fish and chicken 4 times in a week. But my BS fasting never seems to come down below 115 and PP always between 155-175 going up to 205 once in a while. I am trying very hard to bring it down to normal level but nothing seems to work. Please advice

Answered by Dr. Binu Parameswaran Pillai (1 hour later)

Brief Answer:
SUB OPTIMAL DOSE OF Sitagliptin

Detailed Answer:
Good day Mr XXXXXXX
Welcome to health care magic. Noted your concern . You seems to be taking Suboptimal dose of Sitagliptin. Janumet contains Metformin and Sitagliptin. The optimal dose is 50/1000 two times a day. Avoid Metformin SR in the morning and start Janumet 50/1000 two times a day.
I would like to know your height and weight as well.
Regards
Binu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (4 hours later)

My height is 5.4 ft and weight 70 kg. Weight is constant for the last 4. Years.

Answered by Dr. Binu Parameswaran Pillai (10 hours later)

Brief Answer:
Excess weight.

Detailed Answer:
Hi.
thank you for the reply. your weight is in excess of attest 9 to 10 kilos for your height. Please be physically active. regular exercise would be great. Try to reduce at least 5 kilos of weight. I would suggest you to take JanuMet 50/1000 two times a day.

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar