Brief Answer: Explaining about Cetapin Detailed Answer: Hi, welcome to our site. I am Dr Saumya Mittal. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query I am guessing you are a recently detected diabetic. Cetapin basically contains Metformin, one of the basic drugs used in diabetes. And I must say that your sugars have definitely improved. The sugars of 99 and 158 are good. I am assuming, since he has been on ursodeoxycholic acid that he is developing fatty liver also, which may have been detected on ultrasound. I will suggest an LFT if not already done (LFT- liver function test). I would recommend a repeat Lipid profile and HbA1c in 3 months time. Now headache is a side effect of metformin. I am assuming by 2-3 you mean in the after noon, and not early morning around midnight. In the former case, I would suspect it to be affect of metformin and suggest that you try Cetapin XR 500 in the same dose. This is an extended release version of the same version. It will help control sugars better. And sometimes the slow release makes sure that side effects like headache, stomach ache are avoided- If pain continues, we will have to change the medicine. If its early morning, better have a glucometer to make sure he is not developing hypoglycemia or low sugars, which can also show headaches. I would suggest you get a glucometer at the earliest. It is probably the best friend a diabetic has, and makes you more self reliant. Make sure you have kidney functions tested regularly. Have a check on urine for microalbuminuria tested too. I hope this helps you. Inform the reports mentioned above so i can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this) Dr Saumya Mittal

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Brief Answer: try sitagliptin instead of metformin Detailed Answer: Hi XXXX Thanks for your confidence I have reviewed the reports you uploaded. I think the medicines are working fine, and have adequately produced a good control. I would suggest that if the pain is not too much, you continue Cetapin since on most occasions, the pain gradually settles as one gets used to it. If not, you can probably talk to your doctor about starting you on Sitagliptin group of drugs. That was Cetapin can be help and sugars can still be controlled with no pain. I would also suggest you discuss use of ecosprin with your doctor. This is always an option a diabetic should be offered. Best of luck Dr Saumya Mittal

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Brief Answer: timings Detailed Answer: Thank you for confidence in my answers. The fact remains that Cetapin can be taken any time- morning as well as evening. Personally I usually dont differentiate the timings, so its ok if you take it in morning. Ideally you should have it after meal. But a better response is seen before meals, unless pain in abdomen develops on taking before. I always prescribe before meals. Best of luck Dr Saumya Mittal

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