your doctor has done nothing but precribed you the same medicines in form of combination....
i am quite skeptical about you taking gemer at lunch.
was it prescribed at lunch or breakfast?
was your paterrn of eating changed recently?
did you attend any party/function recently?
how much is your hba1c(average 3 months blood glucose
try doing this
2mg (half hour before breakfast and dinner)
t.januvia100mg(just before lunch)
let us know whats your sugar reading after these changes have been made....\
dr vikrant tari
and insulin pump