There is not much difference between jalra
M and ISTAMET
as JALRA contains VILDAGLIPTIN while ISTAMET contains SITAGLIPTIN
.Both medicines belong o the same group of medicine called as GLIPTINS.
It is normal process in diabetics because as the time passes the mass of functionally active beta cells gradually reduces and you start needing additional medicines.The same thing has happened in you as your doctor has added ZORYL to your treament.
Gradually and gradually the mass of functionally active beta cells would reduce further and a stage is reached when all beta cells are dead and these drugs would become ineffective even in highest possible dose.This would be the stage when you would need injectable insulin
to control your blood sugar levels.
You must reduce your weight,take less calorie diet and do regular exercises to postpone and delay the inevitable event of requirement of injectable insulin.
I hope you would have understood the entire sequence.