Is HbA1c Value Of 7.2 A Cause For Concern?
1) Vidagliptine 50mg 1-0-1
2) Metformin 850 mg 1-1-1
3) Glimipiride 4mg 0-1-0
along with following 2 insulins:
1) Novorapid (40, 40, 40)
2) Levemir (20, 20)
To reduce the cost, can I replace the two insulin combination by
1) Actrapid (30, 30, 30)
2) Lantus Solostar (25 @ night)
Pioglitazone 7.5 mg 1-1-1
Along with keep taking same above 3 oral diabetic medicine.
FYI: Right now my HbA1c is 7.2
I am Dr Mittal.
I have read your message.
I don't suggest pioglitazone at all with that combination.
However, I think you can change to injection mixtard. From your combination it's obvious that the treating doctor wants to give long and short acting insulin. Mixtard is a combination.
So you can change to mixtard to save cost.
You may need high doses. you are taking total 180 units.
Of course the dose will have to be readjusted. So I feel you should meet the treating doctor with thus suggestion.
Best of luck. Dr Mittal