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Suggest medication for a diabetic

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Posted on Wed, 9 Dec 2015
Question:      I am diabetic since last 8 years. I take Amaryl M2 in the morning empty stomach, ppg .3 after lunch & gycomet sr 500 gm after diner. The readings were ok (125 / 150). Along with this my doctor prescribed to take Losartas HT morning & Arvast 5 mg after dinner. Bp & cholesterol is within range. No protein & sugar in urine. Last one month I am finding fasting & after food has been 137 / 175. Also finding not proper motion. I'm 173 cm / 71 kg & 51 yer old. My A1c has also gone up from 6.7 to 7.2. I regularly do morning walk 4 to 5 km. Please advise if any change in medication. My self XXXX
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Answered by Dr. Anshul Varshney (29 minutes later)
Brief Answer:
Add Sitagliptin.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
With the course of time your beta cells of pancreas that secrete insulin exhausts and your blood sugar increases.
After studying the details of your blood sugar and HbA1c levels my recommendations would be to add on a DD4 Inhibitor like Sitagliptin in your regimen.
I am very hopeful that once added you would get the desired blood sugar control.
I would also advice you to continue walk as well as strict diabetic diet.
Share my opinion with your doctor.
If you have any further query, please ask me.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Anshul Varshney (18 minutes later)
Thanks for the advice. Should i add with metmorphin( glycomet) or buy from market at what name??
doctor
Answered by Dr. Anshul Varshney (9 minutes later)
Brief Answer:
Details follows.

Detailed Answer:
You have to add Sitagliptin with the current medications.
I would advice you to start it under guidance of your doctor only. Share my opinion with him if he agrees he would prescribe it to you.
Please don't start any medicine without consulting your regular Physician.
If you have any further query, please ask me.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Suggest medication for a diabetic

Brief Answer: Add Sitagliptin. Detailed Answer: Welcome To HCM. I am Dr Anshul Varshney. I understand your concern. With the course of time your beta cells of pancreas that secrete insulin exhausts and your blood sugar increases. After studying the details of your blood sugar and HbA1c levels my recommendations would be to add on a DD4 Inhibitor like Sitagliptin in your regimen. I am very hopeful that once added you would get the desired blood sugar control. I would also advice you to continue walk as well as strict diabetic diet. Share my opinion with your doctor. If you have any further query, please ask me.