Suggest safe drugs that do not contain Sitagliptin or Pioglitazone for diabetes
Need more information.
Thanks for choosing HCM.
Noted your query.
For better opinion need more information -
- Duration of diabetes.
- Associated comorbid conditions like Hypertension, Dyslipidemia, heart disease if any.
- Investigation reports if done like Serum creatinine, 2DEcho of heart.
Get back with above.
Dr. Abhay Mali.
Serum Amylase 66.1 U/L. Ref Range 0-85 U/L
Serum Lipase. 115.7 U/L Ref Range 12-60 U/L
Lipase shows abnormal value and I am worried about it
Gall bladder stone should be treated immediately.
In your case I may consider gall bladder stone as a major risk factor for possible pancreatitis rather than use of sitagliptin.
There is a need for detailed clinical examination depending upon it there may be need for CT scan of Abdomen and pelvis which help in confirming the pancreatitis.
Better to follow your treating doctor for better opinion.
Also consult gastroenterologist for definitive treatment of gall bladder stone.
If you really want to stop Sitagliptin (50mg per day) and Pioglitazone (30 mg per day) I may suggest to maximise dose of Metformin to 2 gram par day (in divided doses), may not increase dose of Glimepiride beyond 3 mg per day (in divided doses) along with this there may be need for insulin and/or other oral anti-diabetics depending upon blood sugar level.
Both Sitagliptin and Pioglitazone are very effective drugs in reducing blood sugar level.
After stopping both there is a high possibility that one can find it difficult to control your blood sugar level to current level without use of insulin.
Hope this helps you.