DEAR SIR/MADAM
THE BASIC PROBLEM OF YOUR DISEASE IS DECREASED SECRETION OF
INSULIN. THE
HBA1C LOWERING EFFECTS OF ALL THE THREE DRUGS IS VERY LESS WHEN COMPARED TO INSULIN.
YOUR TOTAL DRUGS INTAKE SPLIT ACCORDING TO DOSAGE ARE
1.
METFORMIN - 2000 MG / DAY
2.
PIOGLITAZONE - 22.5 MG / DAY
3. GLIPTINS - 50 MG/ DAY
4. GLIMEPERIDE - 3 MG / DAY
ALL THE DRUGS ARE UP TO HALF THE RECOMMENDED DOSAGE, 75% RESPONSE SHOULD BE SEEN WITH THESES DOSES.
AGAIN INCREASING THE DOSAGE WONT HELP
I RECOMMED TO REDUCE THE TRIGLUCORED FORTE 7.5 MG ONE TIME A DAY AND
ISTAMET 50/500 MG ONE TIME A DAY ALONG WITH
ADDITION OF INSULIN IS RECOMMENDED.