Concluded Case

VILDAGLIPTIN IS AS SAFE AS METFORMIN IN REDUCING IR & GLYCEMIC CONTROL

Dear my friends and fellow Colleagues, Here is an update on Vildagliptin, DPP4 Inhibitor. Vildagliptin is as good as metformin in controlling IR, Insulin Resistance & glycemic levels https://medicaldialogues.in/diabetes-endocrinology/news/vildagliptin-as-good-as-metformin-in-controlling-blood-sugar-in-diabetes-66776 (Accession Date June 18, 2020) Regards and thanks, Dr Sepuri Krishna Mohan.

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Dear all, As per the results of VERIFY TRIAL which were rolled out in EASD Scientific Sessions, September, 2019, Vildagliptin added to Metformin increases the duration of action of both and results in sustainable Glycemic Control with this Combo. As already Vildagliptin has become off patent from 15th December 2019, prices of Vildagliptin are slashed down to Rs 5/- each 50 mg Tablet making Rs 10/- per day therapy cost. Avoid Teneligliptin and replace with Combination of Metformin plus Vildagliptin. Regards and thanks, Dr Sepuri Krishna Mohan.
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Dear all, As per the results of VERIFY TRIAL which were rolled out in EASD Scientific Sessions, September, 2019, Vildagliptin added to Metformin increases the duration of action of both and results in sustainable Glycemic Control with this Combo. As already Vildagliptin has become off patent from 15th December 2019, prices of Vildagliptin are slashed down to Rs 5/- each 50 mg Tablet making Rs 10/- per day therapy cost. Avoid Teneligliptin and replace with Combination of Metformin plus Vildagliptin. Regards and thanks, Dr Sepuri Krishna Mohan.
Dr spur Will u plse guide Me A pt having hba1c 6 Well controlled by glimprede 1mg and Now plse give openion whether glipred is good or switching over to vildagliptin is more reliable and safe in T2D
Dear Godara Sir, You don't need to change the Glimepiride for your patient whose HbA1c is around 6%, But check whether the patient is getting in to Hypoglycemia or not. Because if HbA1c around 6% usually tend to get in to Hypoglycemia. What about Weight Gain in your patient. If the answe for my 2 questions is YES, please stop Glimepiride as SU is never a first line of drug of Choice in the treatment algorithm of T2DM unless otherwise Metformin is contraindicated. Put the patient on Combination of Vildagliptin 50 mg/Metformin 500or1000 mg BD which would be the perfect combination sir. Regards and thanks, Dr Sepuri Krishna Mohan.
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