Pt. age 55 t2 diabetes from 15 yr now pt. Take glcomet gp2 bd but fbg 160 ppg 250 rpg 180 hb1ac 9

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One option is to Add Metformin 500 mg in afternoon and Sitagliptin 100 mg once a day Alternatively Better option is to add T. Pioglitazone 15 mg once daily

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Add metformin 500 mg od or pioglitazone 15 mg od. Strict control diet (Sugar free ) Change in life style.

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Add Gliptin.Increase dose of metformin

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NICELY DISCUSSED BY. THE. RESPECTED DOCTORS THANKS...DR.. .. G. L. P - 1 R As AND S. G. L. T - 2 i... MEDICATIONS BOTH. ARE. SAFE. AND. EFFECTIVE

T.Vildapride M 50/1000mg 1BD 20min before food T.Absolute DM 1OD for 1 month Repeat HbA1C every three month once Strict diet

Start on the following regimen Jnaumet 50/500 mg at 8 am and 8 pm post BF and Dinner Glycomet 500 mg post lunch at 2 pm Follow the following timed diet 8 am BF 11 am Prelunch 2 pm.lunch 5 pm.snacks 8 pm.dinner Get a lipid profile done Add omega 3 capsules once post dinner D rise 60 k per week for 6 weeks Follow up after 6 weeks

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Add T.Glip 20mg od

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