Diabetes,hypertension,hypoglycemia,calcium Deficiency,weigh Gain
I understand your concerns and will try to give you an appropriate advice which is up-to-date with current recommendations.
There are many medications available for treatment of Diabetes Mellitus
The most studied and most used ones belong to two of the following categories.
1. Sulfonylureas - Glimulin belongs to this category
2. Metformin - M in Glimulin MF and Pioglit MF contains Metformin.
Now, Both these medications are great and essential for treatment of diabetes,
Off late, there has been a concern that Metformin reduces absorption of Vitamin B12 by antagonizing the calcium dependent process. Such Vitamin B12 deficiency can be treated with calcium supplementation.
However, this not a major concern and out of 100 nearly 90 % patient will be on Metformin with no adverse effects.
Pioglit contains Pioglitazone which is added to Glimulin and Metformin if sugars are not well controlled.
The only side effect of pioglit worth mentioning is that it can lead to fluid accumulation and swelling of legs/weight gain.
Janumet is a newer medication which contains Januvia and Metformin. So, it does contain metformin which may require calcium supplementation.
As your blood sugars are well controlled with the current medicines, there is not need to change or add any newer medicine.
So, you must continue with Glimuln MF 1 and Poglit MF 15.
As of now, Janumet will not add any more benefit.
Hope this answers your query.
Please get back if you need any further information
Thanks and Regards
Dr Kiran