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Please Advise Me Whether I Have To Increase The Night Dosage Of Glycephege ?
Question: DIABETOLOGY
Dear Doctor,
I am 80 years old.I had type II diabetes since 2011 and Hypothyroidsm since 2013.I have hypertension sinc e1980 but it was under control all these years.Thyroidsm also is under normal levels.
Since January this year i observed that my Fasting levels are slightly increasing though the pp levels are some what reasonable. I am here under giving the levels recoreded both of lab results and glycometer results. I am taking Istamet (sitagliptin 50 mg and Metofrmin 500 mg combination) after breakfast and glycephege 250 mg after dinner since 29/8/22. Earlier i used to take Metformin 500 mg twice a day.
LABRESULT OF FASTING GLUCOSE
22.1.22 125 hb A1c 6.5
9.5.22 135
22.8.22 141 hb a1c 7.0
GLUCOMETER READINGS OF FASTING BLOOD SUGARS
22.1.22 149
28.1.22 145
3.5.22 137
31.8.22 152
ISTAMET IS BEING TAKEN FROM 29.8.2022
4.9.22 113
14.9.22 140
17.9.22 153
Please advise me whether i have to increase the night dosage of glycephege from 250 to 500 mg?.Does this sitgliptin works well along with metformin?
Dear Doctor,
I am 80 years old.I had type II diabetes since 2011 and Hypothyroidsm since 2013.I have hypertension sinc e1980 but it was under control all these years.Thyroidsm also is under normal levels.
Since January this year i observed that my Fasting levels are slightly increasing though the pp levels are some what reasonable. I am here under giving the levels recoreded both of lab results and glycometer results. I am taking Istamet (sitagliptin 50 mg and Metofrmin 500 mg combination) after breakfast and glycephege 250 mg after dinner since 29/8/22. Earlier i used to take Metformin 500 mg twice a day.
LABRESULT OF FASTING GLUCOSE
22.1.22 125 hb A1c 6.5
9.5.22 135
22.8.22 141 hb a1c 7.0
GLUCOMETER READINGS OF FASTING BLOOD SUGARS
22.1.22 149
28.1.22 145
3.5.22 137
31.8.22 152
ISTAMET IS BEING TAKEN FROM 29.8.2022
4.9.22 113
14.9.22 140
17.9.22 153
Please advise me whether i have to increase the night dosage of glycephege from 250 to 500 mg?.Does this sitgliptin works well along with metformin?
Brief Answer:
Glyciphage 500
Detailed Answer:
Hi,
Thanks for your query
I really appreciate for giving me well structured query.
Yes. It's glyciphage 500 after food in the night.
This will bring down the sugars in the morning for sure.
Sitagliptin with metformin is good and do continue the same.
Hope I answered your query
Wishing you good health
Bye for now
Glyciphage 500
Detailed Answer:
Hi,
Thanks for your query
I really appreciate for giving me well structured query.
Yes. It's glyciphage 500 after food in the night.
This will bring down the sugars in the morning for sure.
Sitagliptin with metformin is good and do continue the same.
Hope I answered your query
Wishing you good health
Bye for now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
DEAR DOCTOR
Thank you for your reply.just a dout will there be any change in glucose levels if i take glyciphege in the morning and gliptin in the night.. instead of viceversa.
Thank you for your reply.just a dout will there be any change in glucose levels if i take glyciphege in the morning and gliptin in the night.. instead of viceversa.
Brief Answer:
Yes
Detailed Answer:
Hi,
Gliptin combination is much stronger compared to glyciphage.
Morning blood sugars can go low if you take gliptin in the night.
Please continue as before.
Regards
Yes
Detailed Answer:
Hi,
Gliptin combination is much stronger compared to glyciphage.
Morning blood sugars can go low if you take gliptin in the night.
Please continue as before.
Regards
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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