Brief Answer:
Sir, Continue the same medications now with lifestyle modifications....

Detailed Answer:
Dear friend, i understand and appreciate your concern.

You now continue the same medications as your doctor advised. No need to change now. Your fasting and postprondial sugar levels are ok now. But try to get it done in good lab once rather than in glucometer.

You need to get your lipid profile, microalbuminuria and HbA1c checked. your medications are sufficient for time being if you are committed for lifestyle changes.

Stay away from all the fast / processed / and fried food stuffs. Divide your meal in to 4-5 parts per day whenever you feel hungry. Add more of fiber rich food stuffs like green leafy vegetables, raw fruits (not juices), eat very less of carbohydrates (rice) avoid sugar completely. Take Millets and breads prepared out of it like ragi. They are very good sources of minerals which are very important in maintaining sugar levels. Do take more of proteins like egg white. Say no to oils and cholesterol rich food stuffs. You can take fish (boiled) but chicken (without skin) rarely. Based on this you prepare your diet chart and strictly follow it.

Do exercise- walk at least half an hour to one hour a day, try and practice yoga and pranayama, some aasanas are very easy to practice and also beneficial. Quit smoking and reduce your alcohol intake. Moreover, beet root juice (inorganic nitrate), karela-jamun juice, olive leaves, garlic, turmeric, tamarind also have proven benefits.

If you can follow these (have to!!) you can definitely see difference yourself by the time you have your next blood investigation report in two months .. later we can decide to change over to insulin or increase the dose .. do contact us .

ALL THE BEST

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Brief Answer:
Dear friend, if you are comfortable with that it s very good....

Detailed Answer:
Dear friend , gliptins are new class of oral anti diabetic drugs ... your doctor prescribed rightly
But since your body is not tolerating ... you can go for metofomin alone i,g Tab Glycomet 1gm ... one after breakfast and one after dinner ... please don forget the dietary and lifestyle changes as i told you .. lifestyle changes are very important for management of diabetes... take care ... please repeat HbA1c after 2 months with fasting , postprondial glucose levels, lipid profile and microalbuminuria and contact me ... please feel free to ask any other query ....
if you dont have any other query please rate the answer
Thank you

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Brief Answer:
Dear sir, Thank you ..

Detailed Answer:
Dear sir, Thank you very much for your wishes .. Happy new year to you and all your family member s .. Good health ... God bless you

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