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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Diabetes Be Treated While On Metformin?

what is the best pill to take with my metformin my A1C IS 7.8 I WAS ON I cn t remember its name all that I know I was constantly throwing up so my GI doctor D/Cd it I was put on actos The side effects I don t like like chf edema bone problems bladder cancer The name of the diabetic pill that was DCd was Tragenta
Sat, 7 Jul 2018
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General & Family Physician,  's  Response
Hi .welcome to "Ask A Doctor service". I have read your question and here is my advice .
woth this level you are right you need another drug To be honest we can add from any group but the side effects you mentioned are those of pioglitazones so we can avoid that.. A good choice to add is a sulphonylurea like glimipride however if you are obese this may not be very good choice .them we can add a gliptin like sitagliptun.
howe'ver we can have many choices but that depends , I would advise you should do it after seeing your doctor .though i would like to add sulphonylurea .
Hopes I have answered your question. I will be glad to answer any further question about this.
Kind Regards
Dr Rahman
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How Can Diabetes Be Treated While On Metformin?

Hi .welcome to Ask A Doctor service . I have read your question and here is my advice . woth this level you are right you need another drug To be honest we can add from any group but the side effects you mentioned are those of pioglitazones so we can avoid that.. A good choice to add is a sulphonylurea like glimipride however if you are obese this may not be very good choice .them we can add a gliptin like sitagliptun. howe ver we can have many choices but that depends , I would advise you should do it after seeing your doctor .though i would like to add sulphonylurea . Hopes I have answered your question. I will be glad to answer any further question about this. Kind Regards Dr Rahman