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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is There Any Pill Other Than Inclen For Diabetes And Varying A1C ?

I m diabetic an have hip c I m on metformin 1000mg an have been for about a year an a half my a1c started at 7.5 six months latter it went to5.5 then this last six month it got worse july 10.5 today 11 they want to put me on inclen but don t want that is there any other pill I can try before that
Fri, 18 Jul 2014
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Diabetologist,  's  Response
Hi
I am Dr Mittal, Diabetician
I have read your query
And will try to answer it.

There are a large number of tablets that are available for control of sugars.
Metformin, Glimipride, Glyburide, Sitagliptin etc. The market is practically full of these medicines.

A fluctuant HbA1C could be due to a rebound hyperglycemia. Your HbA1C started at 7.5. Then HbA1C was 5.5. The sugar control was probably too tight. Personally I would have reduced the dose of your medicines.

When you develop low sugar, say eg due to medicine intake, the body tries to increase the sugar. And then it spikes. I have a feeling it may be due to that.

Have you had corresponding FBS and PPBS tested? I would suggest you do if not.

Let me know the reports of FBS and PPBS and I may be able to help you further
Dr Mittal
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Is There Any Pill Other Than Inclen For Diabetes And Varying A1C ?

Hi I am Dr Mittal, Diabetician I have read your query And will try to answer it. There are a large number of tablets that are available for control of sugars. Metformin, Glimipride, Glyburide, Sitagliptin etc. The market is practically full of these medicines. A fluctuant HbA1C could be due to a rebound hyperglycemia. Your HbA1C started at 7.5. Then HbA1C was 5.5. The sugar control was probably too tight. Personally I would have reduced the dose of your medicines. When you develop low sugar, say eg due to medicine intake, the body tries to increase the sugar. And then it spikes. I have a feeling it may be due to that. Have you had corresponding FBS and PPBS tested? I would suggest you do if not. Let me know the reports of FBS and PPBS and I may be able to help you further Dr Mittal