HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest An Alternative Medication To Metformin For Type 2 Diabetes Mellitus

hi doctor, I m 48 years old man.I have Type 2 diabetes mellitus for about 2 years.Currently, I use one dose metformin 500 mg during lunch daily. My fasting blood sugar is between 100 and 110. The 2hpp is usually between 170 and 200. Would you suggest a better drug?
Tue, 16 Aug 2022
Report Abuse
Diabetologist 's  Response
Hello,

Looking at your fasting and after food glucose levels, it appears that metformin is helping quite well in controlling the blood glucose. The after food level is marginally high. Which can be well controlled by adjusting the food intake, reducing the carbohydrates and increasing protein / fat content of the food. Plus increasing the overall physical activity.

Metformin is one of the safest and probably the best drug for treatment initiation in T2 DM. The other option (if metformin is not be used) can be a drug like Sitagliptin (5 mg once or twice after food) or Vildagliptin (50 mg once or twice a day after food). However, since the control is fairly good, metformin can be continued with above mentioned adjustments.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Prabhakar Laxman Jathar, Diabetologist
I find this answer helpful

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Suggest An Alternative Medication To Metformin For Type 2 Diabetes Mellitus

Hello, Looking at your fasting and after food glucose levels, it appears that metformin is helping quite well in controlling the blood glucose. The after food level is marginally high. Which can be well controlled by adjusting the food intake, reducing the carbohydrates and increasing protein / fat content of the food. Plus increasing the overall physical activity. Metformin is one of the safest and probably the best drug for treatment initiation in T2 DM. The other option (if metformin is not be used) can be a drug like Sitagliptin (5 mg once or twice after food) or Vildagliptin (50 mg once or twice a day after food). However, since the control is fairly good, metformin can be continued with above mentioned adjustments. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Prabhakar Laxman Jathar, Diabetologist