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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Is Hemoglobin Level Abnormal While Suffering From Diabetes?

I AM DIABETIC PATIENT . I TAKE EUGLIM -M2 IN MORNING AND PIOGLIT MF 7.5 AFTER DINNER.MY LAB REPORT HEMOGLOBIN A1C IS 8.3%. MY DOCTOR ADVISED ME TO TAKE METRIDE-1 INSTEAD OF PIOGLIT MF 7.5 AFTER DINNER.PLEASE EXPLAIN HOW IT WILL BE EFFECTIVE TO CONTROL MY HEMOGLOBIN A1C.
Mon, 23 Jun 2014
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Internal Medicine Specialist 's  Response
Euglim M2 contains two active ingredients (glimepiride and metformin). Metride-1 contains the same two ingredients. Pioglit MF contains pioglitazone and metformin. Metformin is the basis of diabetes mellitus type 2 treatment. Pioglitazone and glimepiride can have an additive effect on blood sugar regulation.
I can't explain your doctor's suggestion. 3 drug regimens (even in lower dosages) are more effective than 2 drug regimens. Your doctor might have changed your regimen for reasons other than the hemoglobin A1c.
When my patients are in need of a better blood sugar regulation I prefer to add a new drug or start insulin.
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Why Is Hemoglobin Level Abnormal While Suffering From Diabetes?

Euglim M2 contains two active ingredients (glimepiride and metformin). Metride-1 contains the same two ingredients. Pioglit MF contains pioglitazone and metformin. Metformin is the basis of diabetes mellitus type 2 treatment. Pioglitazone and glimepiride can have an additive effect on blood sugar regulation. I can t explain your doctor s suggestion. 3 drug regimens (even in lower dosages) are more effective than 2 drug regimens. Your doctor might have changed your regimen for reasons other than the hemoglobin A1c. When my patients are in need of a better blood sugar regulation I prefer to add a new drug or start insulin.