My wife's age is 36 yrs, she suffered with diabetes and also done angioplasty in year 2012, but at that time sugar not in control, doctor suggest Ryzodeg insulin twice a day ,it's very costly also suggest xigduo 10 mg/1000 mg tablet, other medicine coversyl plus, unistar20/150 and seloken xl100 is going on. Please tell me this insulin and tablet Chang to any lower option and effect to kidney also.

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Hello, Thanks for the query. There are different medicines available for treating diabetes, which includes older drugs like Glimiperide, metformin cobinations, some DPP - IV inhibitors and many types of insulins. Some newer drugs like Degludec Insulin and Dapagliflozin are definitely more (very) expensive. Some doctors prefer those because there is a feeling that these drugs give better control or at times influenced by pharma companies. Since you are already under the treatment b any alternatives. Thanks. Y a particular diabetologist it is not possible to suggest.  

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