I am 47, weighing 62 kg, bmi of 20, diabetic for the last 12 years. I have been taking diamicron Mr. 30 mg (one tablet bbf) for the past 10 years. I achieved very good control when I started the tablet. Over the last two years, however, the hba1c has slowly started to deteriorate, increasing to 6.5 (currently) from the excellent level of 6.0 (2 years ago). I also feel tiredness and weakness. My other reports like lipid, renal and liver are within normal limits. Doctor suggests me to stop diamicron and take tendia m 20/1000 one tablet bbf. Is this new tablet successful for patients? My company doctor however advised me a combination of januvia 50 mg and metformin. I understand both tomato and januvia are dpp4 medicines. Which is the best dpp4 medicine for my type of patient? Pl advise. Thanks.
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All dpp 4 inhibitors are good for you.
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1.no alcohol 2. Reduce body wt 3. No smoking/ tobacco/drugs/ avoid pollution 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. No sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water medicine can not be advised for open question ,for medicine and further advise contact on private consults. Good luck.
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Hello, Thanks for the query. I have seen the details given. Even with HbA1c% 6.5% you have an excellent control. If the same control is there then there is absolutely no need to change the treatment. What would be better is to give a closer loo at dietary pattern and exercise. Your BMI is quite low. You can add a few more Kgs. So may be additional protein intake to build lean body mass is what you have to look at. As regards various DDP 4 inhibitors all are equally good. There are minor advantages or variations in each of those. Not any particular compound can be said as the best. Tenelegliptin being comparatively recent introduced in India and is quite economical, so quite well accepted here. You need not worry at all as the control is still excellent. I do not see any change needed. Thanks.
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Both have same actions and can achieve very good control Start januvia has better results and less side effects
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