Lab report pp 215 sr. creatinine 1.0hba1c 6.4 mean blood glucose level 137 it ie my sugar level and taking gemer 1 and rosawer 5 mg past 4 years .my doctor prescribed now gemer 2 ,i feel too much sweating after 11 am after taking gamer 2 past 10 days hence prescribed to me now janumet instead 50/500 instead of jeemer 2 ,pls advise me janumet is better than jeemer 2, janumet will reduce weight too apart from control sugar $?

Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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Hello, thanks for the query. I have seen the details. Please let me know whether the additional drug or gemer 2 has been prescribed after seeing your blood glucose report showing hba1c% of 6.4 %?because the hba1c% shows you have excellent glucose control. I do not see the need for any additional medication. Actually if you work seriously on reducing the weight, there will be a definite reduction in blood glucose. With a bmi 36.66 kgs/sq meter (normal < 23 kgs/sq meter), you have an excess of 32 kgs. This itself is an invitation for uncontrolled diabetes. Hence if you take measures to reduce weight even 3 to 4 kgs a month, in few months your glucose levels will come down very effectively. Hence my suggestion is please give a rellok at your diet and join a gym and start systematic workout to reduce excess fat. That itself will help in controlling blood glucose. Thanks.  

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Dr. Pramod Kumar SharmaEndocrinologist39yrs exp

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Your doctor has changed medicine because of symptoms of hypoglycemia. Raduce weight. Exercise regularly. 

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