My hba1c is 10. I am taking janumet 50/500 in the morning and metformin 500 sr. Shall I take janumet 50 500 in the evening instead of metformin 500 sr.

Dr. Col V C GoyalGeneral Physician47yrs exp

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1.no alcohol3. 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. Less sugar, potato, rice. Less salt. 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 10 maintain oral hygiene medicine can not be advised for open question ,for medicine and further advise contact on private consults good luck.  

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