First of all both sitagliptin and metformin doesnt cause hypoglycemia i.e
sugar less than 70 mg/dl, they are very safe drugs. Moreover
diabetes management has now changed from glucocentric to individual centric treatment model. She requires further evaluation like
LDL-C ASCVD risk assessment and holistic management
Consult for the same
Dr Harish
MD DNB
SCOPE certified Dabetologist