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Stroke and diabetics
Mother got mild TIA.
Fasting sugar : 147 mg/dL
Hba1c: 7.67
BP: 135/78
Medications:
Metaformin 500 mg twice a day,
Glimepiride 2mg before dinner,
Ecospirin gold 20 before bed,
Eltroxin 100mg
Kidney test reports very much Ok. Egfr: 89.83
Want to avoid glimepiride due to TIA episode.
Please suggest alternate Medications for diabetics to be bring values under control.
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Option 1 Metformin + Teneligliptin 20 mg once daily
Option 2 (best for heart/brain protection)
Metformin + Empagliflozin 10 mg once daily
Option 3 (strongest control)
Metformin + Teneligliptin + Empagliflozin
(Only if sugars remain high after 3 months)
Next Steps
Recheck Fasting, PP sugars after 2–3 weeks of changing medication.
Repeat HbA1c in 3 months.
Maintain BP below 130/80, as it is crucial after TIA.
Health Tips
Avoid skipping meals to prevent low sugars.
Maintain hydration if taking SGLT-2 inhibitors.
If dizziness, weakness, or confusion occurs → check sugar immediately.
Answered
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