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CHANGE IN MEDICINE REQ

Question: sir height 167 cm weight 100 kg age 56 Diabetes since 11 years maximum score of sugar around 280 occ. due to uncontrolled eating even with pills (DPP 4 +metforMin )..A1c 6.5...cardiac MRI --inflammatory cardiomyopathy borderline..associated VPC under control by metoplorol 50 mg twice....now I want change in medicine but sulforiya medicines can increase weight....acarbose/voglibose do not work properly...DPP4 not so work as require...new medicine was offered by doctor was that..sodium glucose transporter..but afraid of kidney damage..other wise best(cretenine around 1)..other offer was doctor ---slow release insulin injection..but this can also increase weight..otherwise good...kindly guide me any other option ..I have sometime over eating problem....p kotecha
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Dr. Geetendra Singh Dhanawat
Diabetologist 15 yrs exp Mumbai

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Please consider insulin and GLP 1 analog. Consult your Diabetologist and cardiologist.
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