Download FREE Practo app
Get ₹200 HealthCash
Medicine levels
I have diabetes since 8 years my current medicine is metformin 500 sr once and olmesar 20 for blood pressure my hba1c is 6.3 but my doc changed medicine to januvia 100 and my weight is 53 and serum creatinine is 1.0 so doc prescribed it is good enough because my hba1c is in controlled why doc changed the medicine and it's cost is very much higher
Answers (6)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Your HbA1c of 6.3% is well controlled, but your doctor likely changed from Metformin to Januvia (Sitagliptin) because of your low body weight (53 kg) and to avoid further gastrointestinal side effects or weight loss that metformin can sometimes cause.
Januvia is kidney-safe at your creatinine level (1.0) and helps maintain sugar control without affecting weight.
The cost is higher, but clinically it may be a better fit for your current weight profile
Next Steps
Continue the new medicine as advised for at least 2–3 months and recheck HbA1c
Monitor for any symptoms like low appetite, weakness, or weight loss.
Discuss with your doctor if cost is a major issue—sometimes dose adjustment or switching to a combination tablet can reduce expense.
Health Tips
Maintain regular meals and avoid skipping breakfast.
• Keep monitoring BP since you are on Olmesar 20.
• If you feel your sugar rises on Januvia alone, inform your doctor for modification.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+108
It’s good medicine and it’s best to discuss with your physician. Diabetes is under control with medication. But you can always discuss with your doctor if you find medicine expensive
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. A Raja Prasanna Kumar
Pulmonologist
46 yrs exp
Hyderabad
Pl follow your doctors advise. Kanuvai is good medicine. May be there is a cause.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Davra Kaushalkumar Dilipbhai
Diabetologist
6 yrs exp
Ahmedabad
You can take metformin 500 two time s day
Which is control sugar
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Marini Vanitha
Diabetologist
12 yrs exp
Kakinada
Januvia high dose for you.you can continue metformin 500.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.