Recently Answered Questions on ISTAMET

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Need guidance on my diabetes reversal

My hbac1 is 5.0 and I have reduced 15kg and taking 1 istamet tablet 50/500mg and observed even after taking half of the tablet in the recent days my PP is in 120 range and Taking roseday 5mg for cholesterol. recently discovered vitamin deficiency attached report. Need complete guidance to help me on medications and reverse my health alignments
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Blood Sugar Consultation

I am having blood sugar from last 6 months. In march I checked randomly and blood sugar came as 170/375 and Hb1ac as 8.7. Then I started medicine Istamet 50/500 mg 2 times a day based on doctor's advice. Now post 6 months of treatment my blood sugar is 117/108 and Hb1Ac as 6.3. So, is it ok to have these readings or there something to worry about. Please suggest.
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Metroformin - Muscle pains

Male, age 54, weight 84 Kg, Height 168 CM. Sugar levels were:fasting 106-116 and post lunch 140 to 160. Taking one tablet of metroformin 50mg/1000mg(istamet) before breakfast daily from two months. Now, sugar levels normal. But, feeling muscle soreness particularly in the arms. Muscles paining while lifting even small weights. Suggest remedy.
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Diabete Medicne Substitut

I Got To Know I Am a Diabetic in January 2016. I Was Put On Istamet 50/500 (Sitagliptin 50 Mg +Metformin 500 Mg) Twice Day by my Doctor. Since This Drug Is Expensive Rs 359 I Started Taking Its Substitute Zitamet 50 /500 by Glenmark Which Cost Rs 160. Then in one month My Sugar level Came under Control and Thus I Started Taking Zitamaet 50/1000 One a day instead of taking 50/500 twice a day . Presently I am taking zitamet 50/1000 mg once a day. Now This Affordable Drug Zitamet 50/1000 Is Not Available and I have been told production has been stopped.. Istamet 50/1000 and Its Substitutes Are All Very Expensive costing Rs 350 and above.. My Question Is Can I Switch Onto To Zomelis Met 50/1000 (vidagliptin 50 mg+ metformin 100 mg) Which Is Comparatively Cheaper Costing Around Rs 220 . And Also Zomelis 50/1000 Is Being Taken By My Wife and Thus We Can Share the Same and It Becomes Convenient For Both of Us. Currently my sugar levels are absolutely under control
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Covid Vaccination on Blood thinners

My mother is on blood thinners - Atorfit CV 20mg ( aftr dinnner ) Bp- Concor 5mg (2.5 mg morning and 2.5mg at night) Diabetes - istamet 50/500mg ( only morning dose everyday) Also on psychiatric medication - Clopixol Depot 200 mg ( once in 2 months - recent dose was 5days ago) Is it safe for my mother to take Covaxin Vaccine ? Will there be side effects ? Should she stop blood thinners a day before vaccine and after ? Please please help me with the queries.
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Anal Fissures

Hi Doctor, My husband age is 30. He had underwent ACL reconstruction surgery 3 months ago.At that time he was diagnosed with Type 2 diabetes and he is  taking Istamet XR CP .Now his Blood sugar is in control. since he was in bed for more than 1 month after surgery,he suffered constipation and later he recovered from constipation but he is now diagnosed with anal fissures and experiencing severe pain in anal region. consuming painkillers,antibiotics and using lignocaine gel and cream. Pain is subsiding slowly but diarrhoea is happening past 2 days and again pain is starting. Doctor,Is there any issue between diabetic medicine , painkillers and antibiotics. Also please suggest is there any home remedies to recover from this anal fissures. Thankyou.
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Feeling helpless

My mother had suffered a heart attack on 25th of Feb. She got her treatment at Gandhi Memorial Hospital. She got her release on 1st March. Doctor said her heart condition is OK but the attack was due to high Blood Sugar.He replaced Januvia with istamet xr cp (100/1000) and asked to continue the insulin ( lupisulin 30:70 ) intake at 28/ 16 unit. But the PP results still coming around 477,387. Please help,it's urgent.
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Low sugar issue new diabetic

3 month back my hba1c was 8.3, first time so high hb1ac. Fbs was 120 and pp 180.so doctor prescribed istamet 500/50  one in morning. with diet change and walking after 3 month hb1ac show 6.9 and medicine change to tenlip m 500/20. But now after taking this medicine after 3-4 hours the sugar level goes down to 70-80 and feel heavy sweating and shakiness.fbs is maintain between 90-110. Should I discontinue the medicine. Weight 82 kgs , height 179 cm, male.
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Dialysis inquiry

Attaching reports- is dialysis needed for this patient. Nt probnp 9130, severe left ventricle failure on 10th March, ef - 15- 20%, current medication- eptus, met xl 25, cardace 10, istamet 50/1000, hypertensive patient. Creatinine was 6 dropped to 4.1 in 13 days, gfr was 7 than raised to 25, after which the reports are attached from today. What should be the next course of treatment, patient unwilling to do dialysis, she is constipated, restless, does not sleep well. Urine output Is good. Thanks in advance
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Gastric and digestion issues Diabetes

I have been recently diagnosed with type 2 diabetes , was taking insulin from last 20 days but now doctor told to stop. Now I m taking cetapin 1000 after breakfast and istamet 50/1000 after dinner but after taking these medications I have excessive gastric problem and continuous indigestion issues. Beacuse of excessive gastric I m unable to eat food , while eating food feel like vomiting everytime. I am now not able to go to office some times , not able to do any work properly. Now this problem is bigger than diabetes for me currently. I asked my doctor to change this medicine but he denied. Kindly suggest what shall I do ?
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