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HomeAnswersEndocrinologyblood glucose levelThough I am Janumet 500mg, my blood glucose levels are high. Why?

My hbA1c is 7.3 and morning glucose level is always high. What to do?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Nithila. A

Published At July 31, 2019
Reviewed AtJuly 31, 2019

Patient's Query

Hello doctor,

My HbA1c ie average blood sugar level of the last three months is 7.3. I am taking Janumet 500 mg twice daily, but recently my morning blood sugar level in empty stomach is always 140 or more. Why?

Hello,

Welcome to icliniq.com.

Your present values are a little high. Let us make two changes.

1. Please make tablet Janumet 50/1000 mg (Sitagliptin and Metformin) twice a day.

2. Add tablet Empagliflozin 25 mg once a day before breakfast. Recheck your fasting and postprandial after 15 days and let me know. Add some antacid tablet if you feel bloating or gaseous distension.

Please consult your treating doctor, discuss the suggestion and take the treatment with consent.

Patient's Query

Thank you doctor,

They have Forxiga, and not the one you have suggested. Is that fine?

Hello,

Welcome back to icliniq.com.

Forxiga 10 mg is Dapagliflozin. Yes, it can be taken in place of Empagliflozin 25 mg.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Meenal Mohit Vohra
Dr. Meenal Mohit Vohra

Endocrinology

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