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

Q. My hbA1c is 7. 3 and morning glucose level is always high. What to do?

Answered by
Dr. Meenal Mohit Vohra
and medically reviewed by Dr.Nithila A
This is a premium question & answer published on Jul 30, 2019

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?



Welcome to

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.

Thank you doctor,

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



Welcome back to

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

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