Many possibilities: Istamet is a combination of metformin and sitigliptin, used in type 2 diabetes. Considering your young age, you need to verify that you have type 2 and not early type 1 diabetes. The optimal dose is sitigliptin 100 mg, metformin 2000 mg daily. Diet and exercise are always very important. Other medications that can be added include sulfonylureas, meglitinides, pioglitazone, acarbose, insulin.
Answered 5/11/2017
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