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A member asked:
Fasting blood sugar 140-150, random 123, hba1c 8.8. sitagliptin / metformin hydrochloride since one month. weight gain 4.5 lb. how to control fasting?
A doctor has provided 1 answer
Change Meds, exercis: Unfortunately, results with Sitagliptin (DPP4 inhibitor) are not great--especially with the cost. I suggest stay on Metformin, and add the starch-blocker Acarbose with each meal. If that is not enough, add a GLP-1 agonist like Victoza (liraglutide) or Byetta, or an SGLT2 inhibitor like Invokana. All of the above 3 classes of drugs will also help with weight loss, and will not cause low blood sugar. Exercise
Answered 2/22/2015
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