A diabetic on metformin 1g bid has an HbA1c of 6.5 and high fasting glucose levels. No other comorbidities and normal UA. What to add? Should I increase metformin, add glimepiride,... A diabetic on metformin 1g bid has an HbA1c of 6.5 and high fasting glucose levels. No other comorbidities and normal UA. What to add? Should I increase metformin, add glimepiride, or add sitagliptin?
Understand the Problem
The question is asking for advice on what additional medication to add to a diabetes treatment regimen for a patient currently taking metformin, whose HbA1c and fasting glucose levels are high. It outlines the current medication and some clinical details of the patient.
Answer
Add sitagliptin.
Consider adding sitagliptin, as it can be effective alongside metformin in managing high fasting glucose levels.
Answer for screen readers
Consider adding sitagliptin, as it can be effective alongside metformin in managing high fasting glucose levels.
More Information
Sitagliptin is often used in combination with metformin to improve glycemic control, particularly when fasting glucose levels remain high.
Tips
A common mistake is not considering patient tolerance and side effects when choosing an additional medication. Always evaluate the patient's lifestyle, potential side effects, and drug interactions.
Sources
- Sitagliptin and metformin (oral route) - Mayo Clinic - mayoclinic.org
- Management of Type 2 Diabetes in adults - derbyshiremedicinesmanagement.nhs.uk
AI-generated content may contain errors. Please verify critical information
