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PAST HISTORY : Dibaetic for last 3 months
Dr. Nikhil Prabhu answered : 9 years ago
diabetes is progressive disease. when diabetes appears 1st time almost 50-60% of pancreatic beta cells are lost. with diet and exercise you can control sugars. as the time progresses beta cells keep on decreasing.
your progress is pretty good. metformin & pioglitazone increases insulin sensitivity and sitagliptin delays gastric emptying,promotes beta cells , glucose dependent insulin secretion and helps in weight loss. you might require to take medicines for life long but you can limit medicines with weight loss, diet and exercise