Alternatives to Forxiga 10 mg include other classes of diabetes medicines, such as sulfonylureas, or insulin regimens, depending on your blood sugar levels and health status. Your doctor can choose the most suitable option based on your blood sugar patterns and overall condition.

An HbA1c of 8 suggests your diabetes is not fully controlled despite the medicines. Lethargy can occur due to high sugar levels, dietary issues, or other conditions such as anaemia or vitamin deficiencies. A doctor review is needed to adjust treatment and check for different causes.

Forxiga 10 mg can be used in elderly patients with type 2 diabetes if kidney function is good and hydration is maintained. Older adults may be more prone to dehydration or infections while on this medicine. Regular monitoring and doctor follow-up are important to ensure safety.