Janumet (Sitagliptin + Metformin):

• Janumet combines sitagliptin and metformin to help control blood sugar in type 2 diabetes by enhancing insulin release and reducing glucose production.

Forxiga (Dapagliflozin):

• Forxiga is an SGLT2 inhibitor that lowers blood sugar by increasing glucose excretion through urine.

Reasons for Elevated HbA1c (8%):

• Possible factors include medication adherence, diet, exercise, disease progression, or other health issues. Regular monitoring and treatment adjustments may be needed.

Causes of Lethargy:

• Common reasons include blood sugar fluctuations, medication side effects, anemia, thyroid issues, or other conditions. Consult a healthcare provider for evaluation.

Recommendations:

• Consider lifestyle modifications, regular follow-ups, and additional tests. Do not stop medications without medical advice.