Review of Current Medications and Dosage

• Evaluate the current doses of Sitagliptin (Istavel) and Voglibose+Metformin (Volix M) to ensure they are optimal.

Lifestyle and Dietary Modifications

• Focus on diet, exercise, and weight management to help control blood sugar levels.

Monitoring and Blood Sugar Tracking

• Regularly monitor fasting and postprandial blood glucose to guide treatment.

Possible Need for Medication Adjustment or Addition

• Consider adding or switching to other antidiabetic agents like SGLT2 inhibitors or insulin if current therapy is insufficient.

Consultation with an Endocrinologist or Diabetologist

• See a specialist for a comprehensive evaluation and personalized treatment plan.

Screening for Complications and Comorbidities

• Check for diabetes-related complications and other health issues that may affect management.

Patient Education and Support

• Understand the disease, adhere to therapy, and address any concerns or side effects.