Is it safe and clinically appropriate to discontinue diabetes medication, such as Istamet 50/500, for a patient with type 2 diabetes whose HbA1c has stabilized between 5.9% and 6.0% (estimated average glucose of 122?125 mg/dL), and what monitoring protocol should be followed after stopping treatment? | Apollo Pharmacy

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Is it safe and clinically appropriate to discontinue diabetes medication, such as Istamet 50/500, for a patient with type 2 diabetes whose HbA1c has stabilized between 5.9% and 6.0% (estimated average glucose of 122?125 mg/dL), and what monitoring protocol should be followed after stopping treatment?

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Is it safe and clinically appropriate to discontinue diabetes medication, such as Istamet 50/500, for a patient with type 2 diabetes whose HbA1c has stabilized between 5.9% and 6.0% (estimated average glucose of 122?125 mg/dL), and what monitoring protocol should be followed after stopping treatment?

Asked by Male, 42 · 18 days ago

Vikas Singh

M Pharmacy

18 days ago

Your HbA1c has stabilized at such a healthy level of 5.9% to 6.0%! While it may be possible to safely reduce or discontinue your medication, Istamet (sitagliptin/metformin), this must be done gradually and under your doctor's close supervision. Stopping abruptly can cause your blood sugar to rise again. If your doctor agrees to a trial discontinuation, you should monitor your fasting and post-meal blood glucose daily at first, and check your HbA1c again in three months. Maintaining a balanced diet and regular exercise is key to keeping these great numbers. Please consult your physician before making any changes.

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Is it safe and clinically appropriate to discontinue diabetes medication, such as Istamet 50/500, for a patient with type 2 diabetes whose HbA1c has stabilized between 5.9% and 6.0% (estimated average glucose of 122?125 mg/dL), and what monitoring protocol should be followed after stopping treatment?

Answered 18 days ago

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