You should not stop Istamet XR or change your Novomix dose on your own, even during a respiratory infection. Infections can raise blood sugar, but medication doses need careful adjustment by a doctor to avoid low or very high sugar levels. Contact your doctor promptly for the right dose changes and treatment of the infection.

There is no single best medicine for type 2 diabetes. Treatment depends on your sugar levels, age, weight, and other health conditions. A fasting sugar of 238 is high and needs medical attention. Please consult a doctor soon to get the right treatment plan and prevent complications.

You should not substitute Zita Met 50/500 for Istamet or Jalra 50/500 on your own. Switching without advice can affect sugar control. Please consult your doctor before substituting medicines so the right and safe option can be prescribed.