Review of Current Treatment and Monitoring

• Ensure regular blood sugar monitoring and adherence to Trajenta Duo.
• Check for proper medication intake and any side effects.

Lifestyle Modifications

• Focus on diet, physical activity, and weight management.
• Consider consulting a dietitian for a personalized meal plan.

Evaluation for Additional or Alternative Medications

• Combination therapy may need adjustment.
• An endocrinologist might consider other diabetes medications.

Screening for Complications and Other Factors

• Check for conditions affecting blood sugar, like infections or hormonal imbalances.
• Screen for diabetes complications.

Consultation with a Specialist

• See an endocrinologist for a comprehensive evaluation.
• Further investigations like HbA1c and kidney function tests may be needed.

Importance of Regular Follow-up

• Ongoing monitoring and treatment adjustments are crucial.

Patient Support and Education

• Engage in diabetes management education and support groups if needed.