Have hypothyroidism last 2 years down to 75mg levothyroxine. The issue now is blood sugar levels. Over last one yr dr has put me on several meds which I reacted to. At that time level under 200. This yr changed dr. He said no medication. Lifestyle change . Has been difficult. Weight up sugar levels 299. Dr put me on januvia last week. Scared cuz of reviews n side effects of the medication I read online. Already feeling like neck swollen n pain in chest sometimes. Cant go to hospital now because of covid. Dont want to get infected. Is Januvia ok. What do you suggest
Hi. Good day. Thanks for your query Ur weight is quite high with uncontrolled diabetes. Definitely u need to change lifestyle and thinking pattern as well. U need to trust a doctor and follow his advice. Every medication has effects otherwise it will not be effective but we always weigh risk and benefits. If ur sugar will not be controlled it can lead to badly effect all ur body especially it can lead to kidney failure stroke heart attack nerve problem and many more. Modification of lifestyle is the main stay of diabetes treatment. U need to reduce carbohydrates especially simple carbohydrates like sugar ice cream sugary juices. If can’t stop u have to 70% reduce bread rice pasta and potatoes. Eat fruits only as a sweet dish. Mango grapes and banana especially can increase sugar quickly. U have tried many medications and I’m not sure which are those medications. I will advise u to take Glyxambi 25/5 one tablet daily Check ur fasting sugars for few days and let me know to modify dose accordingly Ur fasting should be 100-130 Thanks