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Am I taking the right medicines for diabetes?

Q: I am a 51 years old man weighs 99 kg suffering from diabetes for the past 15 years. My sugar level is under control at 120-180 mg/dl, cholesterol level - 130; HbA1c is 7.4, creatinine - 1.1. The functions of liver, kidney and lipids are also under normal parameters. My blood pressure is 85-130 mmHg. I am taking Metformin (1000 mg) twice a day, Glipizide (5 mg) twice a day, Statin (20 mg) once a day, one baby Aspirin daily, one Concor (bisoprolol fumarate (2:1), one Olmetec plus 40/12.5 (olmesartan medoxomil, hydrochlorothiazide) in the morning and Neurobion once a day. I am restricting my diet and taking only fibre rich foods. Am I taking the right medicine? How can I lose weight? To add, I can not exercise due to my spinal problem.

A:Your medication looks fine based on the information you have given me. Your doctor is rightly giving statin and aspirin to prevent heart complication related to diabetes. In regards to your weight loss you can consult your doctor regarding prescribing orlistat, which can help along with lifestyle changes. One of the options available would be bariatric surgery, which can be explored further, which is mainly done in few centre of India.

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