I met today a Male patient who has more than 10 years type2 dm on dapagliflozine 10 mg and metformin 1000 mg but he is not compliant with medicine. Unfortunately I asked for Hb A1c which revealed 8.9 %.In addition, Janumet 50/1000 mg tab, once daily and Diamicron MR 60 mg tab. once daily were added to diabetic medication Which is Forxiga. Because of his uncontrolled diabetic state I asked for lipid profile which showed LDL 3.2 . In conditions like diabetes mellitus a LDL level should be less than 2.6 that's Why atorvastatin 20 mg tab. once daily and ezitimibe 10 mg tab. once daily were added to his regimen.For sure I recommend he should be changing his lifestyle including diet, exercise, reduce his weight and control his dislipideamia. A review consultation was scheduled for three months later.
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