Daibell said:
Hi
You may want to Google the web and download the NICE diabetes guidelines for GPs for both the NHS in general and I also found some for my County (Hertforshire NHS). The flowcharts are very useful and make a lot of sense. The gliptin group are treated as a 3rd level regime after Metformin and the sulphonylureas such as gliclazide so it does seem unusual for you to have been put straight onto a gliptin (they are expensive!). I now take Januvia (Sitagliptin) which has worked really well for me over the last few weeks indicating the the DPP-4 scenario works well for me but everyone is different of course.
I checked that out and seen the flow chart but i also read am article that gps have now been advised to prescibe gliptins as a second line drug.
the thing that confused me the most is that my last hba1c a few months ago was 4.6 or something like it was defiantly in the 4 range, so i think it was abit over the top to prescribe these for me as the 2 metformin was controlling my diabetes very well its just a shame i could not tolerate the metformin very well thast why I wanted the slow realease metformin.
anyway im not taking these gliptins anymore im just going to even more strict with my diet and excercise and will discuss it again with my gp when my diabetic clininc appointment comes round although that is already 3 months overdue :roll: