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  • Hi Mr Uttam! How are you? What Problem(s) Are You Facing?
  • Hi Dr Narayan! I am 40 yrs old, overweight, and have been increasingly feeling breathless on routine activities. I do smoke and drink occasionally. My blood pressure is known to be normal. My father had a heart-attack when he was 58 yrs old.  I have got my investigations done, as suggested by you last week.
  • HbA1c: 8.1% PPG: 240 mg/dL UACR: Nil eGFR: 90 mL/min/1.73sqm Exercise ECG +ve LDL-c: High (150mg/dL) 
  • 1. The patient needs 2 agents to lower HbA1c, as goal may not be achieved with only metformin. 2. As HbA1c is <8.5%, Janumet may work better compared to Jardiance met. 3. The patient has low CV risk, so Janumet may be better than Jardiance met due to better safety profile. 4. As PPG is high, Janumet will also lower glycemic variability, unlike Jardiance met.
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