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welcome to sugar Andy is today we are
going to talk about medications know
your medicine series
alright everyone we are going to talk
about today two gentlemen one of the
most commonly prescribed oral agent so
what is gentleman it is stay gluten
which is Genelia and metformin so it
combined to to make it easier for you to
take the medication gentlemen can come
in XR form which means that the
metformin extended-release is
incorporated with Jeannie Viet instead
of just regular metformin which means it
easier on your stomach as net protein
can cause diarrhea or some other
gastrointestinal upset now when you
combine the two agents such as metformin
and Geneva you get more benefit since
Geneva and metformin has totally
different mechanism of action and
psychologically makes you feel better
because you are taking one pill instead
of two and it's also more convenient and
also you will not have to pay two
different co-pays for these agents since
especially when you are using agenda met
they are actually using the D branded
metformin
instead of generic metformin and all our
people tolerate branded metformin
compared to generic metformin so that
may be another advantage for you I'm not
saying tournament is the best medication
for you
most of time actually it's not and you
will have to talk to your doctor about
if that medication is good for you we
have right around 80 plus different
medications for diabetes and gentlemen
is one of them and it's a fairly good
medicine it is still a branded medicine
so there may be a crummy copy associated
with it so let's talk about the
components of the German so as we talk
to Jenna Mia is a what we call dpp-4
inhibitor you don't have to know how to
dpp-4 is recipe what it does I'll tell
you
we it inhibits certain enzymes that
destroys gastrointestinal hormones so
normally when you eat the food cause
your stomach and mangos your intestine
immediately after you eat because your
intestinal hormones are secreted which
sends a signal to your pancreas to make
insulin now the problem is patients with
type 2 diabetes generally lose that
ability so they will eat however then I
can be able to make enough insulin so
jamelia initially was designed in order
to prolong the action of
gastrointestinal hormone that the
patients make since they are making
small amount of this gastrointestinal
hormone and over they are resistant to
it the agent was designed to keep
whatever is already released by the body
the problem is gastrointestinal hormones
they have to be degraded right so since
you eat and after couple hours you will
eat again if you keep making this guy so
intestinal hormones it will accumulate
so anything that is made in the body is
subject to degradation so there are
certain enzymes of you appealed to
degrade they got so intestinal hormone
now the problem of cases with diabetes
when this happens and they are not
already making enough gastrointestinal
hormone ticket to do the job the G area
kicks into play and prolonged the action
of custom intestinal hormone allowing
you to make more insulin especially
after you eat so jamelia helps to reduce
the blood sugar spikes after you eat so
as a result it is a horrible agent is an
injectable it's not a very strong agent
however for a new diabetic less than
five years gentleman may be a good
option if you have any problems with the
medications side effect the cost the
dosing information please call us at
sugar musicom you'll find a way to help
you out
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