Brief Answer: Continue allopathic medicine.side effects are rare Detailed Answer: Hi XXXX, this is Dr Phanindra Dulipala. I had gone through your query and understood your concerns. The tablets Istamet(Sitagliptin and metformin) and Eurepa(Repaglinide), both are hypoglycemic drugs helps you in controlling blood sugar levels. The average fasting blood sugar should be less than 110mg/dl to say well controlled. Good physical activity and low calorie small frequent meals also helps you in controlling the blood sugar levels. If not controlled after all this, discuss regarding slight increase of doses with your treating doctor. The known side effects of Istamet are Headache, Upper respiratory tract infection, GI disturbances, Rarely convulsions, ataxia, slurred speech, Emotional instability. The known side effects of Eurepa are Headache, Diarrhea, Anaphylactoid reactions, Constipation, Allergy, Nausea and vomiting, Thrombocytopenia, Chest pain, Bronchitis. Coming to your next query, we have a very good drugs for diabetes in allopathy and above mentioned drugs are some of them, Side effects are also very rare. Better is go with allopathic medicine which is advisable. Hope this helps you. If you have any further questions I will be happy to help. Thank you. wishing you good health.

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Brief Answer: Diet and exercise can do for a while. Detailed Answer: Hi, Even 118mg/dl is slightly higher than good control(<110mg/l). Since you are only 4 days from starting the course, I would stop the antidiabetic drug. Encourage you to be strict with diet and exercise. I shall review your blood sugars after a month and manage you accordingly. You can discuss about his approach with your treating doctor. Strict Diabetic diet and exercise can help you for a while. But if the sugar levels rise again then drugs are mandatory. And coming to 2nd query, once you are to use the drugs, then they are usually given for rest of life unless you develop contraindications. There may be a slight changes in dosages or drugs, but continuation is necessary. You need not worry of complications, They are proven safe even in long term. In fact they prevent any damages to other organs like kidneys due to high sugar levels. Don't worry to use drugs in long term, you can lead normal life with them. Hope this guides you. If you have any further questions I will be happy to help. If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health. Thank you.

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Brief Answer: Allopathic drugs are advisable in my opinion. Detailed Answer: Hi, XXXX, I had gone through your query and understood your concerns. As an allopathic doctor, based on my my opinion I advice allopathic drugs even in long run. But for your information these are some ayurvedic drugs known to be useful in Diabetes. You discuss with your treating doctor regarding this. The important ayurvedic drugs are Trivang bhasma( 125 mg once or twice a day before or after food or as directed by Ayurvedic doctor. It is traditionally administered along with honey, butter.).Madhuvijay capsules and Chandraprabha vati are other useful medicines. Hope this guides you. If you have any further questions I will be happy to help. If you do not have any clarifications, you can close the discussion. Wish you good health. Thank you. Dr Phanindra Dulipala, Diabetologist.

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