instead of kombiglyze (combination of saxagliptin and metformin hydrochloride extended release) take tablet tenepride (teneligliptin) and also take metformin (exermet or glyciphage) extended release 1000 mg in the afternoon. get an x-ray of the pain region and upload it with the opinion of a radiologist which will be given by radiologist in all scan centers. tablet tayo 60 k is the most important one for vitamin d. take one tablet a week. if possible get sun sessions between 11 am to 1 pm stand under direct sunlight for 15 minutes. get a glucometer. make a chart of your blood glucose readings as fasting morning (before breakfast advisable to take only water) postprandial (take tablet before breakfast and check 2 hours after breakfast) prelunch (just before lunch) and pre-dinner. maintain this chart in all seven days of a week. if sugar level is below 100 then contact your doctor immediately. if tiredness sweating or other symptom occurs check sugar at that time immediately and mention what is the problem time and sugar level. from your blood test it is evident that you have high hs-crp high hba1c low vitamin d and b12 low iron and low mean corpuscular hemoglobin concentration (mchc). chronic carbohydrates based diet and less vitamin d caused diabetes in you. stress also may be a factor. revert back with the readings chart to a general practitioner online --> <link>
how to monitor diabetes?