instruction: have hypothyearoidism last years down to 75mg levothyearoxine the issue now is blood sugar levels over last one year do has put me on several meds which I reacted to at that time level under 200 this year changed do he said no medication lifestyle change has been difficult weight up sugar levels 299 do put me on januvia last week scared cuz of reviews side effects of the medication I read online already feeling like neck swollen pain in chest sometimes cant go to hospital now because of couid dont want to get infected is januvia ok what do you suggest
output: hi good day thanks for your query ur weight is quite high with uncontrolled diabetes definitely you need to change lifestyle and thinking pattern as well you need to trust a doctor and follow his advice every medication has effects otherwise it will not be effective but we always weigh risk and benefits if ur sugar will not be controlled it can lead to badly effect all ur body especially it can lead to kidney failure stroke heart attack nerve problem and many more modification of lifestyle is the main stay of diabetes treatment you need to reduce carbohydrates especially simple carbohydrates like sugar ice cream sugary juices if cannot stop you have to 70 reduce bread rice pasta and potatoes eat fruits only as a sweet dish mango grapes and banana especially can increase sugar quickly you have tried many medications and I am not sure which are those medications I will advise you to take glyxambi 25 one tablet daily check ur fasting sugars for few days and let me know to modify dose accordingly ur fasting should be 100 130 thanks