• Insulin injections - zaruri chhe, tablet kaam nathi karti

🩺 Diabetes (Sugar) Mate Kaun si Tablet Apay Chhe?

Type 1 Diabetes

• Faqt Insulin j kaam aave - tablet thi nahi mandu
• Pancreas bilkul insulin banaavatun nathi

Type 2 Diabetes - Mukhya Tablets (Gujarati ma)

1. 🟢 Metformin (Sabse Pehli Line - First Choice)

• Brand naam: Glycomet, Glucophage, Obimet
• Kaam: Liver ne vadhu glucose banaavta rokhe chhe
• Dose: 500mg thi 2000mg daily
• Note: Kidney problem hoy to nahi apay

2. 🟡 Sulfonylureas (Insulin Vadhaaranaar)

• Glibenclamide (Daonil), Glipizide (Minidiab), Gliclazide (Diamicron), Glimepiride (Amaryl)
• Kaam: Pancreas ma insulin release vadhare chhe
• Dhyan rakho: Hypoglycemia (sugar ghatu jaavu) thay shake chhe

3. 🔵 SGLT2 Inhibitors (Heart ane Kidney mate Pan Faydemand)

• Dapagliflozin (Forxiga), Empagliflozin (Jardiance), Canagliflozin (Invokana)
• Kaam: Kidney thi sugar ne urine ma kaadhe chhe
• Faydo: Heart failure ane kidney disease ma pan protect kare chhe
• 2025 na IDF ane ADA guidelines ma strongly recommended

4. 🟣 DPP-4 Inhibitors (Gliptins)

• Sitagliptin (Januvia), Vildagliptin (Galvus), Teneligliptin
• Kaam: Incretin hormones vadhare chhe, insulin vadhare ane glucagon ghataade
• Faydo: Hypoglycemia nathi thatu, kidney friendly

5. 🟠 GLP-1 Receptor Agonists (Injectable pan kai oral)

• Semaglutide oral (Rybelsus - tablet swarupe)
• Kaam: Sugar control + wajan ghataade + heart protect kare
• 2025 guidelines ma highly recommended obesity sathe diabetes ma

6. Thiazolidinediones

• Pioglitazone (Actos)
• Kaam: Insulin sensitivity vadhare chhe
• Dhyan: Weight vadhay, heart failure ma avoid karvo

2025 ADA/IDF Current Guidelines - Doctor shu kare chhe?

Step 1: Metformin (jyar tak kidney okay hoy)
     ↓
Step 2: SGLT2 Inhibitor OR GLP-1 RA
        (khaas karke heart/kidney problem hoy to)
     ↓
Step 3: Combination therapy
     ↓
Step 4: Insulin (jyar tab ghanu vadharu control joiye)

⚠️ Jaruri Baat

Doctor ni salah vaghar koi pan tablet na lo. Dava tmaari ummar, wazan, kidney function, HbA1c, ane bija taklif par depend kare chhe. Doctor check-up karavi yogy dava lakhe chhe.