• Highest oral HbA1c reduction available (2.1–2.8%)
• Full DECLARE + CARMELINA cardio-renal protection
• Significant weight loss & BP lowering
• One morning tablet replaces three separate medicines
• Ideal for HbA1c >9% & established CVD/CKD

1. One Diampa LXR 10+5+1000mg tablet every morning with food
2. Swallow whole – never crush (XR layer)
3. Same time daily for steady 24-hour coverage
4. Replaces three separate medicines in one go

Q1: How much stronger is this triple than metformin + either drug alone?
A1.8–2.8% HbA1c drop vs 1.0–1.5% with dual therapy – the largest reduction possible without GLP-1 or insulin.

Q2: Do I still get full heart & kidney protection at these doses?
Yes – dapagliflozin 10mg + linagliptin 5mg give the exact doses used in DAPA-HF, EMPEROR and CARMELINA outcome trials.

Q3: Will I lose weight?
Most patients lose 4–7 kg in the first year – driven by dapagliflozin’s calorie loss in urine.

Q4: Any extra hypo risk with three glucose-lowering agents?
No – the combination is still extremely hypo-safe unless insulin/sulfonylurea is added.

Q5: Can I switch straight from separate tablets?
Yes – identical molecules & doses, just far more convenient and better adherence.

• Take once every morning with breakfast
• Stay well hydrated – mild risk of dehydration & genital infections
• Not for type-1 diabetes or ketoacidosis
• Pause 48 h before surgery or contrast scans
• Keep away from children