### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
53YOF, post-menaposal, Med Hx: Psoriatric Arthritis, High B/P & Non-Insulin dependent Diabetes. I have been taking Victoza for approx 4 months. Before that I had been taking Metformin for approx 1-1/2 years without any real change in BG levels. My last A1C a month ago was 6.2 - down from 7.1 before starting Victoza. I have also been able to lose 20 lbs which is helping me feel better. The last 2 weeks, I have been experiencing nausea in the mornings when I wake up. Sometimes it clears up but other days it lasts until the afternoon - it is just kind of there in the background at varying degrees of severity. I am wondering whether this would have anything to do with the Victoza. I did experience nausea at first until the dose was adjusted but not like this. I am also on diovan daily which has my b/p controlled, and ultram daily & humira bi-monthly for arthritis which is doing well. I have been on these meds for several years. I will be seing my arthritis doctor in 2 weeks but since this was available online, I thought I would ask. Any thoughts?

### output:

Dear Friend, greetings from Chat Doctor... I understand your problem s . Victory can cause nausea and vomiting in some patient s . Your HbA1c is now OK . But I do not know why did you stop metformin . You please meet your doctor and tell your problem s and take other class like glinting with metformin . Which is an excellent Chat Doctor. . Plus your lifestyle change s both dietary modification s and exercise is must which helps to keep your sugar and BP in check . Take more of green leafy vegetables, and fruits . . Thank you and do contact us for more questions .