AMARYL MV 1MG TABLET SR Health Feed

seems you are doing good .....ct the same treatment and monitor sugar levels....ideally if you could have karela juice in the morning every day would help

Nature's Miracle Trio

Dear Lybrate user, glimepiride stimulates betacells to secrete insulin. Metformin is supposed to reduce insulin resistance and slow down glucose absorption from the intestine. Usually both these are used together to control increased blood glucose. In newly diagnosed patients metformin alone is used. In some both drugs are used together. Which drug to take for a particular level can be decided by the treating doctor.

Your sugar levels are uncontrolled but they are not touching any panic value. So you needn’t worry as much as you are worrying right now and the only remedy in your condition would be to alter your medicines for the best benefit. You need to understand that we are always in a dynamic state of sugar control meaning by which no single medicine can be prescribed for life as the sugar levels keep on fluctuating in the body. I would recommend you to seek a private consult with me.

Get your following test done and review with reports

1. FBS, PP Blood sugar

2. HBA1C

3. KFT

I am giving you some tips to prevent constipation:

1. take 6-8 glass of water in a day

2.Regular Physical activity

Keeping mobile and active will greatly reduce your risk of getting constipation.

Ideally do at least 150 minutes of physical activity every week.


3.You should have about 30 g of fibre a day.

You...more

You can continue it and try to control your diet strictly as advised by your Physician, exercising regularly, reducing weight if overweight and maintaining ideal weight. If not controlled with these measures then increasing medicines with advice of your Physician.

Very important is to give detail report of your fasting blood sugar, ppblood sufar, serum creatinine, lipid profile, urine re reports to give a proper answer. You can consult me online with the above reports.

Hello, thanks for the query.
I have seen the details mentioned. Madam for a person with 85 years of age, glimiperide is not suitable. Other drugs can be given provided his kidney functions are good. That can be seen by serum creatinine and urea levels. So please check those. Because if egfr (glomerular filtration rate) is < 45 ml/minute then then meformin should not be started particularly at that age. So first please check all those levels and inform the same or consult a physician there. I...more

Skipping doses of medicines might increase the sugar levels. Pls check your HbA1c fasting pp and before and after dinner values. Then we can decide

Hello, thanks for the query. Blood glucose 449 mg (fasting or pp not mentioned) shows totally uncontrolled diabetes. This is not at all good. There's an urgent need to upgrade the treatment, plus give a closer look at his diet pattern, extent of daily exercises and weight control. Therefore please give following details: fasting, pp glucose, hba1c%, bp readings, lipid profile, serum creatinine, urea, dietary pattern, extent of daily exercises, weight and height. On seeing those necessary details...more