Biciphage 500 MG Tablet Health Feed

In pt of pcod there is increased insulin resistance ,metformin being a insulin sensitizer drug decreases the insulin resistance, it also helps in reducing wt and in ovulation. Total dose is 1500 mg taken in 2 or 3 divided doses.
Lifestyle changes for wt reduction should also be adopted.

Hi lybrate-user, you have not mentioned your glycemic status with twice daily dose of metformin. Check your tsh level and 25 (oh) vitamin d level. Consult your physician / diabetologist for further management.

Glycomet is milder than istamet 50/500 .As glycomet contains only metformin where as in istamet 50/500 is a combination of sitaglyptin and metformin.

Please don`t increase dose of medicine without consulting. Better you add other medicine tab glimipyride 1 mg 2 times before food. Or you take combination, tab gluformin g 1 two times before food. I like to advice for self measurement of sugar by glucometer, 3 times a day and inform after 7 days.

If diabetes is controlled acceptably with these medicines, he should continue them and monitor blood sugar levels.He has to take these medicines indefinitely.

Hello, thanks for the query.
I have seen the details given. Glycomet 1gm contains only metformin 1000 mg and the other tablet contains glimiperide 1 mg with 1000 mg of metformin. So the second tablet is much stronger in action and should be able to give a better glucose reduction. I am a bit surprised that with a better combination your glucose level has increased. So I feel there is a need to look at overall treatment including following details: fasting, pp glucose levels, hba1c%, dietary ...more

Mr. lybrate-user, Thanks for the query. Tab Gluconorm SR 500 is containing only Metformin, where as The other tablet has Glimepiride 1 mg plus metformin. So the action can be much stronger. That may lead to lower glucose levels. Plus changing medicine with doctor's advise, is not good. Thanks.

u hv suspected for epididymorchitis, have some a/b with plenty fluid of water and scrotal support
for confirmation u can go with usg scrotum.

Mr. lybrate-user, thanks for the query.
I have seen the details mentioned. Please let me know since when diabetes is present? What are the present fasting, pp glucose levels and hba1c%?
Looking at your weight and height you are overweight with a BMI of 26.20 kgs/sq meter (normal < 23 kgs/sq meter). Your ideal body weight should be 58 kgs.
As regards problem with vision, it is better to visit an ophthalmologist and get a detailed check up done. Retina also needs to be checked. Please ...more

Hello, thanks for the query.
For a lady with preexisting diabetes, pregnancy does produce a lot of challenges. 1) there is a need for achieving a strict blood glucose control with glucose remaining between 90 to 120 mg through out the day. 2) just before conception there is a need to shift to insulin, because apart from metformin most other oral anti-diabetics are not preferred in pregnancy. 3) there is a need to check retina more often just before pregnancy and during the gestation. Because...more