Gemer 0.5 Tablet Health Feed

Dear lybrate-user,
though your fasting sugar is reasonable pp sugar value and hba1c are high. Pay attention to diet exercise and weight recudion as set out below and you may find better diabetes control as your weight is now 102 kg you are nearly 30-35 kg overweight. If you are unable to lose weight on diet and exercise contact us on a video call and we may be able to help you
reduce the quantity of carbohydrate (rice, wheat, rava, maida) in each meal and increase the quantity of protein...more

Hello, Thanks for the query.
It is very difficult to understand what you mean by"Glimepiride & Metformin are not working". As no details about blood glucose (fasting & PP levels) HbA1c% are given. So my suggestion is please come back with all the following details : Current fasting, Pp glucose levels, HbA1c%, weight, height, extent of daily exercise, diet pattern, lipid profile and BP readings. After going through those details I will be able to guide. Thanks.

Mr. lybrate-user, Thanks for the query.
You can take generic drugs with same combination, But please observe whether you are getting similar control of blood glucose on changing. Then please do continue those. Thanks.

Yes u can. If the composition is same, then it means it’s the same medicine. Even government is promoting the same. So relax

Dear lybrate-user Gemer is a combination of glimepiride and metformin. It is good drug and never been associated with electrile dysfunction. Though the commonest adverse effect js hypoglycemia. It is stress which might be the main factor for electrile dysfunction. As your sugar levels are within normal limits. Current dose can be tapered with more focus on diet and exercise. You can call me if needed. Regards.

basant kusumakar ras 125 mg twice a day
diabeto powder ( naag bhasm paradeeya + swarn vang ) 1 gm twice a day
gudmar kshar 500 mg twice a day
relief in 3-4 days and for complete cure take it for 60 days only

No it would not have any adverse effect. But preferably stick to one combination, as far as possible.

Your doctor had written the right prescription for you and blood sugar levels are well controlled
Please do continue them.

MAKE IT GLIM+MET 3/1000 REMOVE VILDA+MET AND START ISTAVEL 100 AFTER BREAKFAST RETEST 2 WKS IF UR SUGARS COMES DOWN PLZ TRANSFER 600 IF U LIKE

Hello, thanks for the query.
I have seen the details given. Usually metformin is very well tolerated. Often seen side effect include gastrointestinal disturbances, which reduce on taking the drug after food. Pain in knee joints is unusual. However, since you have that, one may have to some other options which could include sglt - 2 inhibitors along with insulin. Equally important is to look at your dietary pattern and extent of physical activity. Thanks.