Gemer 3Mg/500Mg Tablet Sr Health Feed

Hello, Thanks for the query.
It is difficult give a clear answer whether a SGLT - 2 Inhibitor can be added to existing therapy withput knowing full details of the case. I need to know the following: Fasting, PP glucose levels, HbA1c%, weight, height, serum creatinine & urea levels, eGFR and whethe there is microalbuminura. If kidney function is compromised or eGFR is low, then certain drugs can not be sude including metformin and SGLT-2 Inhibitors. Thanks.

Mr. lybrate-user, Thanks for the query.
When one takes adequate dosage of drugs, plus follows a strictly controlled diet and does regular exercise, blood glucose does get controlled. Therefore, it appears your present treatment is not proper. I need to know following things for giving any suggestions: fasting & PP glucose levels, HbA1c%, present dietary pattern and extent of daily exercise. Looking at your weight and height it is clear that with a BMI of 28.23 kgs/Sq meter (normal < 23 kgs/S...more

No two times metformin and glimipride and voglibose all three times. For details contact with me on line by paid audio consultation.

Hello, thanks for the query.
I have seen the query. It is incomplete. There is no information on what is the fasting, pp glucose level or hba1c%, or your weight, height, dietary pattern and extent of physical activity. So difficult to give any suggestions. Thanks.

We must find cause of your high bsl even after using medicines kindly consult me so that I can suggest you ayurvedic remedies, diet etc.

Hello sir, thanks for the query. Your medication needs to be changed. Start zoryl mv1 one tablet before lunch and 1 before dinner. Also start tab ziten m 20/500 one tablet in morning before breakfast. Keep your routine regular.
Eat food at regular intervals (every 4 hourly. Eat a balanced diet.
Exercise for atleast 1 hr daily.
Check your sugars after 1 month fbs, pmbs, hba1c.

Mr. lybrate-user, Thanks for your query.
The drugs mentioned Glimepiride and Voglibose are different in their action.
Metformin is supposed to reduce or delay glucose absorption and hence slows down blood glucose rise after taking food. Plus it also reduces insulin resistance hence helps blood glucose control. There are other beneficial effects like helps slight weight reduction.
Glimepiride is a sulphonylurea compound, it stimulates insulin secretion by the beta cells of pancreas, t...more

Yes, you can use these two tablets instead of one. That will work as one tablet of glycomet gp1 forte.

It's cause of concern that your insulin is not acting to neutralize the sugar while you are taking good medicines prescribed by your experience doctor. This is non response of drugs. It's not fault in treatment by your doctor. I would suggest the support of ayurveda medicine as support to your current medicine. Both won't counteract with each other. Observing the response of this integrative approach, further directions would be decided.
If you agree, I would mention the first phase of safe,...more

Instead you can take herbal drugs that will reduce your glucose level and will subside the other symptoms.