Gemer DS 3 Tablet ER Health Feed

Hi sir, Thanks for your query.
Your question is wrong.
You are suffering from Type 2 Diabetes.
Medicine can be suggested only after we know the blood sugar levels, HbA1c & some other tests.
Thanks.

you have consulted many doctors who has examined you and told the cause, you should believe the doctor. thanks

No she can not take because her sugar was under control as of now
please control your diet thanks.

Dear lybrate-user as I can see your blood sugars are very much under control as per your recent reports, I suggest you to watch for low blood sugars symptoms (hypoglycemia). Till then you can continue the same regime #besafe.

Please visit her doctor for an overall assessment of her current health and then decide suitable treatment. Regular monitoring and follow up with your doctor will ensure better compliance and thereby improvment of the health. Read as much about Diabetes and it's home management and empower your mother to take good care of herself.

Do your hba1c. Hba1c will show you exact diabetes control. Fasting and post meals sugar will show particular day glucose reading. Fbs and ppbs is trailer of diabetes, hba1c is entire movie. Do your hba1c from srl or metropolis.

Hello, Thanks for the query. In diabetes when required control is not achieved with single drug, multiple drugs are used. In T2 diabetes the beta cell mass is already down to 50 % by the time diagnosis is made. Then if severe hyperglycemia is present then there's further damage to remaining beta cells. In such situations Insulin injections are required along with oral anti- diabetic drugs. Thus the reason for using more drugs is to achieve better glucose control. Thanks.

Hello, thanks for the query.
Madam as I can see that you are already on multiple medications both oral and insulin injections. Whether to add one more can only be decided based on the actual blood glucose levels and hba1c%, plus your diet, height, weight and exercise schedule. Plus there is a need to know the level of kidney function like serum creatinine, urea, microalbuminuria, lipid profile and egfr. You have not given any of the relevant information. So there is no way to give any opinio...more

For metformin extended release, the maximum doasge is 2000 grams a day provided kidney function is ok. You coul change jalra m to jalra. But in the light of hba1c creeping above 9 I would suggest you to start a long acting insulin, preferably lantus.

Mr. lybrate-user, Thanks for the query.
The dosage of various medicines for glucose control can be adjusted on the basis of patients needs, doctor's advise and also based on dietary intake. Usually Glimepiride is either given once a day or twice in some cases. Metformin can be given 3 times a day again depending upon the need. Voglibose is usually recommended with each meal, that is three times a day. As it is mainly for reducing post food glucose rise. Thanks.