Gemer DS 3 Tablet ER Health Feed

Hello, thanks for the query.
The tablet mentioned is to be taken for treating diabetes for quite a long time. Because diabetes is going to go away after 16 days. Since no other information is guven like fasting, pp glucose & hba1c%, no further comments can be made. If you have developed diabetes then treatment has to be continued for life time. If you have any questions please come back with all the necessary details. Thanks.

Do kegel exercises-- firstly, find the pelvic floor muscles. You can achieve this by stopping mid-stream two or three times the next time you urinate. The muscles you can feel working during this process are the pelvic floor muscles, and they will be the focus of kegel exercises.
One kegel exercise consists of tightening and holding these muscles for 5 seconds and then releasing them. Try to do between 10 and 20 repetitions each day. This may not be possible when you first start doing the ex...more

If your diabetes is well controlled
and blood pressure ok
means hba1c less than 6.5
then you can take creatine.

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

Your father requires radical change in his treatment as hes elderly and these medices even though are not doing him any good on the contrary may be harmful as Pioglitazone in high doses may increase fracture risk and other problems. Also with advance diabetes these medicines may not work at all.

Hello,

Thanks for your query on Lybrate

"As"per your clinical history is concerned please follow like this-

1)Take medications for diabetics and BP and take it regularly.

2)Try to eat healthy foods. Choose foods lower in fat and calories and higher in fiber. Focus on fruits, vegetables and whole grains.

3)Try to do more physical activity. Aim for 30 minutes of moderate physical activity a day. Take a brisk daily walk. If you can't fit in a long worko...more

Hello,
I have seen the details, from that it is clear that your glucose levels are fairly well maintained. Only pp can be brought down by about 20 mg to 160 mg. Hba1c% should be < 6.8. That can be achieved by adjusting the diet and increasing the extent of daily exercise. Increasing the intake of green leafy vegetables and salads will help. Thanks.