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Glimer 1 MG Tablet Health Feed
Asked for female, 55 years old from Kolkata
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Asked for male, 50 years old from Sonitpur
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Hubli-Dharwad
Mr. lybrate-user, Thanks for the query.
It appears you are on a fairly high dose of Glimepiride. Metformin (2000 mg) is also fairly high. Usually Glimepiride should not be used more than 4 mg in a day. Even though recommended upper limit is 8 mg, conventionally using more than 4 mg is not advised. Since there is no mention of actual glucose levels (fasting, PP and HbA1c%), there is no way to know how good is the control. Ideally in a well controlled diabetes fasting should be < 100 mg, PP 15...more
It appears you are on a fairly high dose of Glimepiride. Metformin (2000 mg) is also fairly high. Usually Glimepiride should not be used more than 4 mg in a day. Even though recommended upper limit is 8 mg, conventionally using more than 4 mg is not advised. Since there is no mention of actual glucose levels (fasting, PP and HbA1c%), there is no way to know how good is the control. Ideally in a well controlled diabetes fasting should be < 100 mg, PP 15...more
Asked for male, 71 years old from Bangalore
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Do regular exercise and diet increase the dose of glysiphage to 1000 mg as your levels are very high and needs to be controlled.
Asked for male, 63 years old from Jodhpur
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
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
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
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Diabetologist•Gulbarga
Asked for male, 56 years old from Bangalore
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more
Endocrinologist•Dharwad
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.
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.
Asked for female, 54 years old from Kolkata
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Hi mam, fatty liver is an initial phase when damage of liver starts happening, it indicated degenerative changes in liver in the begining .DM might contribute to liver damage by promoting inflammation and fibrosis through an increase in l oxidative stress mediated by adipokines (vhemicals which cause inflammation). Recent reports regarding the use of the SGLT2 inhibitors as well as the new incretin-based therapies such as injectable glucagon-like peptide-1 (GLP-1) receptor agonists and oral inhi...more
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