Glimer 1 MG Tablet Health Feed

There is nothing to worry as long as your diabetes is controlled. Keep on checking sugar levels regularly with HBA1C 2 to 4 times per year. Also go for kidney function test, lipids profile, urine albumin to creatinine ratio, FUNDOSCOPY, foot examination yearly.

Instead of cetapin take Galvusmet 1000 twice a day after meals. Continue glimer 2 twice a day before meals. Repeat test after one month.

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

You can add galvus to your current medicines instead of switching if your liver n kidney function test are normal and if you never had pancreatitis. Monitor your sugar levels every week to 10 days to see response.

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.

Do regular exercise and diet increase the dose of glysiphage to 1000 mg as your levels are very high and needs to be controlled.

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

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.

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.

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.