Glipizide is an oral medication for diabetes which helps to keep your blood sugar level in check by stimulating the pancreas to produce more insulin. This medication is used along with exercise and diet in the treatment of type 2 diabetes.
Before you start a course of Glipizide, inform your doctor if you – have liver or kidney problems; diarrhea or intestinal blockage; disorders in the adrenal or pituitary glands; are malnourished; have a history of heart problems. This medication is prescribed along with a healthy diet pattern and an exercise regimen. It is strictly recommended to follow a healthy lifestyle to prevent any unwanted spikes in blood sugar.
Do not change the dosage of this medication without consulting the doctor. It is generally taken 30 minutes before a meal. You have to swallow the tablet whole without chewing or crushing it. Taking Glipizide can result in low blood sugar whose symptoms are irritability, sweating, dizziness and confusion. Consult a doctor if you experience any of its side effects.
In case you miss a dose, do not compensate by doubling up on your next dose. It is recommended to consume Glipizide on a regular basis to keep your blood sugar level in check. Overdoing on this medication can lead to a life threatening condition called hypoglycemia. The symptoms ate stomach pain, confusion, seizure and tremors.
During the course of this medication, it is advisable to avoid alcohol. Alcohol tends to cause interference with diabetes treatment.type diabetes
What is hypoglycaemia?
It is the decrease in the blood sugar amount to a certain level. If the disease is identified at an early stage, then the treatment can make the person free of the disease quickly. It affects people having diabetes as well as arthritis, increased blood pressure, high cholesterol and many others.
Early signs of the disease
Who are the people risk of having this disease?
People who take this three medications have a higher risk of having the disease:
Diabetes medications pose a more significant threat to patients of having hypoglycaemia.
Causes of the disease:
Natural treatment through diet:
If a person is attacked by seizures. It’s not possible to give such medications at that time. At that time a pillow or cushion should be placed below the patients head. The seizure goes away in about 5 min. if holds up more time. The person needs to get admitted to a hospital.
Hypoglycemia doesn’t have its adverse side effects if captured at an early stage. The person gets recovered with the above-stated home medications. Although slow realization of the disease can take the person to the stage of a comma. The disease engulfs body’s maximum energy and few essential body functions also get hampered. But it is treatable with regular natural medications. People having diabetes receives the highest threat of the disease. The sugar levels have to be maintained for proper body working. If the person’s blood sugar level is not right, he/she may have the tendency to get hypoglycaemia and hyperglycemia. Having both this disease is the root of having diabetes. It would make the body weak, and the person will crave for more sugar. It will also weaken the nerve cells and tissues of the brain. Weight will be lost gradually which is a terrible sign. Therefore don’t be late if you are having this above-stated signs go to the doctor and have the proper diagnosis of the disease.
Govt bans 344 drugs, including phensedyl, corex
Sr. No. Product name (irrational fdc)
1 aceclofenac + paracetamol + rabeprazole
2 nimesulide + diclofenac
3 nimesulide + cetirizine + caffeine
4 nimesulide + tizanidine
5 paracetamol + cetirizine + caffeine
6 diclofenac + tramadol + chlorzoxazone
7 dicyclomine + paracetamol + domperidone
8 nimesulide + paracetamol
9 paracetamol + phenylephrine + caffeine
10 diclofenac+ tramadol + paracetamol
11 diclofenac + paracetamol + chlorzoxazone + famotidine
12 naproxen + paracetamol
13 nimesulide + serratiopeptidase
14 paracetamol + diclofenac + famotidine
15 nimesulide + pifofenone + fenpiverinium + benzyl alcohol
16 omeprazole + paracetamol + diclofenac
17 nimesulide + paracetamol injection
18 tamsulosin + diclofenac
19 paracetamol + phenylephrine + chlorpheniramine + dextromethorphan + caffeine
20 diclofenac + zinc carnosine
21 diclofenac + paracetamol + chlorpheniramine maleate + magnesium trisillicate
22 paracetamol + pseudoephedrine + cetrizine
23 phenylbutazone + sodium salicylate
24 lornoxicam + paracetamol + trypsin
25 paracetamol + mefenamic acid + ranitidine + dicylomine
26 nimesulide + dicyclomine
27 heparin + diclofenac
28 glucosamine + methyl sulfonyl methane + vitamini d3 + maganese + boron + copper + zinc
29 paracetamol + tapentadol
30 tranexamic acid + proanthocyanidin
31 benzoxonium chloride + lidocaine
32 lornoxicam + paracetamol + tramadol
33 lornoxicam + paracetamol + serratiopeptidase
34 diclofenac + paracetamol + magnesium trisilicate
35 paracetamol + domperidone + caffeine
36 ammonium chloride + sodium citrate + chlorpheniramine maleate + menthol
37 paracetamol + prochlorperazine maleate
38 serratiopeptidase (enteric coated 20000 units) + diclofenac potassium & 2 tablets of doxycycline
39 nimesulide + paracetamol suspension
40 aceclofenac + paracetamol + famotidine
41 aceclofenac + zinc carnosine
42 paracetamol + disodium hydrogen citrate + caffeine
43 paracetamol + dl methionine
44 disodium hydrogen citrate + paracetamol
45 paracetamol + caffeine + codeine
46 aceclofenac (sr) + paracetamol
47 diclofenac + paracetamol injection
48 azithromycin + cefixime
49 amoxicillin + dicloxacillin
50 amoxicillin 250 mg + potassium clavulanate diluted 62.5 mg
51 azithromycin + levofloxacin
52 cefixime + linezolid
53 amoxicillin + cefixime + potassium clavulanic acid
54 ofloxacin + nitazoxanide
55 cefpodoxime proxetil + levofloxacin
56 azithromycin, secnidazole and fluconazole kit
57 levofloxacin + ornidazole + alpha tocopherol acetate
58 nimorazole + ofloxacin
59 azithromycin + ofloxacin
60 amoxycillin + tinidazole
61 doxycycline + serratiopeptidase
62 cefixime + levofloxacin
63 ofloxacin + metronidazole + zinc acetate
64 diphenoxylate + atropine + furazolidonee
65 fluconazole tablet, azithromycin tablet and ornidazole tablets
66 ciprofloxacin + phenazopyridine
67 amoxycillin + dicloxacillin + serratiopeptidase
68 azithromycin + cefpodoxime
69 lignocaine + clotrimazole + ofloxacin + beclomethasone
70 cefuroxime + linezolid
71 ofloxacin + ornidazole + zinc bisglycinate
72 metronidazole + norfloxacin
73 amoxicillin + bromhexine
74 ciprofloxacin + fluticasone + clotrimazole + neomycin is
75 metronidazole + tetracycline
76 cephalexin + neomycin + prednisolone
77 azithromycin + ambroxol
78 cilnidipine + metoprolol succinate + metoprolol tartrate
79 l-arginine + sildenafil
80 atorvastatin + vitamin d3 + folic acid + vitamin b12 + pyridoxine
81 metformin + atorvastatin
82 clindamycin + telmisartan
83 olmesartan + hydrochlorothiazide + chlorthalidone
84 l-5-methyltetrahydrofolate calcium + escitalopram
85 pholcodine + promethazine
86 paracetamol + promethazine
87 betahistine + ginkgo biloba extract + vinpocetine + piracetam
88 cetirizine + diethyl carbamazine
89 doxylamine + pyridoxine + mefenamic acid + paracetamol
90 drotaverine + clidinium + chlordiazepoxide
91 imipramine + diazepam
92 flupentixol + escitalopram
93 paracetamol + prochloperazine
94 gabapentin + mecobalamin + pyridoxine + thiamine
95 imipramine + chlordiazepoxide + trifluoperazine + trihexyphenidyl
96 chlorpromazine + trihexyphenidyl
97 ursodeoxycholic acid + silymarin
98 metformin 1000/1000/500/500mg + pioglitazone 7.5/7.5/7.5/7.5mg + glimepiride
99 gliclazide 80 mg + metformin 325 mg
100 voglibose+ metformin + chromium picolinate
101 pioglitazone 7.5/7.5mg + metformin 500/1000mg
102 glimepiride 1mg/2mg/3mg + pioglitazone 15mg/15mg/15mg + metformin 1000mg/1000mg/1000mg
103 glimepiride 1mg/2mg+ pioglitazone 15mg/15mg + metformin 850mg/850mg
104 metformin 850mg + pioglitazone 7.5 mg + glimepiride 2mg
105 metformin 850mg + pioglitazone 7.5 mg + glimepiride 1mg
106 metformin 500mg/500mg+gliclazide sr 30mg/60mg + pioglitazone 7.5mg/7.5mg
107 voglibose + pioglitazone + metformin
108 metformin + bromocriptine
109 metformin + glimepiride + methylcobalamin
110 pioglitazone 30 mg + metformin 500 mg
111 glimepiride + pioglitazone + metformin
112 glipizide 2.5mg + metformin 400 mg
113 pioglitazone 15mg + metformin 850 mg
114 metformin er + gliclazide Mr. + voglibose
115 chromium polynicotinate + metformin
116 metformin + gliclazide + piogllitazone + chromium polynicotinate
117 metformin + gliclazide + chromium polynicotinate
118 glibenclamide + metformin (sr)+ pioglitazone
119 metformin (sustainded release) 500mg + pioglitazone 15 mg + glimepiride 3mg
120 metformin (sr) 500mg + pioglitazone 5mg
121 chloramphenicol + beclomethasone + clomitrimazole + lignocaine
122 of clotrimazole + ofloxaxin + lignocaine + glycerine and propylene glycol
123 chloramphennicol + lignocaine + betamethasone + clotrimazole + ofloxacin + antipyrine
124 ofloxacin + clotrimazole + betamethasone + lignocaine
125 gentamicin sulphate + clotrimazole + betamethasone + lignocaine
126 clotrimazole + beclomethasone + ofloxacin + lignocaine
127 becloemthasone + clotrimazole + chloramphenicol + gentamycin + lignocaine ear
128 flunarizine + paracetamole + domperidone
129 rabeprazole + zinc carnosine
130 magaldrate + famotidine + simethicone
131 cyproheptadine + thiamine
132 magaldrate + ranitidine + pancreatin + domperidone
133 ranitidine + magaldrate + simethicone
134 magaldrate + papain + fungul diastase + simethicone
135 rabeprazole + zinc + domperidone
136 famotidine + oxytacaine + magaldrate
137 ranitidine + domperidone + simethicone
138 alginic acid + sodium bicarbonate + dried aluminium hydroxide + magnesium hydroxide
139 clidinium + paracetamol + dicyclomine + activated dimethicone
140 furazolidone + metronidazole + loperamide
141 rabeprazole + diclofenac + paracetamol
142 ranitidine + magaldrate
143 norfloxacin+ metronidazole + zinc acetate
144 zinc carnosine + oxetacaine
145 oxetacaine + magaldrate + famotidine
146 pantoprazole (as enteric coated tablet) + zinc carnosine (as film coated tablets)
147 zinc carnosine + magnesium hydroxide + dried aluminium hydroxide + simethicone
148 zinc carnosine + sucralfate
149 mebeverine & inner hpmc capsule (streptococcus faecalis + clostridium butyricum + bacillus
Mesentricus + lactic acid bacillus)
150 clindamycin + clotrimazole + lactic acid bacillus
Avoid this combinations and be safe.
Scientifically called diabetes mellitus, Diabetes is referred to describe the group of diseases in which a patient has high blood sugar (glucose) because of low insulin production or body cells not responding to insulin, or in some cases both. Those with high blood glucose level experience frequent urination (polyuria), and constant thirst ((polydipsia) and hunger (polyphagia).
Types of Diabetes:
There are three main types of diabetes: type 1, type 2, and gestational diabetes.
1. Type 1 Diabetes
Type 1 diabetes is the medical condition where body’s immune system destroys beta cells in the pancreas. This leads to the lack of insulin production in pancreas. Insulin is the hormone that regulates body’s blood glucose level. Typically, there are no signs or symptoms till a majority of these beta cells in the pancreas are destroyed resulting in insufficient insulin production.
Symptoms of Type 1 diabetes include:
- Constant hunger and thirst
- Frequent urination
- Arid mouth
- Exhaustion and Fatigue
- Blurry eyesight
- Frequent skin infections
Symptoms of Type 1 diabetes complications include:
- Mental confusion
- Hasty breathing
- Constant stomach ache
- Fainting or unconsciousness (in rare cases)
Type 1 diabetes diagnosis includes:
- Glycated hemoglobin (A1C) test
- Random blood sugar test
- Fasting blood sugar test
Scientific community has not yet been able to find out the exact causes of type 1 diabetes. Typically, in type 1 diabetes, immune system destroys the beta cells in the pancreas. This beta cells produce insulin to keep blood glucose level in control. Some other possible causes include:
- Environmental factors
Treatment for type 1 diabetes includes:
- Monitoring of blood sugar regularly
- Regular exercise
Types of insulin
There are several different types of insulin. Here are just some of the many types of insulin:
- Long-acting insulin
- Short-acting (regular) insulin
- Intermediate-acting (NPH) insulin
- Rapid-acting insulin
Insulin is not taken orally. This is to make sure that the stomach enzymes do not break down the insulin and prevent its intended effect. Insulin is generally administered through injections or insulin pump.
Additional medications for treatment of type 1 diabetes may include:
- Angiotensin-converting enzyme (ACE) inhibitors
- Angiotensin II receptor blockers (ARBs)
- Aspirin (baby or regular)
- Cholesterol-lowering drugs
Some of the many risk factors for type 1 diabetes include:
- Family history
- Geography (chances of type 1 diabetes increase as one moves away from equator)
- Age (age group - 4 to 7 years, and 10 to 14 years
Type-1 diabetes can cause several life-threatening complications affecting major body organs such as blood vessels, heart, eyes, kidney and nervous system. Listed below are just some of the many complications of type-1 diabetes.
- Diseases pertaining to heart and blood vessels.
- Damage of nerves.
- Damage to gastrointestinal tract nerves.
- Damage to Kidneys.
- Vision impairment.
- Damage to the feet. In some cases, this may even lead to leg amputation.
- Skin infections.
- Mouth infections.
Medical fraternity has not been able to find a way to completely prevent type-1 diabetes. But scientists and researchers are working on ways to prevent the disease.
2. Type 2 Diabetes
Scientifically referred to as noninsulin-dependent diabetes, Type-2 diabetes is a chronic medical condition that impacts the metabolism of glucose (sugar) in the body. In type-2 diabetes, human body isn’t able to produce enough insulin to regulate body sugar and/or starts resisting the positive effects of insulin.
Type-2 diabetes is commonly found in adults. However, several cases of children being affected by the same have been reported over the years too. Scientists and medicine experts have not found a cure for type-2 diabetes yet. However, it is easy to control and manage the disease by regular exercise, healthy diet and balanced lifestyle.
Listed below are the signs and symptoms of type-2 diabetes:
- Heavy thirst
- Frequent urination
- Intense hunger
- Unexplained Weight loss
- Regular exhaustion and fatigue
- Blurry eyesight
- Slow-healing sores
- Skin infections
- Mouth infections
Diagnosis of type-2 diabetes is done by conducting the following tests:
- Glycated hemoglobin (A1C) test
- Random blood sugar test
- Fasting blood sugar test
- Oral glucose tolerance test
The major cause of type-2 diabetes is body’s resistance to insulin or lack of adequate insulin production by pancreas. Though scientists and medical experts have not yet found the reason of the same, some factors such as obesity and physical inactivity are considered to be the major drivers of the disease.
Treatment of type-2 diabetes can be done by:
- Ensuring healthy diet
- Partaking in regular work-out
- Taking diabetes control medicines
- Insulin therapy
- Monitoring blood glucose level
Medication for type-2 diabetes may include medicines such as:
- Metformin (Glucophage, Glumetza).
- GLP-1 receptor agonists (Exenatide, liraglutide)
Some type-2 diabetes patients may require insulin therapy. As discussed above, insulin cannot be taken orally as insulin gets disintegrated in stomach. Insulin is administered through injections or insulin pumps.
Here is a list of different types of insulin that are used to treat type-2 diabetes:
- Insulin aspart (Novolog)
- Insulin isophane (Humulin N, Novolin N)
- Insulin detemir (Levemir)
Listed below are the risk factors of type-2 diabetes:
- Obesity or excessive body weight
- Physical inactivity
- Family history of type-2 diabetes
- Age (after 45 years of age)
- Prediabetes (glucose level higher than usual)
- Gestational diabetes
- Polycystic ovarian syndrome
Often type-2 diabetes is ignored. However, untreated type-2 diabetes may affect many vital body organs including heart, blood vessels, nerves, eyes and kidneys. Controlling blood glucose in the body can prevent these complications.
Here is a list of just some of the many life-threatening complications of type-2 diabetes:
- Damage of nerves.
- Damage of kidney (kidney failure).
- Eyesight issues (partial or complete blindness, vision impairment, damage to retina cells).
- Damage to feet (in some cases it may lead to leg amputation).
- Skin allergies.
While there are no scientific evidences proving that type-2 diabetes can be prevented. However, healthy lifestyle, regular exercise and balanced diet can help you prevent the disease. Even those diagnosed with the disease may prevent complications by healthy lifestyle, regular exercise and balanced diet. Here’s what you must do to prevent type-2 diabetes.
- Ensure balanced diet. Include fruits, vegetables and whole grains in your diet. Eat food rich in fibre.
- Ensure physical activity. Avoid sitting idle for long hours. Partake in regular exercise.
- Lose excess weight. Remember, obesity or excess body weightincreases the risk of diabetes. Focus on healthy eating and regular exercise to lose weight and stay fit.
3. Gestational Diabetes
Gestational diabetes is the type of diabetes that happens only during the period of pregnancy. This means that the otherwise normal blood glucose level in the body increases during the time of pregnancy.
There are no symptoms or signs for gestational diabetes. In most cases, it is found only during the routine pregnancy screening tests.
In some rare cases, pregnant women, suffering from gestational diabetes, may experience:
- Heavy thirst
- Intense hunger
- Frequent urination
During the term of the pregnancy, the placenta secretes hormones that may lead to excess glucose in the blood. In most cases, pancreas creates enough insulin to counter the excess glucose build during pregnancy. However, if blood glucose level increases, it leads to gestational diabetes.
To diagnose gestational diabetes, blood test is done. An hour before the test, the patient is supposed to take a sugary drink. If the blood glucose is found to be 130 mg/dL [milligrams per deciliter or higher, then a fasting blood tests is conducted. Thereafter, one more blood test is done after approximately 3-hours. Follow up tests may be required if everything is found to be normal but the patient experiences gestational diabetes symptoms.
Treatment of gestational diabetes involves:
- Checking blood glucose 4 or more times within a day.
- Urine tests. If ketones are found in the test, the diabetes is considered to be uncontrolled.
- Ensuring healthy diet as per a certified medical professional’s advice.
- Ensuring daily exercise
In addition, it is important to keep a track of the weight that you have gained during the duration of pregnancy.
Gestational diabetes affects between 2% and 10% of pregnant women every year. Common risk factors of gestational diabetes are:
- Excessive weight gain before pregnancy
- High blood sugar levels
- Family history of diabetes
- History of gestational diabetes
- Medical complications
- Have given birth to a large baby before (greater than 9 pounds)
- Have experienced stillbirth or the new born has experienced some birth defects
Myth 1: People with Diabetes can’t Eat Sugar
Reality : This is perhaps the most common of all diabetes myths. A large number of people believe that those with diabetes can’t eat sugar or sugar products. However, people suffering from this disease can eat sugar in moderation.
Myth 2: Type 2 Diabetes is nothing to Worry About
Reality : Many believe that type-2 diabetes is nothing to worry about. But it is far from truth. Diabetes in form should be considered mild. Untreated type-2 diabetes may lead to several life-threatening complications.
Myth 3: Type 2 Diabetes Concerns Only Fat People
Reality: A large number of people believe that type-2 diabetes only concerns overweight and obese people. However, the reality is that it can even affect people with normal weight, and in some cases underweight people too.
Myth 4: People with Diabetes become Blind and Face Leg Amputation
Reality: While diabetes remains a leading cause of partial or complete blindness and a large number of patients are also required to face leg amputations, those who are able to control their blood glucose level and weight face no complications whatsoever.
Myth 5: Diabetes is a Contagious Disease
Reality: This is one of the most common myths around diabetes. A large number of people believe that diabetes is a contagious disease. However, it is a non-communicable disease and cannot be passed on from one person to another. But it is important to know that diabetes can be passed genetically. This means it can be passed on from parents to children.
Question 1: What to do if I have been recently diagnosed with diabetes?
Answer: If you have been diagnosed with diabetes recently, it is important to ensure a healthy lifestyle and ensure healthy diet. In addition, try to ensure physical activity. Don’t forget to take your medication (if prescribed) on timely basis.
Question 2: What should be Ideal Blood Glucose (Sugar) Level if I have Diabetes?
Answer: Keeping your blood glucose level under control is important if you have diabetes to prevent any complications. The target blood glucose level varies from patient to patient and only a certified medical professional can help you determine your blood glucose level target.
Question 3: Does Eating Sugar and Sugary Items Cause Diabetes?
Answer: Eating sugar or sugary products do not cause diabetes directly. However, it may lead to weight gain and even obesity. And obesity or weight gain can cause type-2 diabetes.
Question 4: Can I Use Artificial Sweeteners?
Answer: Most artificial sweeteners feature acceptable daily intake (ADI) level of sugar. It is safer to drink or eat artificial sweeteners in quantity lower than the ADI level. However, pregnant women must avoid intake of artificial sweeteners.
Question 5: How Much Physical Activity Should I do if I have Diabetes?
Answer: Being physically active can help you prevent complications of diabetes. Start with brisk walking for five to ten minutes per day and increase it over the period of time. But be advised to consult a certified medical professional to understand how much exercise you should do.
Question 6: If I have Diabetes, Do I need to Take Care of My Foot?
Answer: Diabetes may lead to decreased blood flow or nerve damage in feet affecting it different ways. It is imperative to check your feet every day to avoid any complications.
Question 7: What Insulin Do I Take?
Answer: Many diabetic patients require insulin therapy. However, there are different types of insulin and it is important to consult a certified medical professional to understand what type of insulin you require.
Question 8: Is Diabetes Fully Curable?
Answer : Unfortunately, there is no complete cure for diabetes and those diagnosed with it will have it for the rest of their life. However, as discussed earlier, with healthy diet and healthy lifestyle, one can prevent complications related to diabetes.
Question 9: What is Prediabetes?
Answer: Prediabetes is the medical condition in which the blood sugar level of a patient is higher than what’s normal, but is not high enough for diagnosis of diabetes. A large number of people across the globe suffer from prediabetes. It is vital to get tested for prediabetes.
Question 10: Can Diabetes Lead to Serious Medical Emergencies?
Answer: Yes! Diabetes can lead to serious and life-threatening medical emergencies. Such emergencies happen when the blood glucose in the body becomes higher or lower than normal. It is sensible to contact a certified medical professional in the event of diabetic emergencies.
Latest time ct scan, x-ray, mri are very common to get the physical ailments, similarly psychological problems are assessed by projective test, semi unstructured test, personality test, story making test, iq and psychological based memory test, cognitive test, neuro-psychological test. If ever find any emotional, behavioural, problems or academic decline, aggression and anger more frequently they can go under diagnostic tests with the advice of clinical psychologist.