Gluconorm Pg 2 Tablet Pr Health Feed

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.

Triglimisave 2 and metformon can not be vompared and sjould not be used as substitute to each other.
Trihlimisave contains 3 medicines and metformin is one of them.

Diabetic since how long. Recent hb1ac level fbs/ppbs. Ziglim m2 tablet pr. Has two drug glimepiride and metformin.
Tab ziglim m2 sr has glimepiride and metformin and pioglitazone.
If hb1ac > 9% with glimepiride .shifting to insulin is best.
Serum creatinine level require to be checked.

You should not take any medicine without doctor's advise as it may be harmful.
Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.

According to the treatment you are getting, I can see the effort of your doctor. I think you should consider taking insulin atleast for one time in a day to control it along with your medication. As you have hba1c of 10.8, it's good for your health to start insulin atleast once daily. Pls consult to your doctor about it or you can consult me online m.

sir its good that her blood sugar is fairly controlled....numbness in feet may be due to diabetic neuropathy which is a common complication of type2 diabetes..but get her thyroid function test done and vit b12 levels...as metformin causes vit b12 deficiency dat may be another cause of numbness in diabetics...good luck

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.
From the details given I understand that you are on gluconorm 4 mg (how many times day?), plus metformin 1000 mg is once plus what is that "under 5 mg tablet? Fasting glucose 200 mg is definitely very high.
Another important aspect is your excess weight. With a bmi of 37.5 kgs/sq meter (normal < 23 kgs/sq meter) you have over 34 kgs extra. That itslef is an invitation for uncontrolled blood glucose. It is better if you come with clear details and current fast...more

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.

Mr. lybrate-user, Thanks for the query.
When one takes adequate dosage of drugs, plus follows a strictly controlled diet and does regular exercise, blood glucose does get controlled. Therefore, it appears your present treatment is not proper. I need to know following things for giving any suggestions: fasting & PP glucose levels, HbA1c%, present dietary pattern and extent of daily exercise. Looking at your weight and height it is clear that with a BMI of 28.23 kgs/Sq meter (normal < 23 kgs/S...more