Get the App

For Doctors

Book Appointment

Treatment

Ask a Question

Plan my Surgery

Health Feed

About

Health Feed

AllQ&AsTips

Home > Gp Met 500 MG Tablet > Health Feed

Gp Met 500 MG Tablet Health Feed

Asked for male, 34 years old from Kollam

My ppbs is 199 I am taking 250 mg metformin and 0.5 mg glimepiride twice daily is it sufficient. My fbs is 136, hba1c is 7.9.

Dr. M S Seshadri92%(394 ratings)

MBBS, MD Internal Medicine, PhD (Endocri...read more

Endocrinologist•Vellore

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

Asked for male, 59 years old from Kolkata

My blood sugar levels fasting 143 and pp259 Dr. advice medicine is glimepiride taboo. 2 mg andmefor at 500 will take it or will try through diet control and walking exercise.

Dr. Karuna Chawla95%(121284 ratings)

BHMS

Homeopathy Doctor•Noida

Follow diabetes diet which simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains.
U can take (moderate amount)
grapes.
Apples.
Berries.
Citrus fruits.
Papaya.
U should avoid
sugar-sweetened beverages. Sugary beverages are the worst drink choice for someone with diabet...more

93 people found this helpful

Asked for male, 42 years old from Ajmer

Hi, I am 42 and having diabetes type 2, taking galvus met 50/1000 twice a day, gibtulio 25 once a day, glimepiride 2 mg twice a day and novastat tg10 once a day. Is it moderate dose or high.

Dr. Prabhakar Laxman Jathar92%(20239 ratings)

MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad

Mr Vasudev, Thanks for the query.
You are multiple drugs for controlling blood glucose. The reason these drugs have been prescribed must be improperly controlled blood glucose. Plus you are also on a drug combination to reduce LDL & TGL. There is nothing like high or low dose. Drugs are given based on the need. Since there is no mention of either fasting, PP glucose HbA1c% or lipid profile, it is difficult to know how good the control is. Thanks.

123 people found this helpful

Asked for male, 40 years old from Midnapore

glimepiride 4 rmg with metformin 1000 bd regular used from last 2 years, recently it’s not working. Can I used gliklagaid.

Dr. Prabhakar Laxman Jathar92%(20239 ratings)

MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad

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.

21 people found this helpful

Asked for male, 73 years old from Greater Noida

Hi Sir, I'm taking glimepiride 2 mg morning & evening. Is it the equivalent of nuzide xl 60 mg. Can I take this morning and evening?

Dr. Prabhakar Laxman Jathar92%(20239 ratings)

MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad

Hello, Thanks for the query.
It is difficult to say whether Glimiperide 2 mg equals Gliclazide 160 mg. There is no direct comparison done in that fashion. Thanks.

88 people found this helpful

Asked for male, 45 years old from Ernakulam

Today fasting 140 pp153 so some allergic problem mainly swelling in leg. Which medicine is good for it am taking glimepiride 2 mg daily with food.

Dr. Deepak93%(13815 ratings)

NCCH & MCH

Homeopath•Raebareli

Get your hba1c test done along with cbc lft and consult back with reports this allergic issue is due to higher glucose level in your blood.

Asked for male, 18 years old from Alwar

I am taking metride 2 (glimepiride 2 mg and metformin hydrochloride 500 mg) for blood sugar. Can I take generic medicine of same content if yes suggest me the best medicine?

Dr. Prabhakar Laxman Jathar92%(20239 ratings)

MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad

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.

Asked for male, 69 years old from Mumbai

Can you tell me whether it is safe to take generic substitute medicines having the same composition as the allopathic medicines prescribed by the doctor (eg. Teneligliptin, vildagliptin, metformin, voglibose, glimepiride)?

Dr. Karuna Chawla95%(121284 ratings)

BHMS

Homeopathy Doctor•Noida

Yes u can. If the composition is same, then it means itâs the same medicine. Even government is promoting the same. So relax

325 people found this helpful

Asked for female, 53 years old from Kolkata

Hi, I'm 55 years female from kolkata. I'm a diabetic (take Glycomet GP1 FORTE (GLIMEPIRIDE 1 mg + METFORMIN 1000 mg) twice & 10 iu insulin overnight ,fasting 80, PP 254 measured yesterday) & pancreatic (taking Panlipase 25000 after food thrice every day for last 5 years) patient. For the last 1 year, I'm feeling pain in fingers of both hands and in shoulder joints. Pain is unbearable at times. In afternoon often we see middle fingers of the hands get deformed. Visited a doctor. And he told this is a rheumatic arthritis. He gave Wysolone 10 mg for 45 days followed by wysolone 5 mg for 30 days. HCQ (Hydroxychloroquine) 300 mg, ARAVA (Leflunomide) 20 mg, INJ. Folitrax 20 mg once on sundays. Folvite 5 mg mondays to saturdays. Wysolone is now completely stopped. When I take wysolone there is no pain in fingers. Here is the test reports at a glance, Uric Acid 3.69 (range 2.6-6.0), RF 7.15 (<14), CRP 3.02 (<5) vit D (25 oh D) 36.12 (30 -100. AntiCCP Anti Body 5.61 (<20). CBC, Haemoglobin 11.8 gm/dl (range 12.5 - 15.3), MCHC (Mean corpuscular Hemoglobin concentration) 32.9 (range 33.4-35.5),Total RBC 4.0 million cells/cu mm (range 4.5-5.1), lymphocytes 52% (range 20-40) basophil 00 (range 01-02), ESR 16 (range <30) SGPT 13.8 U/L (range <35, Lipase 32.5 U/L (range 30-300), CRP 1.20 (range <10), amylase 78.2 (range 30 -110) Test was done in SERUM, Kolkata in 15th june 2017. Many doctors are telling me that this is rheumatic arthritis, But after 6 months of taking medicines for the same pain the still there, only fingers does not get deformed in afternoon. Please tell me is the diagnosis is right? Am I on right treatment? Or there is any other problem? Is there any bad action for taking panlipase 25000 for last 5 years? One more question for RA CRP & RF should be positive, but for my case it is negative, so how can it be RA?

Dr. Ambadi Kumar94%(9988 ratings)

MD, Fellowship in Intergrative Medicine,...read more

Integrated Medicine Specialist•Kochi

RA is a autoimmune disease which is related to diet which needs to be radically changed for reversal of disease. Rheumatologist Drs in India only know to give pills for any illness .They do not know that there is natural treatment available because nutrition is not taught in the medical curriculum.
They do not think outside the box.
Change your diet and reduce the medicines.
I think you were getting too many drugs for RA .Were they all given at the same time or at different periods.<...more

208 people found this helpful

Asked for female, 52 years old from Vadodara

I am a 47 years female with hypothyroidism (Since 10 years), diabetes (since 3 years) and hypertension. hypothyroidism is due to hashimoto where antibodies are present and presently taking Selenium supplement to reduce antibodies. Taking Eltroxin 125 mcg daily as thyroid replacement. My Diabetes is as such well controlled, my last HbA1c was 6.3% which has increased from 6.1% and I found that my PPBS stays higher especially after breakfast. It goes beyond 200 mg/dl. Sometimes even around 290! I have discovered that same thing if I eat in lunch, PPBS is less around 140-150 or sometimes even less than 120 mg/dl. PPBS after dinner is between the two ranges. I.e. Around 160-180. My main question is whether it is advisable to eliminate wheat and rice completely from the diet to reduce PPBS levels? It is difficult to do that since it is our staple diet and is contained in all items. I am taking Metformin 1 g morning and evening and skip taking Metformin when I avoid dinner. I am also taking Diabecon DS tablet which is shown to reduce FBS and PPBS levels considerably because I confirmed it by stopping it for about 10 days, though I was taking Metformin, my FBS and PPBS levels shoots up like anything. Once I started taking Diabecon DS again, both FBS and PPBS levels reduced considerably. My last fasting insulin was 9.93 and fasting glucose 100 mg/dl gave 1.33 as Insulin resistance and 90% Beta cell function by Homa 2 calculator as found on internet which is widely used to measure IR. Now, people who advocate Low Carbohydrate High Fat diet on diabetes forum, says residual circulating insulin should be reduced for which you need to lower your carbohydrate intake. I was told that fasting insulin should be <5 and if Blood sugar control is difficult with this value, it can be <7 but not more than that as more insulin causes more fat storage and ultimately pancreas are whipped to secrete insulin by some drugs. I was taking Glycomet GP-1 forte once in the morning but was getting hypoglycemia since 6 months due to glimepiride in it which was increasing insulin levels, so stopped taking it and now not getting any hype episodes. It is known from various research sites on internet that Gymnema extract (Meshashringi, Gurmar) is very effective in reducing FBS and PPBS levels, but increase insulin levels. So, is it advisable to take Gymnema extract (Ayurvedic medicine) which helps a lot in reducing FBS and PPBS levels? I am taking Arkamin for hypertension once in the morning. So, my question is, is it necessary to reduce carbohydrate intake to 20% which comes to around 100g of carbs each day? People say, since we diabetics cannot process carbs efficiently, we need to reduce it's consumption to around 100g or less for good diabetic control. What should be ideal PPBS level after meals? And What should be fasting insulin level?

Dr. Gopala Krishnam Raju Ambati91%(1915 ratings)

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CC...read more

Diabetologist•Hyderabad

U be on simple metformin 1gm twice daily start exercise for half an hour which your not doing
just changing tab and using as you like upon your logical decision is wrong only exercise and weight loss can help you :)

Ask a free question

Get FREE multiple opinions from Doctors

posted anonymously