Metmore Gp 1 Mg/500 Mg/15 Mg Tablet Sr Health Feed

Thanks for your Query.

It seems from your information that you might be having Hypoglycemia around early morning which is causing the upsurge in fasting blood sugar because of hyperactive liver - This is called Somogyi phenomenon.

Your HbA1c is on lower side as per your age.

So you need to reduce the dose of medication a little bit.

For detailed information and advice you can book an online consultation with me on Lybrate. Thank you.

There may be multiple reasons for current problem.
We need more information like any symptoms of hypoglycemia like giddiness, sweating, increased hunger; diet pattern, any associated kidney, heart,liver problem; current hba1c.
You have not even mentioned regarding how many tablets he is taking daily.
Based on limited information provided I may suggest to reduce tablet and get hba1c and creatinine and consult doctor.

I do not prefer to take any vitamin pill if there is no deficiency. But if you want to take then any brand you can take all are equal.

Mr. lybrate-user, thanks for the query.
I have seen the details given. There is no mention of fasting, pp glucose values, hba1c%, present dietary pattern, extent of daily exercise, weight and height, plus bp readings and lipid profile. To give any kind of suggestion or advise I need to know all the above details.
When diabetes is well controlled fasting glucose should be < 100 mg, pp 160 to 170 mg & hba1c% < 6.8. Thanks.

Dear Lybrate user, glimepiride stimulates betacells to secrete insulin. Metformin is supposed to reduce insulin resistance and slow down glucose absorption from the intestine. Usually both these are used together to control increased blood glucose. In newly diagnosed patients metformin alone is used. In some both drugs are used together. Which drug to take for a particular level can be decided by the treating doctor.

First we should measure his lipid profile and hba1c levels in blood and than we can change the drugs

Hello both sugar and bp levels are high. Get examined by Dr. immediately.

Dear lybrate-user,
I find that your father is quite overweight his correct weight should be about 55-60 kg. I suggest that he go on a strict diet (low carbohydrate, normal protein and fat, walk about 5 km per day and gradually reduce weight to about 60 kg. Keep monitoring his sugars at home with a glucometer (fasting and 2 hours after each meal) once a week if the sugars get under control with this dietary modification he may not need additional medication

There has some hue n cry about pioglitazone two years back but that is politics between pharma companies. MOREOVER Bladder cancer risk is with high dose that is 30 mg or above but it's benefits overweigh risk. In India Doctors are using this salt for 15 years.Nobody has seen any case of bladder cancer. On the contrary cancer is more seen in people who are not diabetics and aren't using pioglitazone. So rest assured you are on right track.Good luck.

1) triglynase 2 forte is a combination of glimepiride 2 mg+ metformin 500 mg+ pioglitazone15 mg.
2) now there are better drugs than this tab.
3) you should take a tablet which increases your beta cell mass
4) if there is a good b cell mass it will produce more endogenous insulin.