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Does Glycomet-SR Help Lower Blood Sugar Levels?

Posted on Sat, 4 Jul 2015

Question: I recently started taking Glycomet SR 500 once a day. My FBS comes around 115 and PPBS comes sometimes around 150 and sometimes around 170. Is this medicine helps me in lowering my blood sugar? I like to have FBS not more than 110 and PPBS not more than 126. Please advise.

Answered by Dr. Shehzad Topiwala (45 minutes later)

Brief Answer:
Diabetes

Detailed Answer:
I understand your question.

When I see someone like you in my practice, I order the following tests in addition to a thorough physical examination:

CBC
Electrolytes
Liver function tests
Kidney function tests
HbA1c
Urine Albumin to Creatinine Ratio
TSH
Lipids

The above tests help me decide the best choice of medications for diabetes for the person I am managing.

So in your case if the Serum Creatinine blood test is fine ie less than 1.5 mg/dl and there are no other major problems with the heart, lung and liver then you should ask your endocrinologist if you can increase the dose of Glycomet gradually to upto 2 grams daily in divided doses.
I personally do not prefer Vogitor because it tends to cause unpleasant side effects like gassiness.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (22 minutes later)

My recent S.Creatinine is 1.0 mg; HBA1c is 6.4; BUN:Creatinine ratio is 9; TSH is 2.6 mIU/ml; LDL Cholestrol 82; HDL Chlorestrol 55; Triglyceride 88; and chlorestron135. Can this help you to provide further instructions. Thank you.

Answered by Dr. Shehzad Topiwala (13 hours later)

Brief Answer:
Follow up

Detailed Answer:
I see.

You are a likely candidate for optimal metformin (Glycomet) doses.

I encourage you to see your endocrinologist in person to undergo a physical examination to make sure your heart and liver and lungs are also ok, so Glycomet can be gradually increased further, particularly after stopping Voglitor all together

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (13 hours later)

Thank you for your advice. However, I still need to know that : Do you consider my FBS between 120-125 and PPBS between 140-150 high? Considering my medication. Thank you.

Answered by Dr. Shehzad Topiwala (2 hours later)

Brief Answer:
Second follow up

Detailed Answer:
Yes it is mildly elevated but it can be considered in the acceptable range because the A1c is 6.4%

The reason to still change medications is based upon the proven track record of Glycomet is providing benefits beyond glucose control such as reducing the risks for heart attacks and strokes and even possibly some cancers

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (27 hours later)

Once again thank you very much and appreciate your advice. I am currently out if country for about 4-5 months on official work. So I will see my doctor upon my return and I will continue my medication and monitor my blood sugar once or twice a week. Meantime may I ask if you can suggest or recommend right medicine(s) to help in reducing my sugar levels. I will discuss it with my doctor if he can prescribe it or suggest any other medication.

Thank you for your valuable advice and assistance.

Answered by Dr. Shehzad Topiwala (12 hours later)

Brief Answer:
Third Follow up

Detailed Answer:
As mentioned above, speak with your doctor if prescribing optimal amounts of Glycomet is an option for you based on your physical examination and assessment

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar