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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Side-effects And Alternative Medicine For Dionil

Doctor, in the middle of year 2009 i was able to know my sugar level had risen up to 180, since then I used dionil two tablets per day, in the morning and at night, so, i was able to keep my sugar level below 130. now the issue is: since I felt I was not well I checked my sugar level four days ago, then it had risen up to 264. so, I took two extra dioni and checked the sugar level (fasting 12 hours) on the following day then it was 196. then i reduced the dosage to three and checked the sugar again on the next day and it was 248, then I increased the dosage to 5 and checked the sugar this morning then it was 210 How should I use dionil to control the sugar level effectively? What are the side affects I can have if I continue dionil further more? What are the alternatives I can use with minimum side affects, other than the dionil? Thanks
Sat, 31 May 2014
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General & Family Physician 's  Response
Hello
As you mentioned in the history that you are a diabetic patient , since 2009 and you were taking successfully DAONIL i.e. glibenclamide .
Now even increasing dose of daonil is not effective even 5 tablets not able to control the sugar level .
When such patient visit in my clinic I usually advise them to take PIOGLITAZONE+ METFORMINE combination and dosage adjusted according to blood sugar level . Usually it take 3-4 days for adjustment of drugs .
As far as concerned about the side effects of drugs need not to worry because usually side effects of anti diabetic drugs are very minor and adjustable .
Since this is a prescription medicine so consult your treating physician .
Hope this information will help you.
Good luck.
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Suggest Side-effects And Alternative Medicine For Dionil

Hello As you mentioned in the history that you are a diabetic patient , since 2009 and you were taking successfully DAONIL i.e. glibenclamide . Now even increasing dose of daonil is not effective even 5 tablets not able to control the sugar level . When such patient visit in my clinic I usually advise them to take PIOGLITAZONE+ METFORMINE combination and dosage adjusted according to blood sugar level . Usually it take 3-4 days for adjustment of drugs . As far as concerned about the side effects of drugs need not to worry because usually side effects of anti diabetic drugs are very minor and adjustable . Since this is a prescription medicine so consult your treating physician . Hope this information will help you. Good luck.