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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Supposed To Take Glimulin MF. What Time Of The Day Should I Have It ?

i am supposed to take glimulin mf 1mg, please tell me at what time of the day should i have it? thanks a diabetic since last 5 years, levels were under control by walks, exercises, yoga etc. suddenly now when i went for hb1ac after last four months it came to 12.6% and sugar levels fasting - 229 and pp - 382. kft,tft,cbc,urine r/e etc are all within limits. however hdl , ldl , cholestrol etc are outside the range by good about 10 to 20%. eye tests incl ratina, are ok but am supposed to undergo gor glocoma test dayafter. i am told to have glumiline mf 1mg 1od. i am a working lady, when shoiuld i take it? my email id is YYYY@YYYY . thanks and regards. AAAAA
Tue, 26 Mar 2013
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Internal Medicine Specialist 's  Response
Hello!



Nice to see u in HCM.



Gilmulin 1mg and Metformin 500mg once in a day is very less dose for your present blood sugar and HBA1c. Please contact with another experienced physician in diabetes.



Its better to change to metformin 500mg three times in a day or sustained release preparation of metformin 1gm BD along with Glimi 2mg OD at morning.



All these medicines should be taken half hour prior to meal.



Its good for you that your all other reports are normal other than sugar and lipids.For you lipid profile you need atorvastatin 40mg or rosuvastatin 20mg.



Along with above medicines continue diet control and daily exercise.Avoid foods with high glycemic index.
Get urine examination done for microalbinuria for which ACE inhibitors will be needed.



Hope you have satisfied with the answer.For more queries do not hesitate to ask us.



Wish you good health.
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Ayurveda Specialist Dr. Munish Sood's  Response
1. in Glimulin mf (glimepride as single is given before breakfast, and metformin as single is given after breakfast),so because combine prescription is there, I advice to kindly consult with your attending Physician about the time of dosage of the drug, and titrate the dose according to response.
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Supposed To Take Glimulin MF. What Time Of The Day Should I Have It ?

Hello! Nice to see u in HCM. Gilmulin 1mg and Metformin 500mg once in a day is very less dose for your present blood sugar and HBA1c. Please contact with another experienced physician in diabetes. Its better to change to metformin 500mg three times in a day or sustained release preparation of metformin 1gm BD along with Glimi 2mg OD at morning. All these medicines should be taken half hour prior to meal. Its good for you that your all other reports are normal other than sugar and lipids.For you lipid profile you need atorvastatin 40mg or rosuvastatin 20mg. Along with above medicines continue diet control and daily exercise.Avoid foods with high glycemic index. Get urine examination done for microalbinuria for which ACE inhibitors will be needed. Hope you have satisfied with the answer.For more queries do not hesitate to ask us. Wish you good health.