Brief Answer:
You need further evaluation.

Detailed Answer:
Hi,

Thanks for your question.

After going through your question, I can understand your question.

You have really good blood glucose control.

You can reduce or even stop Glimepiride component (Tab Gluformin G1 contain Glimepiride 1 mg and Metformin 500 mg) after discussing with your diabetologist and recheck your blood glucose level (F & PP) after 4 to 6 weeks.

But you should do following investigations which helps in better evaluation of your diabetes control and related complications if any.

- HbA1c it denote blood glucose control over a period of 3 to 4 months.

- Lipid Profile.

- Renal Function Test- Urea, Creatinine, Electrolytes, Uric acid.

- Urine albumin creatinine ratio to evaluate for diabetic nephropathy.

- Fundoscopy to see changes of Diabetic retinopathy if any.

- Also check your Blood pressure, Height & Weight.

All these factors helps in making decision regarding metformin whether it can be stopped or dose can be reduced or not.

Hope this helps you.

Regards,
Dr. Abhay Mali.
Diabetologist.

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Brief Answer:
Side effects diabetic medicines use.

Detailed Answer:
Hi,

Metformin when used alone rarely cause hypoglycaemia (low blood glucose level) as it decreases insulin resistance and no direct effect on pancreas and insulin secretion.

But other component (Glimepiride) of Tab Gluformin G1 increases insulin secretion from pancreas and may cause hypoglyycemia.

Risk of hypoglycaemia with use of glimepiride increases –
-     With concomitant use of other antidiabetic medicines like metformin.
-     Inadequate oral intake, skipping meals.
-     Physical exertion.
-     Any other illness, even with simple febrile illness.
-     Derangement of liver or kidney function by any cause.

Both these medicines are relatively safe as far as organ damage is concerned, they themselves won’t cause organ damage.

Hope I have answered your question.

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