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What Causes Hypoglycemia After Taking Glycomet-GP?
Question: I was taking tab metformin 2bd for quite some time and my glucose levels are almost normal. For the last 5 days I started metformin 2tabs in the morning and glycomet-g1 in the night. Suddenly I felt some dis comfort today morning and got checked the Rbs levels at about 12.5pm and I found it as 73mg. So pl advice about the dosage schedule of metformin and glycomet g1? Can I take one tab of metformin in the morning and glycomet g1 in the evening. Iam a dermatologist by the way. Pl respond to my querry.
Brief Answer:
Suggestions
Detailed Answer:
Hi
I am Dr Mittal.
Read your query.
I think you should continue with the prior medicine.
glimepiride + metformin combination is known to cause hypoglycemia.
That is probably what you are facing.
Though 73 is not really hypoglycaemia by definition, there may be definitely be relative hypoglycemia. Besides, the sugars were done late and this may have allowed the compensatory mechanism to act.
If the sugars were well in control, it may be better to continue the old schedule.
Best of luck, Dr Mittal
Suggestions
Detailed Answer:
Hi
I am Dr Mittal.
Read your query.
I think you should continue with the prior medicine.
glimepiride + metformin combination is known to cause hypoglycemia.
That is probably what you are facing.
Though 73 is not really hypoglycaemia by definition, there may be definitely be relative hypoglycemia. Besides, the sugars were done late and this may have allowed the compensatory mechanism to act.
If the sugars were well in control, it may be better to continue the old schedule.
Best of luck, Dr Mittal
Above answer was peer-reviewed by :
Dr. Kampana
Further to my querry I wanted to check up from you, whether I can take Tab Metformin 1bd and glimeperidine 1mg od
instead of metformin 2bd. Pl confirm.
instead of metformin 2bd. Pl confirm.
Brief Answer:
will need further sugar monitoring
Detailed Answer:
Read your message. My thoughts on the subject are as follows-
I should tell you that this is a possible option.
I would also suggest taking the glimepride 1 mg in the day, not night.
This is because, as I previously said, hypoglycemia is a possibility with the combination.
So, during the waking hour, the symptoms will alert you of possible hypoglycemia.
Corrective measures can then be taken earlier.
Further, the sugars will fluctuate with change of medicine. It will come to a new equilibrium. The vector of this equilibrium cannot be predicted. The sugars might rise or fall out of the current range of maintained sugars. They are unlikely to remain static in the current range of sugars (the levels of which are unknown to me so far in our discussion).
Lastly, I should inform you that it is a preferred method to add a new or added medicine if the maximum dose of monotherapy is insufficient or has side effects. Since you are a doctor yourself, I think you can judge the implications well. XXXX
Feel free to discuss any issue that you may want to clarify.
Best of luck, Dr Mittal
will need further sugar monitoring
Detailed Answer:
Read your message. My thoughts on the subject are as follows-
I should tell you that this is a possible option.
I would also suggest taking the glimepride 1 mg in the day, not night.
This is because, as I previously said, hypoglycemia is a possibility with the combination.
So, during the waking hour, the symptoms will alert you of possible hypoglycemia.
Corrective measures can then be taken earlier.
Further, the sugars will fluctuate with change of medicine. It will come to a new equilibrium. The vector of this equilibrium cannot be predicted. The sugars might rise or fall out of the current range of maintained sugars. They are unlikely to remain static in the current range of sugars (the levels of which are unknown to me so far in our discussion).
Lastly, I should inform you that it is a preferred method to add a new or added medicine if the maximum dose of monotherapy is insufficient or has side effects. Since you are a doctor yourself, I think you can judge the implications well. XXXX
Feel free to discuss any issue that you may want to clarify.
Best of luck, Dr Mittal
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Kampana
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