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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Using Glaciphage PG-2, Huminsulin, Changed Medicines To Glaciphage, Glycomet. Feeling Nauseous. Why ?

I am a 52 year old using glaciphage PG-2 one in morning one in night.and huminsulin 50/50 ,10 units daily in the morning.My sugar level has been 65 to 68 daily in the morning. recently i visited doctor who changed the medicine to glaciphage G2 and glycomet 500 my sugar level in the morning fasting is 62 to day and feeling nausea for last three days after the change of medicine shall i continue this or not
Thu, 21 Feb 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
As you have low fasting blood sugar (65-68), reduction in dosage of anti diabetic medicines is required.
As you are also taking 50/50 insulin also, you should cross check your blood sugar before breakfast and 2 hours after breakfast, before dinner and 2 hours after dinner.
Are you suffering from loose motion/ vomiting/ spasmodic abdominal pain/ fever along with nausea?
Although Metformin is associated with multiple abdominal side effects but as you were previously taking Glyciphage PG-2 which also contains metformin, so there appears to be least chances of metformin induced abdominal side effects.
Diabetes itself is associated with multiple gastrointestinal complications in form of gastroparesis and may cause persistent nausea.
You should take Glycomet 500 mg with meals.
You should take small amount of frequent meals.
Avoid oily food.
You should also take prokinetics on written prescription.
Take care,
Dr. Mayank Bhargava
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Using Glaciphage PG-2, Huminsulin, Changed Medicines To Glaciphage, Glycomet. Feeling Nauseous. Why ?

Hi, Thanks for posting your query. As you have low fasting blood sugar (65-68), reduction in dosage of anti diabetic medicines is required. As you are also taking 50/50 insulin also, you should cross check your blood sugar before breakfast and 2 hours after breakfast, before dinner and 2 hours after dinner. Are you suffering from loose motion/ vomiting/ spasmodic abdominal pain/ fever along with nausea? Although Metformin is associated with multiple abdominal side effects but as you were previously taking Glyciphage PG-2 which also contains metformin, so there appears to be least chances of metformin induced abdominal side effects. Diabetes itself is associated with multiple gastrointestinal complications in form of gastroparesis and may cause persistent nausea. You should take Glycomet 500 mg with meals. You should take small amount of frequent meals. Avoid oily food. You should also take prokinetics on written prescription. Take care, Dr. Mayank Bhargava