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Does Intake Of Istamet, Glimisave And Volix Help In Treating Diabetes?

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Posted on Mon, 3 Oct 2016
Question: RECENTLY I WAS TAKING METAFORT G 853 VOLIX.3 ZITEN20 MY SUGAR LEVEL F-156 PP-180 NOW

I HAVE BEEN PRESCRIBED TAB GLIMISAVE 4mg 1-0-1, TAB ISTAMET 50/1000 1-0-1 TAV VOLIX .3 1-1-1

PL ADVISE
doctor
Answered by Dr. Dr. Abhay A Mali (38 minutes later)
Brief Answer:
Require additional information.

Detailed Answer:
Hi,

Thanks for your question.
Noted your concern.

For better opinion I want to know -
- How many times you used to take Tab Metafort G (850+3) and Volix 0.3
- Have you done HbA1c and what is its value.
- Serum creatinine level.
- Any heart issue.

Get back to me with above information.

Regards,
Dr Abhay Mali.
Diabetologist.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Dr. Abhay A Mali (4 hours later)
METAFORT G853 1-0-1 (TWICE DAILY )

HbA1C 7.3

CREATININE 0.57

NO HEART ISSUE
doctor
Answered by Dr. Dr. Abhay A Mali (2 hours later)
Brief Answer:
I may suggest following-

Detailed Answer:
In such a case I may suggest to follow second regimen (Istamet (50+1000), Volix 0.3, Glumisave)
But Glimisave in slightly lower dose.

Tab Glimisave contains Glimepiride which act on pancreas to release insulin.
Considering your age and current medicines there may not be adequate pancreatic reserve to respond to this type of medicines. This medicine may fail as duration of diabetes advances. Also has more risk of developing low blood sugar level (hypoglycemia) with slightest alteration in diet, physical activity or even with minor illness.
In my practice I rarely suggest more than 4mg of glimepiride per day.

Along with this follow diabetic diet and exercise as tolerated.

Repeat fasting and post-prandial blood sugar after 3 to 4 weeks depending upon it further changes in medicines can be done.

Keep regular follow up with your treating diabetologist.
Hope this helps you.


Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
Answered by
Dr.
Dr. Dr. Abhay A Mali

Diabetologist

Practicing since :2006

Answered : 807 Questions

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Does Intake Of Istamet, Glimisave And Volix Help In Treating Diabetes?

Brief Answer: Require additional information. Detailed Answer: Hi, Thanks for your question. Noted your concern. For better opinion I want to know - - How many times you used to take Tab Metafort G (850+3) and Volix 0.3 - Have you done HbA1c and what is its value. - Serum creatinine level. - Any heart issue. Get back to me with above information. Regards, Dr Abhay Mali. Diabetologist.