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iCliniq / Answers / Internal Medicine / Diabetes Mellitus / For 7.5 HbA1c level, should Gemer 1 tablet be continued?

Q. My HbA1c level was 7. 5 last month. Should I continue Gemer 1 tablet?

Answered by
Dr. Talal Hussain
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 07, 2016 and last reviewed on: Jul 31, 2020

Hi doctor,

Last month, my HbA1C was 7.5. I was advised to take Gemer 1 tablet before breakfast for 30 days. My LDL cholesterol is 119 mg/dL, HDL is 40mg/dL and triglycerides 161 mg/dL. My age is 49. Should I continue Gemer 1 along with other medicines? Kindly suggest.

Dr. Talal Hussain

Dr. Talal Hussain

Internal Medicine
#

Hi,

Welcome to icliniq.com.

  • The HbA1C level of above 7 is a confirmatory diagnosis of diabetes mellitus. So, now you are a diabetic and should receive full diabetic management ranging from diet modification, exercise and medication.
  • As far as tablet Gemer 1 mg (Glimepiride) is concerned, I suggest that it should be taken lifelong with another medication by the name of Metformin 250 mg twice daily after meals. By this way you will have a good control of diabetes and completely avoid complications of the disease.
  • Your LDL and HDL levels are in normal ranges (low-density lipoprotein and high-density lipoprotein), which is very good.
  • But, your triglyceride level is slightly increased, which just needs exercise and diet modification.
  • I would suggest using raw extra-virgin olive oil by just pouring it on ready meals like lentil or eggs right before serving.
Investigations to be done:

C-peptide, renal function test, liver function test, serum electrolyte and complete blood picture.

Probable diagnosis:

Diabetes mellitus.

Treatment plan:

Hypoglycemic drugs with euglycemic drugs (to maintain normal blood sugar).

Preventive measures:

Diet and exercise.

Regarding follow up:

Revert back for further information to an internal medicine physician online.---> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

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