HomeAnswersEndocrinologydiabetesHow does Imeglimin interact with my existing medications?

Is Imeglimin a safe addition to my diabetes treatment?

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Published At May 6, 2024
Reviewed AtMay 6, 2024

Patient's Query

Hello doctor,

I am a 70-year-old male with type 2 diabetes currently managing it with Metformin, Atorvastatin, Telmisartan, and Vildagliptin twice a day. My recent HbA1c is around 7.2%, my fasting glucose is 120 mg/dl, and my blood pressure is 110/70. Additionally, my HDL is 40 and my LDL is 31. I am considering adding Imeglimin 500mg to my treatment regimen to bring my HbA1c below 7%. Could you provide insights into whether this would be a suitable option for me? Also, I would like to understand the ideal dosage for Imeglimin. Kindly help.

Thank you.

Answered by Dr. Zulfiqar Ahmed

Hello,

Welcome to icliniq.com.

I can understand your concern.

I acknowledge that Imeglimin could be considered for your diabetes management. However, it is crucial to note that there are numerous newer anti-diabetic medications available, showing promising results in reducing overall cardiomyopathy risk and other diabetes-related complications.

In my professional opinion, Dapagliflozin might offer better efficacy if your goal is to further reduce HbA1c levels.

Before making any changes to your medication regimen, it is essential to address several important questions:

  1. Are you experiencing hypoglycemic episodes with your current medications?

  2. What are your postprandial blood sugar levels if you are monitoring them?

  3. Have you developed any diabetes-related complications?

  4. Are you undergoing regular eye and foot examinations? How about kidney function tests, particularly the albumin-to-creatinine ratio in urine? Are there any cardiac issues?

  5. Understanding these factors is crucial before attempting to lower your HbA1c further. The risk of hypoglycemia rises with the use of three or more medications, and severe hypoglycemia can be more detrimental than slightly elevated blood sugar levels.

It is also essential to ensure that routine tests, such as urea and creatinine levels, are up to date.

To summarize, if you are not experiencing complications or hypoglycemia, increasing medication to achieve better sugar control may be an option. However, if complications are present, maintaining your current regimen might be more appropriate. Always prioritize lifestyle modifications, including an active lifestyle and dietary management, alongside medication adjustments for optimal diabetes control."

I hope this information will help you.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Zulfiqar Ahmed
Dr. Zulfiqar Ahmed

Diabetology

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