Metformin

Metformin is an antidiabetic drug used as the first-line medication for the treatment of type 2 diabetes, especially in overweight patients. It works by restoring your body's response to the naturally produced insulin. It also reduces the blood sugar by decreasing the sugar production in the liver and its absorption in the intestine.

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Please give your opinion regarding my diabetes treatment.

Query: Hi doctor, I am 45 years old. I have been suffering from diabetes for the last 10 years. Initially, I was on Metformin 500 mg plus Glimepiride 1 mg twice daily. For the last two years, I am taking Metformin 500 plus Glimepiride 2 mg plus Voglison 0.2 twice a day. But, currently, my sugar level is h...  Read Full »


Dr. Krutika Ingle Karandikar

Diabetologist, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. To actually advise a change in your medications, I would require you to follow up with me with your blood sugar levels again. I hope your doctor has informed you about the side effects of Pioglitazone. I am not comfortable with using it, so I would like to suggest a diffe...  Read Full »

Is Gluformin XL 500 a safe drug?

Query: Hi doctor, I take Gluformin XL 500 every night after dinner. I feel pain in muscles and have some stomach problems. I am a sugar patient.  Read Full »


Dr. Shanmugasundar G

Diabetologist, Endocrinologist

Answer: Hi, Welcome to icliniq.com. It would have been great if you had given me further information like your age, weight, HbA1c, creatinine level, and details about other medications. Anyway, it is well known that Metformin can cause gastric complications. You must also be suffering from the same. But M...  Read Full »

Please suggest the Metformin dosage.

Query: Hi doctor, My age is 33 and weight is 80 kg. My glycosylated fasting sugar 106 and postprandial is 115. Will Metformin help me to lose weight? Which medicine is better, either Metformin or Metformin extended release? How much dosage should I take?  Read Full »


Dr. Kusumakar Srivastava

Diabetologist, General Medicine Physician, Internal Medicine Physician, Rheumatologist

Answer: Hi, Welcome to icliniq.com. As per your sugar reports, it is confirmed that you are not diabetic. But, you are prone to get diabetes as fasting sugar is impaired and normally it should be less than 100. So, I would recommend you lifestyle modification like exercise for at least 30 minutes per day fo...  Read Full »

What is the reason for persistent high FBS even after medication?

Query: Hello doctor, My FBS used to be around 100-115 while on Metformin 500 mg twice daily (diabetic and PCOS). Recently I have been tired, and feeling hot in the nights, getting night sweats. My FBS was between 150-165 and I visited my doctor and some tests confirmed and he diagnosed me with NASH and pu...  Read Full »


Dr. Penchala Prasad Kandikattu

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. You have to wait at least two weeks to know whether the drug is working or not. Do regular exercise and yoga. Avoid alcohol and smoking. Eat green leafy vegetables and fruits. Avoid irregular meals, please check whether you are suffering from hypothyroidism or metab...  Read Full »

Can you please suggest medicines for PCOS?

Query: Hello doctor,I am a 28 year old female. I am diagnosed with PCOS. I have irregular periods since seven months, excess unwanted facial and body hair, hair loss from the scalp and weight gain. Can I take homeopathy medicine for PCOS and its symptoms? If yes, then what medicine do I need to take? I wan...  Read Full »


Dr. Mahmoud Ahmed Abelrahman Abouibrahim

Internal Medicine Physician, Family Physician, General Practitioner, General Medicine Physician

Answer: Hello, Welcome to icliniq.com. I understand your concerns. Also, you should know that PCOS (polycystic ovarian syndrome) cannot be cured completely. Medications and homeopathy control the symptoms only and increase the chance of fertility if required. I suggest: 1. Oral contraceptive pills such ...  Read Full »

For 7.5 HbA1c level, should Gemer 1 tablet be continued?

Query: 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.  Read Full »


Dr. Talal Hussain

Family Physician, General Practitioner, Internal Medicine Physician

Answer: 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 ...  Read Full »

My periods are irregular and not conceiving. Please help.

Query: Hi doctor, I have had a history of irregular periods and now I am failing to get pregnant. To highlight about my past, I started having my periods from the age of 14 and had irregular periods always. Sometimes, I had heavy flow for 7 to 8 days and sometimes it was scanty for only 2 days. I was put ...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. You are a clear cut case of PCOS (polycystic ovarian syndrome). If you are not intending to get pregnant soon, then you should be started on monthly pills of Krimson 35 or Ginette 35 with Cyproterone acetate from day 3 of your cycle for at least three to six month...  Read Full »

How to manage leg injury in a diabetic?

Query: Hi doctor, I was recently diagnosed to be diabetic. I am on Glycine-SR 500. One week back, I got a small injury in my right leg. Now, some pus is coming from that injury. Last week, my fasting and postprandial blood sugar were 139 and 228 respectively. Please let me know the treatment that I need t...  Read Full »


Dr. Ankush Gupta

Criticalcare Physician, Family Physician, General Practitioner, Diabetologist

Answer: Hello, Welcome to icliniq.com. Pus from a wound means infection. So, you need to visit your nearby hospital immediately and get it dressed. Also, start the antibiotics prescribed by them. Healing is hampered in diabetes so it needs immediate attention. Your blood sugar levels are high. I suggest cha...  Read Full »

Can Metformin 500 cause cancer in some?

Query: I have diabetes type 2. I am a female. My age is 27 and my weight is 43 kgs. I am currently been taking glimepiride and metformin 500. My height is 5'1''. I have read that metformin 500is recalled due to cancer scare. Require alternative medicine. My last sugar check was 395 mg  Read Full »


Dr. Prabhakaran Selvam

Diabetologist, General Medicine Physician, Sonologist, Toxicologist

Answer: Hello greetings.. Happy to give consultation to u. With the above given history, u r sugar levels are very much high and u need to control u r sugars as early as possible. The current medications are not at all enough to control u r sugars. I will give u the prescription. Regarding metformin, the ...  Read Full »

What causes hypoglycemia?

Query: Hi doctor, My mother has been suffering from diabetes for three years. She is 61 years old and weighs 40 kg. She was on Gemer-1. Early morning around 5 AM, she often complains of excessive sweating and weakness. Sweating stops after taking tea, biscuit or sugar. She has stopped taking medication for...  Read Full »


Dr. Sandeep V Nair

General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist

Answer: Hi, Welcome to icliniq.com. Your mother is getting hypoglycemic attacks during early morning hours. Hypoglycemic attacks are episodes of low blood sugar values occurring in blood. Due to this she is having excessive sweating and weakness. Taking a sweet item is the correct treatment for such an atta...  Read Full »

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