Since she has taken Diapride (glimepiride) for ten years, her eye issues could be related to long-term blood sugar shifts or diabetic eye changes, rather than a direct medication side effect. It is very important to have her eyes evaluated by an eye specialist soon. For her diabetes, her doctor can safely transition her to other effective generic alternatives like metformin, or a DPP-4 inhibitor such as sitagliptin. Please consult her healthcare provider before making any medication changes, as they will tailor the best, safest treatment plan for her.

Diapride (glimepiride) and Avas (atorvastatin) are highly effective, but eye symptoms should always be evaluated promptly. Sometimes, visual changes are related to fluctuations in blood sugar or underlying diabetes itself rather than the medications. Please do not alter her dosage without medical supervision. I highly recommend scheduling a comprehensive eye exam with an ophthalmologist. Her doctor can safely discuss alternative options, such as other blood-pressure or diabetes-regulating medications (like metformin or alternative cholesterol agents), if they determine a change is necessary.

A morning sugar of 230 with weight loss and feeling low means his diabetes is not controlled and needs a doctor's review soon. He should not stop his current medicines and may require tests like HbA1c and dose adjustment. Until then, he should eat small, regular meals and check his sugar often.