Your blood sugar might currently seem normal because your body still has some natural insulin-producing capacity, or due to residual medication effects. However, irregular adherence is risky. The intense late-night hunger you experience on medication days is likely a sign of mild hypoglycemia (low blood sugar). The active ingredient glimepiride in Gemer Forte 1 stimulates insulin release, which can cause your blood sugar to drop too low, triggering hunger. You should definitely consult your doctor. They can adjust your dosages of glimepiride, metformin, and teneligliptin to better align with your routine, preventing these sudden drops and keeping your glucose levels stable and safe.