What safe and effective diabetes medicines can help control my father's blood sugar levels, given that he is already taking Zoryal M2, Gluconorm 2, and 20 units of insulin at night, and is also being treated for heart failure (LVF)?
Since he has heart failure, managing his diabetes requires careful coordination. Zoryal M2 and Gluconorm 2 may contain overlapping active ingredients like metformin and glimepiride, which can increase the risk of low blood sugar. For individuals with heart failure, generic SGLT2 inhibitors, such as dapagliflozin or empagliflozin, are highly recommended because they safely control blood sugar while actively protecting the heart. Please consult his doctor or cardiologist to review his current medications and safely adjust his treatment plan.