The excessive sweating and weakness she is experiencing while taking Glycomet-GP1 (which contains glimepiride and metformin) could be related to fluctuations in her blood sugar. While her fasting level of 93 is excellent, her after-meal level of 226 is high. Sometimes, active ingredients like glimepiride can cause blood sugar levels to drop quickly, triggering sweating and weakness. Please monitor her blood sugar levels right when she experiences these symptoms to catch any sudden drops. I assure you this is manageable; please consult her doctor to safely adjust her dosage and help stabilize her post-meal sugar levels.

To better manage your blood sugar, continue taking metformin as prescribed and monitor your blood glucose levels at home. Focus on a balanced diet with controlled portions, reducing sugary foods and refined carbohydrates. Regular physical activity, like brisk walking, can help improve insulin control. Also, follow up with your doctor for periodic checks and treatment adjustments if needed.

It is not safe to stop these medications without a doctor's guidance. Her blood sugar and blood pressure readings were likely normal because Glycomet (metformin) and Calaptin (verapamil) were working effectively to control them. When these medications are stopped, blood pressure and blood sugar can quietly rise again without causing immediate symptoms, which can be risky over time. Please schedule a visit with her doctor soon to check her current levels and safely decide the best next steps for her treatment plan.

Regarding your medications, Glycomet (metformin) is generally considered safe during breastfeeding, as only tiny amounts pass into breast milk and are highly unlikely to affect your toddler. Reclide XR 60 (gliclazide) also passes into breast milk in very small quantities, but carries a slight risk of lowering your baby's blood sugar. Since your child is older and eating solid foods, this risk is very low. However, please monitor them for unusual sleepiness. I highly recommend discussing these medications with your doctor to ensure the safest plan for you and your baby.

while taking Glycomet-GP1, Isryl-M1, and Gabapin NT 100. Please stay reassured; we can find a solution. Your current diabetes medications contain metformin and glimepiride. Since your levels remain high, your doctor may consider optimizing these doses or adding different classes of medicine, such as SGLT2 inhibitors (like empagliflozin), DPP-4 inhibitors (like sitagliptin), or potentially insulin therapy to safely bring your numbers down. I highly recommend discussing these options with your doctor soon to safely adjust your treatment.

Since your fasting levels are high and you previously required insulin (Toujeo and Humalog) and metformin (Glycomet SR), your body likely needs a combination of these treatments again. It is very important to see your doctor or an endocrinologist immediately for a proper evaluation and a personalized prescription.