Leg pain and weakness can sometimes occur as the body adjusts to lower blood sugar levels. It could also be related to diabetic nerve changes (neuropathy) or a mild vitamin B12 deficiency, which can occasionally happen with metformin, an active ingredient in his prescribed medications. Please consult his doctor soon. They can easily check his vitamin levels, evaluate his nerves, and adjust his treatment to make him much more comfortable.

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.

Since you are taking Glycomet SR (metformin), exercising can sometimes lower your blood sugar too much, leading to nausea. Additionally, metformin itself can cause mild stomach upset, which intense physical exertion can make more noticeable. Sometimes, taking your Remylin D or metformin on an empty stomach before a workout, or simple dehydration, can also trigger this feeling. Try having a small, carb-rich snack before exercising and stay well-hydrated. If this continues, please consult with your doctor to monitor your blood sugar levels.

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.

It is very common to see a rise in blood pressure, like your 130/98 reading, after stopping a beta-blocker like Ciplar (propranolol), especially if stopped suddenly. Additionally, PCOS, insulin resistance?for which you take Glycomet (metformin)?and weight are all closely linked to cardiovascular health and can contribute to higher readings. Please don't be alarmed, as this is a very manageable situation. I highly recommend speaking with your doctor to safely monitor your blood pressure transition and discuss how managing your insulin resistance can help support healthy blood pressure levels moving forward.

The steroid medication, Dexona (dexamethasone), is highly effective for COVID-19 but temporarily causes significant increases in blood sugar levels. Please be reassured that this is a temporary effect that will improve once the steroid treatment is completed. Since her blood sugar remains high at 325 despite her current insulin, please contact her treating doctor or an endocrinologist immediately. They will safely adjust her insulin doses during this recovery period. Ensure she stays well-hydrated. Once she recovers and stops the steroids, her blood sugar should return to her baseline, allowing her to eventually transition back to Glycomet GP1 under medical guidance.