It is wonderful that your blood sugar is at a healthy 90, which shows your treatment is working well. Please do not stop taking your Glycomet-500 (metformin) without consulting your doctor, as stopping it suddenly could cause your sugar levels to rise again. To keep you and your baby safe, it is very important to continue monitoring your fasting and post-lunch blood sugar levels as advised. This tracking helps your healthcare team ensure your levels stay stable during these final weeks. Please share these normal readings with your doctor at your next visit.

Sudden swelling is very rarely a sign of cancer, which typically develops slowly. Instead, it is much more commonly caused by a mild infection, a swollen lymph node, or thyroid inflammation. Your PCOS medications?Glycomet SR (metformin), Normoz, and Evacare?are not known to cause throat swelling, though a rare allergic reaction is always possible. I highly recommend having a doctor examine your throat in person to find the exact cause and give you peace of mind. Please seek immediate care if you have trouble breathing or swallowing.

Generally, doing 16:8 intermittent fasting while taking Glycomet SR 500 (metformin) is relatively safe, as metformin has a low risk of causing dangerously low blood sugar. However, since you take it twice a day, you will need to carefully align your doses with your 8-hour eating window to avoid stomach upset. Because you also manage a thyroid condition, which heavily influences your metabolism, it is incredibly important to discuss this plan with your doctor first. They can help monitor your thyroid levels and safely adjust your medication schedule to fit your new routine.

Since her HbA1c is fluctuating between 6.3% and 8.3% despite her efforts, her current regimen?including Glycomet GP3 (metformin/glimepiride) and voglibose?may need adjustment. I highly recommend consulting her doctor to discuss 'pill fatigue.' They can often simplify her routine by using combination tablets to reduce the daily pill count. Managing stress and thyroid levels also plays a huge role in blood sugar stability.

Since your period is two days late, you can take a home pregnancy test now, preferably using your first morning urine for the most accurate result. Please do not stop taking your Glycomet (metformin) to try and force your period. Metformin helps manage your PCOS by regulating your insulin and hormones, which actually supports ovulation and a healthy pregnancy. Stopping it suddenly can disrupt your cycle further. If the test is negative, wait a few days and test again, and consult your doctor before making any medication changes.

It is completely normal to feel hesitant about starting medication right now. A blood sugar reading of 157 is high, and managing it is very important for your health and your baby's development. Glycomet (metformin) is commonly prescribed during pregnancy to help safely lower blood sugar when diet and exercise aren't quite enough. While it is highly effective and widely used, please discuss your preferences with your doctor. They can help you decide if a brief trial of dietary changes is safe first, or explain why starting metformin now is the safest step for your growing baby.