This shows that the Glycomet (metformin) is working effectively to manage your PCOD. Please do not stop taking it or your Thyronorm without consulting your doctor, as stopping suddenly could cause your symptoms to return. Metformin helps maintain your insulin levels and hormonal balance. Common side effects of Glycomet include mild stomach upset, nausea, or bloating, which usually improve as your body adjusts. Please discuss a safe, long-term plan with your doctor before making any changes.

Switching to your current regimen of voglibose and metformin likely reduced the overall strength of your treatment compared to your previous combination, leading to these higher blood sugar readings. To optimize your control, your doctor may need to adjust your dosages or reinstate helper medications like a DPP-4 inhibitor or sulfonylurea. Regarding the trace yeast in your urine, this is very common when blood sugars are elevated, as excess sugar in the urine encourages mild yeast growth. It is usually harmless but highlights the need to gently bring your glucose levels back into balance. Please consult your doctor soon to safely adjust your plan.

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.

While some people explore homeopathy for symptom relief, there is limited scientific evidence showing it can repair tendon damage. Fortunately, homeopathic remedies generally do not interfere with your daily diabetes medication, Glycomet-GP1 (glimepiride/metformin). Since physical therapy hasn't helped, I gently recommend consulting an orthopedic specialist. They can review your imaging and discuss other safe options, such as targeted injections, to help you regain your mobility comfortably.

Type 2 diabetes is naturally progressive. Over time, the body's pancreas produces less insulin, which often requires medication adjustments to keep your blood sugar stable. This is a natural part of the condition's progression, not a sign that your body is resistant to the medicine or that you are doing anything wrong. To safely manage or potentially reduce your dosage of medications like metformin, continue your healthy habits and work closely with your doctor. They can safely adjust your treatment plan based on your lab results. Please never alter your dose on your own.

Glycomet SR (metformin) is commonly used and generally considered safe during pregnancy, with low risk of harm to your baby. However, keeping your blood sugar well-controlled is very important for both your health and your baby's development. A reading of 170 mg/dL is elevated, and while your doctor evaluates your progress, they may be monitoring your patterns before deciding to start insulin.