Your bloating could indeed be related to Glycomet SR (metformin), as digestive changes are common with this medication. While metformin doesn't typically cause sharp pain, your polycystic ovary condition (PCOD) can sometimes contribute to pelvic discomfort. Sharp pain during urination and bowel movements, along with chronic constipation, are classic signs that could point to painful bladder syndrome or pelvic floor issues. I highly recommend speaking with your doctor or a gynecologist. They can safely determine the exact cause of your symptoms and help you find relief.

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 experience stomach upset and diarrhea with Glycomet (metformin), and I understand how distressing this is for your mother. Often, these side effects can be greatly reduced by switching to an extended-release formulation of metformin, which is much gentler on the stomach. Alternatively, her doctor may consider other classes of diabetes medications, such as DPP-4 inhibitors or SGLT2 inhibitors, which manage blood sugar differently. Please consult her healthcare provider before making any changes, so they can safely adjust her prescription to a more comfortable option.

Actually, metformin typically helps with weight management rather than causing weight gain. Mild bloating and a temporary loss of appetite are common side effects as your body adjusts, but these usually fade. Increased 'body heat' is not a standard side effect. To help manage stomach sensitivity, try avoiding high-sugar, fried, or highly processed foods, and limit alcohol, as these can worsen bloating. Taking your medication with meals also helps.

Your current metformin (Glycomet) therapy is working very well. Both IME 9 and BGR 34 are ayurvedic formulations. While some patients use them as supportive therapies, they cannot replace your prescribed metformin, and there is no strong clinical data to prove one is superior to the other. Adding them might also risk lowering your blood sugar too much. Since your readings are already well-controlled, please consult your doctor before starting any herbal supplements.

While Glycomet-SR (metformin) is excellent for managing PCOD, it usually takes a few months to regulate your cycle. Since you have missed your period for over two months, your doctor prescribed Primolut-N (norethisterone) to safely shed the uterine lining. While waiting a few more days is generally safe, taking the Primolut-N as prescribed is a reliable way to 'reset' your cycle safely. Once you get your period, the metformin can continue working to help make your future cycles more regular. Please follow up with your doctor.