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.

Yes, using progestogen treatments like Deviry (medroxyprogesterone) and Proluton Depot (hydroxyprogesterone caproate) is a common medical approach to help induce a period in PCOS, especially while managing your condition with Glycomet (metformin). Experiencing only light spotting instead of a full flow can happen if your uterine lining is quite thin, which is very common with the hormonal fluctuations of PCOS. This is not a cause for panic. Please discuss this result with your gynecologist to evaluate your hormone levels and plan the next steps.

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.

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.

With an HbA1c of 8.5%, your blood sugar is a bit high, but we can absolutely get it to a safer range. Metformin sustained-release is a gentle, effective starting medication. However, because your HbA1c is 8.5%, starting with a combination of sitagliptin and metformin may help lower your levels more quickly and effectively. Sitagliptin helps your body release more insulin when needed, while metformin reduces sugar production in your liver. Together, they offer stronger results than metformin alone with very little risk of low blood sugar.

While increasing Glycomet (metformin) 250 mg to twice daily is a common adjustment and generally safe since the total dose remains well within the safe daily limit alongside Trajenta Duo (linagliptin/metformin), it is crucial to consult your doctor before making this change. Because of your cardiac history, your doctor will want to check your kidney function first and ensure this is the safest way to bring your HbA1c down from 8.1%. Please share these readings with your physician to safely adjust your plan.