Taking your levothyroxine (Thyroxine) first thing in the morning on an empty stomach, and then waiting one hour before having breakfast with your Glycomet (metformin), is the ideal way to take these medications. Levothyroxine needs to be absorbed on an empty stomach, while metformin is best taken with food to prevent mild stomach upset. You are doing a wonderful job managing your health, and this schedule will help both medications work beautifully for you.

Yes, you can take Januvia (sitagliptin) and Glycomet (metformin) together. Istamet is a combination pill containing both of these exact medicines, so taking them separately works the same way. However, please double-check your Glycomet dose with your doctor, as "1mg" is likely 1 gram (1000mg). It is safest to confirm that these individual doses match your prescribed Istamet strength before making the switch to ensure your blood sugar remains perfectly balanced.

During pregnancy, target blood sugars are typically under 95 mg/dL before meals and under 120 to 140 mg/dL after eating. Your reading of 143 after eating is only slightly above this range. Please continue taking your GLYCOMET (metformin) as prescribed. Focus on balanced, fiber-rich meals and gentle walks after eating to help manage these levels. Always discuss these readings with your obstetrician or endocrinologist to safely tailor your treatment plan.

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.

Switching from Glycomet (metformin) to Glycomet plus PPG 0.2 (metformin and voglibose), and now to Amaryl M1 (glimepiride and metformin) indicates your body may need a different approach to manage insulin resistance or insulin production. Over time, diabetes management needs to evolve. Seeing an endocrinologist is an excellent idea. A specialist can tailor a treatment plan specifically for your body's current needs to safely bring your fasting and post-meal sugars into balance.

Your sugar levels are slightly high, which means the current treatment may need adjustment. Do not change the dose on your own. Your doctor can review your readings and decide if the dose needs to be changed or if another medicine should be added.