Your fasting level of 256 and after-meal levels up to 370 indicate that your current regimen of Glycomet GP (metformin/glimepiride) and Intaglip (vildagliptin) needs a prompt review. Your body may simply require a dosage adjustment or a different combination. Please consult your doctor as soon as possible to safely update your treatment. In the meantime, drink plenty of water, monitor your levels closely, and limit carbohydrates.

Metformin hydrochloride primarily lowers blood sugar by decreasing the quantity of sugar produced by the liver and improving the body's utilisation of insulin. By assisting the pancreas in releasing more insulin into the circulation, glimepiride functions in a distinct way. They work better together to manage Type 2 Diabetes, but in order to prevent low blood sugar, regular meals and blood sugar monitoring are crucial.

Your reading of 124 mg/dL before meals is in a good range, though 198 mg/dL after meals is still slightly elevated. Because of this, it is important to continue with your current Glycomet GP-2 (glimepiride and metformin) prescription for now. Reducing your dose to GP-1 too soon could cause your blood sugar to rise again. Please consult your prescribing doctor before making any dosage changes; they may want to monitor your HbA1c levels first.

Yes, Metformin Hydrochloride and Glimepiride are commonly used together to treat Type 2 Diabetes, because they work in different ways to control blood sugar. However, they should be taken only in the dose advised by your doctor, as glimepiride can sometimes cause low blood sugar. Eat meals on time, monitor your sugar levels regularly, and watch for symptoms like sweating, dizziness, shakiness, or weakness.

Managing type 2 diabetes and high blood pressure is a journey, and you are doing great by staying informed. For Glycomet GP 1 (glimepiride/metformin), take it with meals to reduce stomach upset, and keep a source of sugar handy in case your blood sugar drops. For Terms 40 (telmisartan), try to rise slowly from sitting or lying down to prevent dizziness. Take your Bivon capsule daily as directed. Please monitor your blood pressure and blood sugar regularly, stay well-hydrated, and avoid alcohol. If you ever feel unusually dizzy or fatigued, reach out to your doctor.

Fasting levels of 180 to 200 and post-meal 200 to 250 are not well controlled. It is important not to start or change medicines on your own. Usually, the doctor may adjust your current dose, add another medicine, or sometimes start insulin, depending on your reports and overall health. Please consult your doctor soon, and meanwhile, follow a strict diet, regular exercise, and monitor sugar levels regularly.