Your mother's blood sugar levels (fasting 144 mg/dL, PP 195 mg/dL) are slightly above the ideal target range, but there is no need to panic. Since she has been diabetic since 2014, her body may need a medication adjustment. Commonly, generic medicines like metformin, sulfonylureas, or DPP-4 inhibitors are prescribed to help control these numbers. However, the exact medication and dosage depend entirely on her medical history, kidney function, and current prescription. Please consult her treating doctor or an endocrinologist for a personalized prescription. Meanwhile, encourage her to maintain a low-glycemic diet and engage in daily light walks.

Swelling in the leg by evening that improves by morning can happen due to prolonged sitting or standing, poor circulation, or sometimes as a side effect of blood pressure medicines. Try to avoid sitting for long hours, keep your legs slightly elevated while resting, and reduce excess salt in your diet. Since you have diabetes and high blood pressure, it is important to consult your doctor to check the swelling and adjust medicines if needed.

Taking 4 tablets of Glycomet 500 SR daily may be prescribed in some medical conditions, depending on factors such as blood sugar levels, kidney and liver function, other health conditions, response to treatment, and medication tolerance. The dose should always be decided by a doctor after proper evaluation and necessary tests. Do not increase or adjust the dose on your own, as self-medication may increase the risk of side effects or complications. Regular medical follow-up and monitoring are important while using this medicine.

Glycomet-500 SR Tablet should be used cautiously with alcohol. Drinking excessive alcohol while taking this medicine may increase the risk of lactic acidosis, a rare but serious condition in which lactic acid builds up in the blood. Alcohol can also affect blood sugar levels and may increase the chances of hypoglycaemia or hyperglycaemia. Occasional or moderate alcohol intake may be allowed for some people, but it is best to avoid heavy drinking or drinking on an empty stomach. Consult your doctor for personalised advice based on your diabetes control, liver health, and overall medical condition.

Your fasting blood sugar of 80-90 mg/dL is within the normal range, and a 2-hour post-meal level of 145-180 mg/dL can be slightly high but does not always confirm diabetes by itself. It is best to check tests like HbA1c or fasting and post-meal blood sugar regularly and review them with your doctor. Maintaining a healthy diet, regular physical activity, weight control, and limiting sugary or high-carbohydrate foods can help keep your blood sugar stable. Since you have other medical conditions and are taking other medicines, it is important to discuss your results with your doctor for proper evaluation and guidance.

Heaviness in the stomach, gas, bloating, and sleep disturbance can sometimes happen in people taking Glycimet 500 SR because metformin-based medicines may irritate the stomach or affect digestion in some individuals, even after long-term use. These symptoms may also become worse because of acidity, irregular meals, stress, late-night eating, poor sleep habits, or digestive problems unrelated to diabetes. Although sustained-release forms are usually gentler on the stomach, some people still develop bloating, abdominal discomfort, or gas over time. Sleeplessness may happen indirectly due to discomfort, stress, fluctuating sugar levels, or disturbed digestion. It is important to review whether your symptoms started after any dietary changes, stress, or a timing adjustment to your medicine. Taking the medicine after food, avoiding spicy or oily meals, eating smaller portions, staying hydrated, and not lying down immediately after eating may help reduce stomach discomfort. Regular sleep timing, light evening walks, and limiting tea or caffeine late in the day may also support better sleep. Talk to your doctor if the gas, heaviness, constipation, acidity, or sleep problems continue, worsen, or start affecting your appetite and daily routine.