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  5. I was previously advised to take Gemer P L 2 Tablet, but since it has been banned, my doctor switched me to Gemer 2 Tablet. However, my blood sugar levels remain high (217 mg/dL fasting and 293 mg/dL after meals). Which alternative medication can I take other than Gemer P L 2 or Gemer 2?

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I was previously advised to take Gemer P L 2 Tablet, but since it has been banned, my doctor switched me to Gemer 2 Tablet. However, my blood sugar levels remain high (217 mg/dL fasting and 293 mg/dL after meals). Which alternative medication can I take other than Gemer P L 2 or Gemer 2?

Asked by Male, 40 · 3 months ago

Your blood sugar levels remain high even while taking Gemer 2 Tablet, indicating that your current treatment is not adequately controlling your diabetes. After evaluating your kidney function, weight, and risk of hypoglycaemia (low blood sugar), your doctor may consider adding another class of antidiabetic medication, such as an SGLT2 inhibitor (e.g., dapagliflozin or empagliflozin) or a DPP-4 inhibitor (e.g., sitagliptin or linagliptin). If blood sugars continue to stay high, a GLP-1 receptor agonist (e.g., semaglutide) or insulin may be required. Do not change medications on your own. Consult your doctor to determine the safest and most effective treatment regimen.
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  1. Understanding Your Current Medication and Blood Sugar Levels

    • You are currently on Metformin and Glimepiride, which help control blood sugar by improving insulin sensitivity and increasing insulin release.
  2. Possible Reasons for High Blood Sugar Despite Medication

    • Consider factors like medication adherence, diet, exercise, and possible disease progression affecting your control.
  3. Alternative Medication Options

    • Consider DPP-4 inhibitors, SGLT2 inhibitors, GLP-1 receptor agonists, or insulin. Examples include Sitagliptin, Empagliflozin, Liraglutide, and insulin preparations.
  4. Importance of Consulting Your Doctor for Medication Adjustment

    • Discuss with your doctor about adjusting your medication or adding new treatments. Personalized advice is crucial.
  5. Additional Lifestyle and Monitoring Recommendations

    • Focus on diet, exercise, and regular monitoring. Consider consulting a diabetes educator or dietitian for additional support.
  6. Relevant Medical Specialties

    • Consult with an endocrinologist or diabetologist for specialized care.

Answered 3 months ago

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