Your palpitations and nausea could be related to your diabetes medications, which include dapagliflozin (Oxra), pioglitazone with metformin (Glitaris M Forte), and glimepiride with metformin (Glytrimet M). Combining these can sometimes cause low blood sugar (hypoglycemia)?especially during exercise?which triggers palpitations. Metformin can also cause nausea, and menopause may play a role too. Please try to check your blood sugar when this happens, and gently consult your doctor soon to review your medication doses so we can keep you feeling your best.

With levels ranging from 200 to 550 mg/dL despite taking medications like Basalog, Oxra, and GP2, his current regimen needs an urgent review. Please contact his treating doctor or an endocrinologist as soon as possible. They may need to adjust his insulin glargine (Basalog) or oral medication doses safely. In the meantime, ensure he stays well-hydrated with water and avoids skipping meals. If he experiences extreme thirst, frequent urination, nausea, or confusion, please seek immediate medical attention.

Metformin is usually the first-line medication for type 2 diabetes, as it helps lower blood sugar and improves your body?s response to insulin. Other medications, such as sulfonylureas, DPP-4 inhibitors, SGLT2 inhibitors, or insulin, may be added if needed. Your doctor will select the best option based on your blood sugar levels, overall health, and response to treatment. It is also important to monitor your blood sugar regularly and maintain a healthy diet and exercise routine.