Voglibose+repaglinide

• Before taking this medication, tell your doctor or healthcare professional if you are allergic to Repaglinide and voglibose, or have other allergies.
• Repaglinide+voglibose should not be taken if you have type 1 diabetes mellitus or severe kidney or liver disease.
• Inform your doctor if you are pregnant, breastfeeding, taking any other medicines or have pre-existing medical conditions.
• Avoid drinking alcohol while on Repaglinide+voglibose. It increases the risk of hypoglycaemia (a decrease in blood sugar, which might be fatal in some cases) and lactic acidosis (when the lactic acid increases in the body, impacting the functioning of various organs in the body).

Drug-Drug Interactions: Repaglinide+voglibose may interact with certain medicines, potentially increasing side effects. Inform your doctor if you are taking any of the following:

• Beta-blocker medications (metoprolol)
  • Potential effect: May hide the symptoms of hypoglycemia (low blood sugar levels).
• Antidiabetic drugs (Metformin, Insulin, Empagliflozin)
  • Potential effect: May increase the risk of increased blood sugar levels.
• Lipid-lowering drugs (Gemfibrozil)
  • Potential effect: May raise the levels of repaglinide.
• Antibiotics (Clarithromycin, erythromycin)
  • Potential effect: May raise the levels of repaglinide.
• Antifungal drugs (ketoconazole)
  • Potential effect: May raise the levels of repaglinide.
• Cardiac glycosides (Digoxin)
  • Potential effect: Voglibose might decrease its absorption.

Drug-Food Interactions: Intake of excessive alcoholic beverages may increase the chance of a life-threatening condition known as lactic acidosis. So, avoid intake of alcoholic beverages with Repaglinide+voglibose.

Drug-Disease Interactions: Inform your doctor if you have a history of the following conditions before taking Repaglinide+voglibose, as it may worsen your condition or cause complications.

• Type I diabetes
• Cardiovascular disorders
• Low blood sugar
• Liver disease
• Kidney problems.

Healthy eating habits:

• Consume meals on a regular basis to prevent abrupt changes in blood sugar levels.
• Select low-glycemic foods such as legumes, veggies, and whole grains.
• Reduce your intake of processed carbs, sugary meals, and sweets.
• At every meal, include enough protein (dal, eggs, fish, curd).
• Don't miss meals, especially after taking medication.
• To lessen post-meal sugar increases, eat small quantities.

Lifestyle changes:

• Limit smoking and drinking because they have an impact on glucose regulation.
• Maintain a healthy weight by eating well and exercising.

Physical activity:

• Invest at least 150 minutes of your week in moderate-intensity physical activity or one hour and 15 minutes of high-intensity exercise every week.
• Losing weight gradually to achieve a healthy body mass index (18.5 to 24.9).

Blood Sugar monitoring:

• Regularly check blood sugar levels throughout fasting and after meals, particularly after major meals.
• Keep track of readings and keep an eye out for symptoms of low blood sugar, such as perspiration, lightheadedness, and hunger.
• To evaluate long-term control, have your HbA1c checked every three months.

• Take short, frequent meals, and avoid prolonged fasting when taking Repaglinide+voglibose. Beware of symptoms of hypoglycaemia (low blood sugar), which include sweating, dizziness, palpitations, shivering, intense thirst, dry mouth, dry skin, frequent urination, etc. Whenever you experience any of these symptoms, immediately consume 5-6 candies, three glucose biscuits, or three teaspoons of honey/sugar and get in touch with your physician. Make sure to carry these with you at all times, especially during long travels.