Combination of glimeperide 80mg and metformin 500mg

[20:24] Dr.Albana Sejdini: Hi Dr.Albana assisting

[20:24] Visitor: ok. Thank you very much.
[20:25] Visitor:: I want to ask about blood sugar levels
[20:25] Visitor:: I was on diabetic medicines for last one year
[20:26] Visitor:: to start with I was diagnosed with diabetes in Dec 2016 with HBA1c of 97

[20:26] Visitor:: I was on combination of glimeperide 80mg and metformin 500mg twice a day

[20:26] Visitor:: Recently my GP changed it to just glimeperide 1mg
[20:27] Visitor:: hoe much blood sugar levels I should maintain
[20:27] Visitor:: fasting and post meal and random
[20:27] Visitor:: please help me so that I monitor my self with blood glucose meter at home

[20:28] Dr.Albana Sejdini: Please tell me your last diabetes test results?

[20:29] Visitor:: pre meal sugar with monitor was 111 mg/dl and post meal 187mg/dl
[20:30] Visitor:: HBA1C in Dec was 38 but that is when I was taking 2 80mg glimeperide and 500mg metformin. Now since I left with only 2 1mg glimeperide my sugar levels have increased and causing me low energy

[20:30] Dr.Albana Sejdini: Ok thank you for providing the lab reports
[20:30] Dr.Albana Sejdini: To me they seem perfect
[20:31] Dr.Albana Sejdini: You’ve been controlling your blood sugar perfectly explaining why your doctor put you on glimepiride only

[20:31] Dr.Albana Sejdini: The reason why you feel weak, could be due to hypoglycemia episodes you might experience
[20:32] Dr.Albana Sejdini: Please check your blood sugar at that moment

[20:32] Visitor:  oh ok.. But I am feeling low energy and low sex drive..

[20:32] Dr.Albana Sejdini: The meds like glimepiride can cause hypoglycemia quite often

[20:32] Visitor:: Since I am diagnosed with diabetes my energy is plummeted

[20:33] Dr.Albana Sejdini: Check your electrolytes and vitamin levels
[20:33] Dr.Albana Sejdini: Multivitamin supplements are encouraged to use

[20:33] Visitor: which one would you advise for this
[20:34] Dr.Albana Sejdini: Check their blood levels first to have a complete panorama first

[20:35] Visitor:: Thank you very much for your advise today.
[20:35] Visitor:: I am very greatful for your advise