Type 2 -using Amaryl 2 mg & Januvia 100 mg ... - Diabetes India

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Type 2 -using Amaryl 2 mg & Januvia 100 mg in morning with Amaryl 1mg evening.FBS is above 180 Can I increase evening dose to 200mg Amaryl?

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gangadharan_nair

Fasting blood sugar (FBS) should be less than 100 mg/dL.

Stop consuming food after 6:00 pm. This will slowly reduce your FBS.

Glimepiride (generic name) Amaryl-2 (brand name) is used along with diet and exercise, and sometimes with other medications, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Glimepiride lowers blood sugar by causing the pancreas to produce insulin (a natural substance that is needed to break down sugar in the body) and helping the body use insulin efficiently. This medication will only help lower blood sugar in people whose bodies produce insulin naturally.

Common side effects of glimepiride include dizziness, headache, and nausea or vomiting. A rash and allergic reactions also may occur. Low blood sugar (hypoglycemia) can occur during glimepiride therapy. Symptoms of low blood sugar include hunger, nausea, tiredness, perspiration, headache, heart palpitations, numbness around the mouth, tingling in the fingers, tremors, muscle weakness, blurred vision, chilliness, excessive yawning, irritability, confusion, or loss of consciousness.

Glimepiride is a derivative of a sulfonamide drug. People allergic to other sulfonamide-related drugs may develop an allergic reaction to glimepiride.

Sitagliptin (generic name) Januvia (brand name) is used along with diet and exercise and sometimes with other medications to lower blood sugar levels in patients with type 2 diabetes (condition in which blood sugar is too high because the body does not produce or use insulin normally). Sitagliptin is in a class of medications called dipeptidyl peptidase-4 (DPP-4) inhibitors. It works by increasing the amounts of certain natural substances that lower blood sugar when it is high.

The most common side effects of sitagliptin are upper respiratory tract infection and headache. Sitagliptin also is associated with abdominal pain, nausea and diarrhea. There have been reports of fatal and non-fatal pancreatitis following use of sitagliptin. Acute kidney failure and severe hypersensitivity reactions have also been reported during treatment with sitagliptin.

The dosage of anti-diabetic medication should be increased or decreased only with reference to FBS and PPBS and urine sugar.

Please see my blogs on diabetes management.

Source:--

en.wikipedia.org/wiki/Glime...

nlm.nih.gov/medlineplus/dru...

medicinenet.com/glimepiride...

en.wikipedia.org/wiki/Sitag...

nlm.nih.gov/medlineplus/dru...

en.wikipedia.org/wiki/Diabe...

diabetesindia.healthunlocke...