Metformin 500 mg bd after meal....and just before meal in the evening glimepiride 1mg.....no other treatment required....no glargine no flogin...as his ppbs 210 and fbs 140....means those insulin and flozin are not helping him atalll.....and hydration required while he is not fasting....

Learn about optimal diabetes treatment with Metformin and Glimepiride. Discover hydration strategies and meal timing for better blood sugar control.

Effective Diabetes Management: Metformin & Glimepiride

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<p>The month of Ramadan is an important time of spiritual reflection and observance for Muslims worldwide. However, Ramadan fasting can pose challenges for individuals with diabetes, affecting their glycemic control. There are several key risks associated with diabetes during Ramadan such as Hypoglycemia, Hyperglycemia, Diabetic ketoacidosis, dehydration, and thrombosis.</p>

<p>Case Scenario- Mr. Ahmed Sheikh, 60-year-old university professor with type 2 diabetes for 10 years, intends to fast during Ramadan. During Ramadan, he breaks fast by having carbohydrate rich diet leading to hyperglycemia during the evening time. His fasting period lasts up to 18 hours per day and therefore he is worried about experiencing hypoglycemia during Ramadan fasting time and is seeking guidance on how his diabetes treatment plan can be tailored to minimize this risk.&nbsp;The patient has an active medical history of hypertension and dyslipidemia. He is currently prescribed dapagliflozin 10 mg/day and metformin 1000 mg/day in the morning, as well as glargine U-100 16 units at night for diabetes and Telmisartan 40 mg/day for hypertension. Additionally, he is taking Atorvastatin 10 mg at night for dyslipidemia. Recent laboratory reports indicate elevated levels of HbA1c at 8.2%, fasting blood glucose at 140 mg/dL, and postprandial blood glucose at 210 mg/dL.</p>

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Managing Diabetes During Ramadan Fasting

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Metformin mg bd after meal

Clinical case discussion shared for educational purposes and professional medical opinion.

Metformin mg bd after mea...