CompositionGluconorm G1 Forte Tablet is used to control blood sugar in adults with type 2 diabetes when diet, exercise and a single medicine are not enough. It is a combination medicine containing glimepiride 1mg, a sulfonylurea, and metformin 1000mg, a biguanide, in an extended-release form.
Glimepiride helps the pancreas release more insulin, while metformin reduces the sugar made by the liver and helps the body use insulin better. The extended-release form may cause less stomach upset. Take it once a day with your first main meal, swallowed whole without crushing or chewing, as prescribed.
Eating regular, balanced meals, limiting sugary foods, staying active and keeping a healthy weight are essential. Carry glucose or a sugary snack, and check your blood sugar as advised.
This medicine can cause low blood sugar, especially if you miss or delay meals, drink alcohol or exercise more than usual; symptoms include shaking, sweating, hunger, a fast heartbeat and confusion, and should be treated straight away with glucose or sugar. Before starting, tell your doctor if you have kidney or liver disease, heart failure, G6PD deficiency, or drink alcohol heavily, and about other medicines you take. Your doctor may pause it before surgery or scans using contrast dye, or if you become dehydrated or very unwell. Long-term metformin use can lower vitamin B12. Do not take it if you are pregnant or breastfeeding. Seek urgent help for unusual muscle pain, fast breathing, stomach pain and extreme tiredness. Do not stop taking this medicine unless your doctor advises you to do so.
