CompositionVoglistar GM1 Tablet is used to control blood sugar in adults with type 2 diabetes when diet, exercise and fewer medicines have not been enough. It is a combination medicine containing glimepiride 1mg (a sulfonylurea), metformin (a biguanide) and voglibose (an alpha-glucosidase inhibitor).
This combination increases insulin release, reduces the sugar made by the liver and slows the digestion of carbohydrates, which is especially helpful for controlling blood sugar rises after meals. Take it with the first bite of a main meal, as prescribed, and do not skip meals after taking it.
A controlled-carbohydrate diet, regular physical activity, keeping a healthy weight and checking your blood sugar as advised are essential. Keep glucose tablets with you.
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. Treat it straight away with glucose (dextrose) tablets or gel, not table sugar, because voglibose slows how quickly ordinary sugar is absorbed. Before starting, tell your doctor if you have kidney or liver disease, heart failure, a bowel condition such as a blockage or inflammatory bowel disease, G6PD deficiency, or drink alcohol heavily, and about other medicines you take. Your doctor may pause it before surgery or scans using contrast dye, and if you become dehydrated or very unwell with vomiting or diarrhoea. Long-term metformin use can lower vitamin B12, so your doctor may check it. Do not take it if you are pregnant or breastfeeding. Seek urgent help for unusual muscle pain, fast breathing, stomach pain, feeling very cold or extreme tiredness, which can rarely signal a serious condition called lactic acidosis. Do not stop taking this medicine unless your doctor advises you to do so.
