Case History :
A 62 year old female comes to your OPD.
She is a known diabetic and hypertensive.
She is taking Tablet Glicon 5 mg per day for her Diabetes since last 6 months.
Her BP is found to be 150/90 mmHg
She has been complaining of recent apprehension and attacks of shaking /tremors and dizziness and cold sweats.
What would be next Investigations that you will carry out :
1. Random Blood Sugar
2. ECG
Her ECG is found to be normal but her sugar levels are 124 mg/dl.
What is the Diagnosis :
Glicon ( Glimeperide induced Hypoglycemia)
How will you rectify this problem :
Stop Glicon and advise Dietry discretion and a healthy life style to keep her blood sugar levels at appropriate levels.
From the history , it seems that the patient was having symptoms associated with hypoglycemia or cardiac origin.
However her ECG was found to be normal and no mention of chest pain was present on the history as well thus excluding cardiac causes of this problem.
Her Blood glucose levels are found to be on a lower side now meaning she can stop her Glicon tablet and maintain a healthy diet and lifestyle and do physical exercises suitable for her age and keep checking her blood glucose levels regularly.
Glicon ( Glimeoeride ) is a medication used to treat Diabetes Mellitus Type 2.
It is less preferred than Metformin for treatment in Diabetes.
It takes up to 3 hours for it to have maximum effect and effects last for 1 day.
Glimepreide works by causing the pancreas to produce insulin and helps the body use insulin effectively.
This medication helps lowering of blood glucose in patients whose pancreas produce insulin naturally.
Its side effects include :
Hypoglycemia
Headache
Dizziness
Weakness
Unexplained Weight gain
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