Gliwill-Vm 2.3Mg Er Tab is a combination of anti-diabetic drugs used to treat type 2 diabetes mellitus. Type 2 diabetes is a chronic or lifelong condition that affects the way your body processes glucose. The blood glucose level increases and causes symptoms such as frequent urination, increased thirst, and increased hunger; hence, people with type 2 diabetes either do not produce enough insulin or, if at all the insulin is produced, it is unable to perform its function in the body (insulin resistance). 

Gliwill-Vm 2.3Mg Er Tab is a combination of three antidiabetic drugs: Glimepiride, Metformin and Voglibose. Glimepiride, which is a 'sulfonylurea', acts by increasing the amount of insulin released by the pancreas. Together, these prevent the blood glucose levels from rising to very high levels, thus keeping your diabetes under control.

Gliwill-Vm 2.3Mg Er Tab should be taken with food to avoid an upset stomach. Based on your medical condition, your doctor will decide for how long you need to take Gliwill-Vm 2.3Mg Er Tab . Gliwill-Vm 2.3Mg Er Tab may cause certain common side effects such as hypoglycaemia (low blood glucose levels), taste change, nausea, diarrhoea, stomach pain, headache, and upper respiratory symptoms. Most of these side effects do not require medical attention and will resolve gradually over time; however, if you experience these side effects persistently, consult your doctor.

Do not stop taking Gliwill-Vm 2.3Mg Er Tab without consulting your doctor, as abrupt stopping may increase your sugar levels, which could further increase the risk of eyesight loss (retinopathy), kidney (nephropathy) and nerve damage (neuropathy). Gliwill-Vm 2.3Mg Er Tab should not be taken if you have type 1 diabetes mellitus or severe kidney or liver disease. Please inform your doctor if you have any type of heart disease, are planning to get pregnant or are breastfeeding.

Gliwill-Vm 2.3Mg Er Tab contains Glimepiride, Metformin and Voglibose. Glimepiride, which is a 'sulfonylurea', acts by increasing the amount of insulin released by the pancreas. Metformin, which is a 'biguanide', acts by lowering the glucose production in the liver, delaying glucose absorption from the intestines and increasing the body's response to insulin. Voglibose, which is an 'alpha-glucosidase inhibitor', prevents the breakdown of complex sugars into simple sugars such as glucose in the intestine. Gliwill-Vm 2.3Mg Er Tab prevents the blood glucose levels from rising to very high levels, thus keeping your diabetes under control. Gliwill-Vm 2.3Mg Er Tab also helps to prevent serious complications of diabetes such as kidney damage (Diabetic Nephropathy), blindness (Diabetic Retinopathy), loss of sensation in your hands and feet (Diabetic Neuropathy), Gliwill-Vm 2.3Mg Er Tab also helps to reduce your chance of having a heart attack or stroke. Being a combination of three drugs, Gliwill-Vm 2.3Mg Er Tab  reduces the need to take multiple pills and hence makes it easier to remember to take the drugs.

• Hypoglycaemia (low blood glucose level) 
• Taste change
• Nausea
• Diarrhoea
• Stomach pain
• Flatulence
• Headache
• Upper respiratory symptoms

Some diabetic patients taking Gliwill-Vm 2.3Mg Er Tab may develop a rare but serious condition called lactic acidosis. In this condition, too much lactic acid accumulates in the blood. So, your liver and kidney's proper functioning is required for the elimination of excess lactic acid from the blood. You should not take Gliwill-Vm 2.3Mg Er Tab if you have kidney disease, as measured by a blood test. Gliwill-Vm 2.3Mg Er Tab may lower vitamin B12 levels, so try to have blood tests annually blood and vitamins. Gliwill-Vm 2.3Mg Er Tab , when used with or without insulin, has the tendency to extremely lower the blood sugar level. So, the doctor may lower the dose of insulin. Gliwill-Vm 2.3Mg Er Tab may lower your thyroid-stimulating hormone (TSH), so an annual check-up of TSH is suggested.

Drug-Drug Interaction: Gliwill-Vm 2.3Mg Er Tab may interact with insulin, high blood pressure-lowering pills (hydrochlorothiazide, amlodipine), water pills/diuretics (furosemide), heart failure-related medicines (digoxin), anti-hypertensive (metoprolol), steroids (prednisolone), thyroid hormones etc. So, tell your doctor if you are using these drugs before taking Gliwill-Vm 2.3Mg Er Tab .

Drug-Food Interaction: Taking Gliwill-Vm 2.3Mg Er Tab with alcoholic beverages may increase the risk of a rare but serious and potentially life-threatening condition known as lactic acidosis (build-up of lactic acid in the blood) and hypoglycaemia.

Drug-Disease Interaction: Gliwill-Vm 2.3Mg Er Tab should be avoided in patients with vitamin B12 deficiency, kidney problems, liver problems, cardiovascular disease (heart-related issues) and low blood sugar level (hypoglycaemia) as it may worsen the condition.

• HYDROCHLOROTHIAZIDE
• FUROSEMIDE
• AMLODIPINE
• DIGOXIN
• PREDNISOLONE
• METOPROLOL

• Fill your half plate with starchy veggies, quarter with proteins and quarter with whole grain.
• Eat at regular intervals. Do not take the long gap between a meal or snack.
• Monitor your blood sugar level regularly, especially when there are a lot of fluctuations.
• Invest in at least 150 min of moderate-intensity physical activity and 15 minutes of high-intensity exercise every week.
• Lose weight gradually to achieve a healthy body mass index (18.5 to 24.9).
• Replace refined carbohydrates-containing foods with wholegrain foods and increase intake of fruits and veggies and other fibre-enriched foods.
• Reduce intake of saturated fat (or hidden fats) in the food like chips, crisps, pastries, biscuits and samosas. Choose omega-3 fatty acid-containing oils for daily cooking. For frying, you may use palm oil, mustard oil, groundnut oil, rice bran oil and safflower oil.
• Do not take stress as it may elevate your blood sugar level. You may adopt stress management techniques like mindfulness, yoga or meditation to control stress-related blood sugar changes.
• Opt for low-fat dairy products (low-fat yoghurt, fat-free milk and cheese etc.).
• Keep your blood pressure as normal (120/80) as possible. As it reduces the risk of cardiovascular diseases in diabetes patients.

• Keep taking the drug even if you think your blood sugar levels are under control. If you miss a dose, do not take a larger dose; consult your treating physician for advice. 
• Take short, frequent meals, and avoid prolonged fasting when taking this drug. Beware of symptoms of hypoglycaemia, which include sweating, dizziness, palpitations, shivering, intense thirst, dry mouth, dry skin, frequent urination, etc. Whenever you experience the above-mentioned symptoms, immediately consume 5-6 candies, 3 glucose biscuits or 3 teaspoons of honey/sugar and also get in touch with your physician. Make sure to carry these with you at all times, especially for long travels. 
• It is always better that your physician knows about any underlying conditions like kidney disease or liver disease, prior heart attack, alcohol intake, etc. before the doctor prescribes this medicine.
• Avoid drinking alcohol while on this drug as it increases the risk of hypoglycaemia (a decrease in blood sugar, which might be fatal in some cases) and lactic acidosis (when the lactic acid increases in the body, which impacts the functioning of various organs in the body).
• Try to quit smoking and reduce your intake of carbohydrate-rich food like potatoes, rice, mangoes, bread, sugar, etc.
• Remember, lifestyle modifications are the most important step in controlling blood sugar levels.

Diabetes Mellitus type 2 is a condition in which either the body stops producing enough insulin (the hormone which helps to decrease sugar levels in the blood) or there is resistance to the action of insulin. As a result, excessive insulin is produced but it fails to act on the organs of the body. Symptoms of type 2 diabetes include feeling exhausted all time, feeling thirsty, having blurry vision, and urge to urinate (pee) more often. Complications of type 2 diabetes include skin infection, eye problems (retinopathy), nerve damage (neuropathy), diabetic foot (foot ulcer), kidney disease (nephropathy), high blood pressure and even stroke.