Metsmall GV1 Tablet 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). 

Metsmall GV1 Tablet 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.

Metsmall GV1 Tablet 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 Metsmall GV1 Tablet . Metsmall GV1 Tablet 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 Metsmall GV1 Tablet 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). Metsmall GV1 Tablet 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.

Metsmall GV1 Tablet 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. Metsmall GV1 Tablet prevents the blood glucose levels from rising to very high levels, thus keeping your diabetes under control. Metsmall GV1 Tablet 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), Metsmall GV1 Tablet also helps to reduce your chance of having a heart attack or stroke. Being a combination of three drugs, Metsmall GV1 Tablet  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 Metsmall GV1 Tablet 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 Metsmall GV1 Tablet if you have kidney disease, as measured by a blood test. Metsmall GV1 Tablet may lower vitamin B12 levels, so try to have blood tests annually blood and vitamins. Metsmall GV1 Tablet , 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. Metsmall GV1 Tablet may lower your thyroid-stimulating hormone (TSH), so an annual check-up of TSH is suggested.

• 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.