Shirten 20mg Tablet belongs to the category of medicines called “anti-diabetic” primarily used to treat type 2 diabetes, especially in persons whose sugar levels are too high and cannot be controlled by dieting and exercising. It is used alone or in combination with other drugs to lower blood sugar levels. People with type 2 diabetes either do not produce enough insulin, or the insulin produced cannot perform its function in the body (insulin resistance). Middle-aged or older individuals are most likely to suffer from type 2 diabetes, also known as adult-onset diabetes.

Shirten 20mg Tablet contains Teneligliptin, which belongs to the class of dipeptidyl peptidase-4 (DPP-4) inhibitors used Shirten 20mg Tablet is prescribed for the condition of type 2 diabetes when diet and exercise alone cannot control their blood sugar levels. It works by blocking the action of DPP-4 (an enzyme that destroys the hormone 'Incretin'). The enzyme 'Incretins' helps produce more insulin only when required and reduces the liver's blood sugar level when not needed.

Take Shirten 20mg Tablet as prescribed. You are advised to use Shirten 20mg Tablet for as long as your doctor has prescribed it for you based on your medical condition. In some cases, you may experience certain common side effects such as headache, hypoglycemia (low blood glucose levels), upper respiratory tract infection, and nasopharyngitis (infection of the nose and throat with a common cold). Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Shirten 20mg Tablet should not be stopped even if you feel better, without consulting your doctor as sugar level keeps changing. If you stop taking Shirten 20mg Tablet abruptly, it may increase your sugar levels, which could further increase the risk of eyesight loss (retinopathy), kidney (nephropathy), and nerve damage (neuropathy). Please inform your doctor if you have any heart disease is or planning to get pregnant or breastfeed. The safety and efficacy of Shirten 20mg Tablet in children have not been established, so it should not be given to them. Shirten 20mg Tablet works best when coupled with a healthy lifestyle like losing weight if you are overweight (BMI>25), eating fewer calories (low fat and sugary food), and being more physically active (at least 150 min of activity every week).

Shirten 20mg Tablet contains ‘Teneligliptin’, which belongs to the class of dipeptidyl peptidase-4 (DPP-4) inhibitors used to treat type 2 diabetes when diet and exercise alone cannot control their blood sugar levels. It works by blocking the action of DPP-4 (an enzyme that destroys the hormone ‘Incretin’). The enzyme ‘Incretins’ helps produce more insulin only when required and reduces the liver's blood sugar level when not needed. Shirten 20mg Tablet should not be used in patients with type 1 diabetes and for the treatment of diabetic ketoacidosis. Thus, Shirten 20mg Tablet plays a vital role in controlling blood sugar levels and prevents serious complications of diabetes like eyesight loss (retinopathy), kidney (nephropathy), nerve damage (neuropathy), diabetic foot ulcer, and delayed wound healing.

• Headache
  
• Hypoglycemia (low blood glucose levels)
• Upper respiratory tract infection
• Nasopharyngitis (infection of the nose and throat with a common cold)

Shirten 20mg Tablet should not be taken if you are allergic to Shirten 20mg Tablet or any of its ingredients. Please inform your doctor if you are pregnant or breastfeeding before starting Shirten 20mg Tablet. The safety and efficacy of Shirten 20mg Tablet in children have not been established, so it should not be given to them. Prolonged intake of Shirten 20mg Tablet may cause acute pancreatitis (swollen pancreas). Increased risk of hypoglycemia (low blood sugar level) can occur when Shirten 20mg Tablet is added to other anti-diabetic agents or insulin therapy. In this case, your doctor may adjust the dose of Shirten 20mg Tablet. Severe allergic reactions might occur in some patients taking Shirten 20mg Tablet like anaphylaxis, angioedema (swelling under the skin), and exfoliative skin conditions. Shirten 20mg Tablet should not be used in patients with type 1 diabetes and for the treatment of diabetic ketoacidosis.

Drug-Drug Interaction: Shirten 20mg Tablet interacts with medicines used to treat diabetes (glipizide, gliclazide, glimepiride) medicines used to treat high blood pressure (atenolol, bisoprolol, metoprolol, nadolol, propranolol), anti-depressant (bupropion, selegiline, isocarboxazid, phenelzine), painkillers (aspirin).

Drug-Food Interaction: Intake of excessive alcoholic beverages may increase the chance of a life-threatening condition known as Lactic Acidosis. So, avoid intake of alcoholic beverages with Shirten 20mg Tablet.

Drug-Disease Interaction: Shirten 20mg Tablet should be used with caution in patients with a history of pancreatitis/pancreatic disease, heart disease, severe ketosis, diabetic coma or history of diabetic coma, severe infection, surgery, and severe trauma.

• GLIPIZIDE
• GLICLAZIDE
• GLIMEPIRIDE
• ATENOLOL
• BISOPROLOL
• METOPROLOL
• NADOLOL
• PROPRANOLOL
• BUPROPION
• SELEGILINE
• ISOCARBOXAZID
• PHENELZINE
• ASPIRIN

• Fill your half plate with starchy veggies, a quarter with proteins, and a quarter with whole grains.
• Eat at regular intervals. Do not take a long gap between a meal or snack.
• Monitor your blood sugar level regularly, especially when there are lots of fluctuations.
• Invest in at least 150 min of moderate-intensity physical activity or one hour 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 whole-grain foods and increase the intake of fruits veggies, and other fiber-enriched foods.
• Reduce your intake of saturated fat (or hidden fats) in foods like chips, crisps, pastries, biscuits, and samosas. Choose omega-3 fatty acid-containing oils for daily cooking. For frying, you can 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 can adopt stress management techniques like mindfulness to control stress-related blood sugar changes.
• Opt for low-fat dairy products (low-fat yoghurt, fat-free milk, cheese, etc.).
• Keep your blood pressure as normal (120/80) as possible, as it reduces the risk of cardiovascular diseases in diabetes patients.

You should have a test of Glycated haemoglobin (HbA1C) every 3 months to check your blood glucose level control.

Type 2 Diabetes: It is a condition where the body cannot make sufficient insulin, or the insulin that it makes doesn't work properly or is utilized by our body. This can cause high blood sugar levels (hyperglycemia). Type 2 diabetes symptoms include increased thirst, frequent urination at night, slow wound healing, increased hunger, fatigue, and blurred vision. There may be weight gain in some cases, while in rare cases, weight loss may be observed. The complications of type 2 diabetes also include neuropathy (nerve problems), nephropathy (kidney problems), retinopathy (damaged retina of eyes or blindness), loss of limbs, sexual dysfunction, and an increase in the chance of heart attack or stroke.