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  5. I was using Glimison M 1/500. Half a pill per day Although my diabetes was under control, I've heard that metfprmin is not beneficial for kidney disease.Can I use glimipiride alone because my creatinine level remains between 1.0 and 1.7? Is it safe? In the morning, my sugar level is between 100 and 110. What would be the necessary dosage? 1_2_3 mg? I had a heart attack, and three of my arteries are 20% blocked.

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I was using Glimison M 1/500. Half a pill per day Although my diabetes was under control, I've heard that metfprmin is not beneficial for kidney disease.Can I use glimipiride alone because my creatinine level remains between 1.0 and 1.7? Is it safe? In the morning, my sugar level is between 100 and 110. What would be the necessary dosage? 1_2_3 mg? I had a heart attack, and three of my arteries are 20% blocked.

Asked by Male, 49 ยท 23 days ago

With a creatinine of 1.0?1.7, Metformin is often still safe if kidney function (eGFR) is adequate, so it should not be stopped without your doctor?s advice. Using Glimepiride alone can increase the risk of low sugar, especially since your fasting levels (100?110) are already well controlled, and doses like 1?3 mg must be individualised. Given your past Myocardial infarction and mild kidney concern, the safest approach is to review your eGFR and medications with your doctor, as they may prefer continuing low-dose metformin or switching to heart-friendly drugs rather than increasing glimepiride on your own.
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  1. Safety of Using Glimepiride Alone with Kidney Concerns

    • Glimepiride alone may be cautiously used with a creatinine level of 1.0โ€“1.7, but kidney function should be regularly monitored. Consult with a healthcare provider to adjust or reassess therapy based on kidney status.
  2. Specialist to Consult

    • Consult an endocrinologist for diabetes management and a nephrologist for concerns regarding kidney function, particularly given your history of heart attack and current creatinine levels.
  3. Dosage Guidance for Glimepiride

    • Standard starting dose is 1-2 mg daily with meals; adjust based on blood sugar levels and response. For your sugar levels (100-110), 1 mg may suffice but should be personalized by your doctor.
  4. Summary of Medical History

    • History includes a heart attack and 20% artery blockage. Creatinine level ranges from 1.0 to 1.7, indicating ongoing kidney monitoring. Diabetes management is essential, requiring careful choice and dose adjustment of medication.

Answered 18 days ago