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glipizide and metformin, glip-i-zide and met-for-min, combination, treat high blood sugar levels that are caused by a type, diabetes mellitus, sugar diabetes, type 2 diabetes, normally, after you eat, pancreas releases insulin, body store excess sugar for later use, this process occurs during normal digestion, food, in type 2 diabetes, body does not work properly to store the excess sugar, sugar remains, in my bloodstream, chronic high blood sugar can lead to serious health problems, future, proper diet is the first step in managing type 2 diabetes, often medicines, with two actions, glipizide and metformin helps the body, cope with high blood sugar , glipizide stimulates the release, insulin from the pancreas, directing my body to store blood sugar, metformin has three different actions: it slows the absorption, sugar, in my small intestine; it also stops my liver from converting stored sugar into blood sugar, it helps the body, use my natural insulin more efficiently, dosage forms, oral, tablets, using the medicine, weighed against the good it will do, for glipizide and metformin the following should be considered: tell my doctor, allergic reaction to glipizide, metformin, allergic to any other substances, foods, preservatives, dyes, glipizide and metformin combination has not been studied in pregnant women, animals, independent studies with glipizide and also with metformin have not shown that either medicine causes birth defects , other problems in animal studies, easier during pregnancy to control my blood sugar by using injections, insulin rather than by taking oral diabetes medicines, close control, blood sugar can reduce the chance, baby gaining too much weight, having birth defects , having high blood sugar before birth, pregnant, may become pregnant, when breast-feeding , not known whether glipizide, metformin passes into human breast milk, most medicines pass into breast milk in small amounts, used safely while breast-feeding , mothers, taking this medicine and who wish to breast-feed, studies on this medicine, done only in adult patients, glipizide and metformin in children with use in other age groups, some older adults, more sensitive than younger adults to the effects, the first signs, low, high blood sugar are not easily seen, do not occur at all in older adults, this may increase the chance, low blood sugar developing during treatment, are more likely to have age-related problems and glipizide and metformin should be used carefully as age increases, should not be started in adults over 80 years, age unless kidney function is not reduced, an interaction might occur, change the dose, when you are taking glipizide and metformin, alcohol, drinking alcohol may increase the risk, developing lactic acidosis and/or very low blood sugar , beta-adrenergic blocking agents, acebutolol, sectral, atenolol, tenoretic, tenormin, betaxolol, kerlone, bisoprolol, zebeta, ziac, carteolol, cartrol, carvedilol, coreg, labetalol, normodyne, metoprolol, lopressor, toprol, nadolol, corgard, corzide, oxprenolol, trasicor, penbutolol, levatol, pindolol, visken, propranolol, inderal, inderide, sotalol, betapace, sorine, timolol, blocadren, timolide, beta-adrenergic blocking agents can hide the symptoms, low blood sugar , hypoglycemia, this, a person with diabetes might not recognize that he, she has low blood sugar and might not take immediate steps to treat it, cimetidine, tagamet, amiloride, midamor, digoxin, lanoxin, furosemide, lasix, morphine, ms contin, procainamide, procanbid, pronestyl, quinidine, quinaglute, quinidex, quinine, malaria medicine, ranitidine, zantac, triamterene, dyrenium, trimethoprim, proloprim, vancomycin, vancocin, use with glipizide and metformin, high blood levels, glipizide and metformin, which may increase the chance, low blood sugar , other side effects, fluconazole, diflucan, glipizide and metformin, severe low blood sugar , hypoglycemia, other medical problems, glipizide and metformin, any other medical problems, acid, blood, acidosis, ketoacidosis, surgery, major, insulin is best to help control diabetes in patients with these conditions, blood poisoning, dehydration, severe, heart, blood vessel disorders, kidney disease , liver disease , lactic acidosis can occur in these conditions and chances, it occurring are even greater with a medicine that contains metformin, congestive heart failure , glipizide and metformin should not be used in patients who have this medical condition, kidney, heart, other problems that require medical tests, examinations that use certain medicines, contrast agents, with x-ray exams, contains metformin, a physician should advise, consult doctor before you stop taking it before you have any medical exams, diagnostic tests that might cause less urine output than usual; you, advised to start taking the medicine again 48 hours after the exams, tests if my kidney function is tested and found, normal, alcohol intoxication, strenuous exercise not accompanied by adequate intake, food, underactive adrenal gland, not properly controlled, underactive pituitary gland, not properly controlled, undernourished condition, weakened physical condition, any other condition that causes low blood sugar , patients with these conditions, more likely to develop low blood sugar while taking a medication that contains glipizide and metformin, vitamin b₁₂ deficiency, this condition, made worse by this medication, follow carefully the special meal plan a physician gave you, this is the most important part, controlling my condition, is necessary if the medicine is to work properly, exercise regularly and test for sugar, in my blood, urine as directed, glipizide and metformin combination should be taken with meals to help reduce the gastrointestinal side effects that may occur during treatment, glipizide and metformin will be different for different patients, follow a physician's orders, the directions on the label, the average doses, glipizide and metformin, dose is different, the number, tablets, take depends on the strength, the number, doses you take each day, the time allowed between doses, time you take the medicine depend on the medical problem for which you are taking glipizide and metformin, for oral, dosage form, tablets, for type 2 diabetes, for first-time treatment, adults: at, 2.5 milligrams, glipizide and 250 milligrams, metformin once a day with a meal, then, a physician may increase my dose a little at a time every two weeks until my blood sugar is controlled, as second-line therapy, oral, 2.5 milligrams, glipizide and 500 milligrams, metformin, 5 milligrams, glipizide and 500 milligrams, metformin two times a day, with the morning and evening meals, then, a physician may increase my dose a little at a time until my blood sugar is controlled, the starting dose should not exceed the daily dose, glipizide, metformin already being taken, for patients previously treated with a sulfonylurea antidiabetic agent and/or metformin, adults: when switching patients from a sulfonylurea plus metformin to the glipizide and metformin combination, the initial dose should not exceed the daily dose, glipizide, equivalent dose, another sulfonylurea, metformin that was being taken, if i miss a dose, almost time for my next dose, skip the missed dose, back to my regular dosing schedule, do not double doses, keep out of a child's reach, in other damp places, heat, moisture, the medicine to break down, do not keep outdated medicine, medicine no longer needed, ask my doctor how to get rid, any medicine you do not use, discarded medicine is out of a child's reach, precautions, know the side effects, progress at regular visits, especially during the first few weeks, take this medicine, under certain conditions, too much glipizide and metformin can cause lactic acidosis, symptoms, lactic acidosis are severe and quick to appear and usually occur when other health problems not related to the medicine are present, very severe, a heart attack, kidney failure , symptoms, lactic acidosis include abdominal, stomach discomfort; decreased appetite; diarrhea; fast, shallow breathing; general feeling, discomfort; muscle pain, cramping; and unusual sleepiness, tiredness, weakness, symptoms, lactic acidosis occur, should get immediate emergency medical help, very important to follow carefully any instructions from my health care team about, alcohol, drinking alcohol, severe low blood sugar , discuss this with my health care team, do not take other medicines unless they, discussed with a physician, counseling, other family members need to learn, prevent side effects, help with side effects if they occur, patients with diabetes may need special counseling about diabetes medicine dosing changes that might occur, lifestyle changes, changes in exercise and diet, furthermore, counseling on contraception and pregnancy, the problems that can occur in patients with diabetes during pregnancy, travel, keep a recent prescription, medical history with you, be prepared for an emergency as you would normally, make allowances for changing time zones and keep my meal times as close as possible to my usual meal times, emergency, a time when you need emergency help for a problem caused by my diabetes, need, prepared for these emergencies, a good idea to wear a medical identification, id, bracelet, neck chain at all times, carry an id card, in my wallet, purse that says, have diabetes and a list, all my medicines, symptoms, hypoglycemia, low blood sugar , include anxiety; behavior change similar to being drunk; blurred vision; cold sweats; confusion; cool, pale skin; difficulty in thinking; drowsiness; excessive hunger; fast heartbeat; headache, continuing, nausea; nervousness; nightmares; restless sleep; shakiness; slurred speech, unusual tiredness , weakness, glipizide and metformin combination can cause low blood sugar , it also can occur if you delay, miss a meal, snack, drink alcohol, exercise more than usual, cannot eat, nausea, vomiting, take certain medicines, take glipizide and metformin with another type, diabetes medicine, symptoms, low blood sugar , treated before they lead to unconsciousness, passing out, different people feel different symptoms, low blood sugar , learn which symptoms, low blood sugar you usually have so, can treat it quickly, symptoms, low blood sugar occur, eat glucose tablets, gel, corn syrup, honey, sugar cubes, drink fruit juice, nondiet soft drink, sugar dissolved in water, check my blood for low blood sugar , glucagon is used in emergency situations when severe symptoms, seizures, convulsions, unconsciousness occur, a glucagon kit available, along with a syringe, needle, know, members, household also should know, symptoms, hyperglycemia, high blood sugar , include blurred vision; drowsiness; dry mouth; flushed, dry skin; fruit-like breath odor; increased urination, frequency and volume, ketones in urine; loss, appetite; sleepiness; stomachache, nausea, vomiting; tiredness; troubled breathing, rapid and deep, unconsciousness, unusual thirst, high blood sugar may occur if you do not exercise as much as usual, a fever, infection, do not take enough, skip a dose, diabetes medicine, overeat, do not follow my meal plan, symptoms, high blood sugar occur, check my blood sugar level and then call my health care professional for instructions, side effects, along with its needed effects, some unwanted effects, side effects may occur, may need medical attention, check with a physician immediately, side effects occur, anxiety, blurred vision , chills, cold sweats, coma, confusion, cool pale skin, cough, depression, dizziness , fast heartbeat, fever, headache, increased hunger, nausea, nervousness, nightmares, seizures, shakiness, slurred speech, sneezing, sore throat, unusual tiredness , weakness, bladder pain, bloody, cloudy urine , burning, painful urination, frequent urge to urinate, lower back, side pain, pounding, ears, slow heartbeat, abdominal discomfort, decreased appetite, diarrhea, fainting spells, fast, shallow breathing, general feeling, discomfort, muscle pain, cramping, shortness of breath, sleepiness, symptoms, overdose get emergency help immediately if, look for symptoms, overdose occur, abdominal discomfort, anxiety, behavior change, similar to drunkenness, blurred vision , cold sweats, coma, confusion, cool, pale skin, decreased appetite, diarrhea, difficulty in concentrating, drowsiness , excessive hunger, fast heartbeat, fast, shallow breathing, general feeling, discomfort, headache, muscle pain, cramping, nausea, nervousness, nightmares, restless sleep, seizures, shakiness, slurred speech, unusual sleepiness, unusual tiredness , weakness, side effects may go away during treatment, body adjusts to the medicine, side effects continue, bothersome, muscle, bone pain, stomach pain, vomiting, other side effects, brand names, metaglip category antidiabetic agent