Metsmall GV 1 Tablet SR is an anti-diabetic medicine used to manage type 2 diabetes in adults. It combines multiple ingredients to help maintain blood sugar levels within a healthy range, supporting long-term diabetes care.

The tablet should be taken with meals or immediately before eating and used consistently at the same time each day. Your healthcare provider will determine the ideal dose based on your blood sugar readings and treatment response, and may adjust it over time as needed.

Even if your blood sugar levels appear normal, it is important not to stop the medicine without consulting your doctor. Discontinuing it abruptly can increase the risk of serious complications such as kidney damage, nerve problems, vision issues, or other diabetes-related conditions. This medicine works best as part of a comprehensive program that includes proper diet, regular exercise, and maintaining a healthy weight.

Common Side Effects
Frequent side effects include nausea, vomiting, stomach discomfort, and reduced appetite. Low blood sugar (hypoglycemia) is also possible, with signs such as sweating, dizziness, headache, or tremors. Keep a source of fast-acting sugar, such as juice or candy, nearby to manage these episodes. Alcohol may increase the likelihood of low blood sugar and should be avoided. Other potential effects include taste changes, diarrhea, headache, mild swelling, blurred vision, bone fractures, and respiratory infections. Some patients may experience weight gain while taking this medicine.

This medicine is not suitable for type 1 diabetes, diabetic ketoacidosis, or people with severe kidney or liver disease. Inform your doctor if you have heart problems. Pregnant or breastfeeding women should seek advice before using this tablet. Blood sugar should be monitored regularly, and your doctor may recommend tests to check liver function and blood counts.

Uses
Helps manage type 2 diabetes mellitus

Benefits
Metsmall GV 1 Tablet SR works by reducing the breakdown of food into glucose in the intestines, helping prevent sharp increases in blood sugar after meals. It also assists the body in eliminating excess glucose through urine. Controlling blood sugar is essential to prevent complications such as kidney damage, nerve problems, eye disorders, and limb loss. For patients with type 2 diabetes who also have heart disease, this medicine may reduce cardiovascular risk. Continued use, combined with diet and exercise, helps maintain overall health and long-term wellbeing.

How to Use
Take the tablet exactly as prescribed. Swallow it whole with water and take it with meals to reduce stomach discomfort. Do not crush or chew the tablet.

How It Works
Metsmall GV 1 Tablet SR combines glimepiride, metformin, and voglibose. Glimepiride boosts insulin release from the pancreas to reduce blood sugar. Metformin lowers liver glucose production, slows intestinal glucose absorption, and improves insulin sensitivity. Voglibose slows the conversion of complex sugars into glucose, preventing sharp post-meal rises in blood sugar. Together, these medicines provide comprehensive blood sugar control when single or dual therapy is insufficient.

Precautions and Safety
Avoid alcohol while taking this medicine.
Consult your doctor before using it during pregnancy or breastfeeding.
Driving may be affected if blood sugar levels are too high or low.
Patients with kidney issues should avoid this medicine, especially if severe.
Use with caution in liver disease; dose adjustment may be required.

Missed Dose Instructions
If a dose is missed, take it as soon as possible. If it is near the time of the next dose, skip the missed one and continue with your regular schedule. Do not take extra to compensate for a missed dose.