Metsmall GV 2 Tablet SR is an anti-diabetic medicine designed for adults with type 2 diabetes. It combines multiple active ingredients to help maintain healthy blood sugar levels and improve long-term management of diabetes.

It should be taken with meals or right before eating, and it is important to use it consistently at the same time every day. Your healthcare provider will determine the correct dose based on your blood sugar readings, and adjustments may be made depending on your treatment response.

Even if your blood sugar appears normal, do not stop taking this medicine without medical guidance. Stopping abruptly may raise your blood sugar and increase the risk of complications such as kidney problems, vision issues, nerve damage, or limb-related problems. This medication is most effective when combined with a balanced diet, regular exercise, and healthy lifestyle habits recommended by your doctor.

Possible Side Effects
Common effects include nausea, vomiting, stomach pain, and reduced appetite. Low blood sugar may also occur, with symptoms such as sweating, dizziness, headache, or shaking. Always have a quick source of sugar like fruit juice or candy nearby to manage these episodes. Alcohol can increase the risk of low blood sugar and should be avoided. Additional effects may include taste changes, diarrhea, mild swelling, blurred vision, bone fractures, headache, or respiratory infections. Some people may experience weight gain.

This medicine should not be used in type 1 diabetes, diabetic ketoacidosis, or severe kidney or liver disease. Individuals with heart conditions should discuss with their doctor before starting treatment. Pregnant or breastfeeding women need medical advice prior to use. Regular monitoring of blood sugar is recommended, and your doctor may suggest tests to check liver function and blood counts.

Uses
Manages type 2 diabetes mellitus

Benefits
Metsmall GV 2 Tablet SR helps reduce the breakdown of complex foods into glucose in the intestines, which prevents sharp spikes in blood sugar after meals. It also aids in removing excess glucose through urine. Effective blood sugar control lowers the risk of severe complications like kidney damage, eye problems, nerve damage, and limb loss. For patients with type 2 diabetes and cardiovascular conditions, this medicine may also help reduce heart-related risks. Regular use, together with diet and exercise, supports overall health and long-term protection.

How to Take It
Take the tablet exactly as prescribed. Swallow it whole with water and take it with food to reduce stomach discomfort. Avoid crushing or chewing the tablet.

Mechanism of Action
Metsmall GV 2 Tablet SR combines glimepiride, metformin, and voglibose. Glimepiride enhances insulin release from the pancreas to lower blood sugar. Metformin reduces liver glucose production, slows intestinal glucose absorption, and improves insulin sensitivity. Voglibose prevents complex sugars from converting into glucose, helping prevent post-meal spikes in blood sugar. Together, these agents provide comprehensive blood sugar control when single or dual therapies are insufficient.

Precautions
Alcohol should be avoided while taking this medicine.
Consult a doctor before use during pregnancy or breastfeeding.
Driving may be affected if blood sugar is too high or too low.
Patients with kidney disease should avoid this medicine, particularly in severe cases.
Liver disease patients should use it cautiously, with dose adjustments if needed.

Missed Dose Instructions
If a dose is missed, take it as soon as possible. If it is nearly time for the next dose, skip the missed one and continue the regular schedule. Do not take extra doses to make up for a missed one.