Patient was educated upon precautions to be taken while taking Glimepiride as follows:

  1. Notify your doctor, if the blood sugar continues to be high, despite compliance with glimepiride intake as recommended. This can assist your doctor with revising the dose of glimepiride or adding another medication to help better control your numbers on blood sugar. Also, notify your doctor regarding any continuing or worsening unpleasant side-effects of glimepiride use, so that, your dosage on the medication could be revised.
  2.  If the blood sugars are getting too low with glimepiride use, despite compliance with recommended calorie intake, your dose of glimepiride may need to be revised or change of plan considered. Notify your physician regarding any overly corrected blood sugars with glimepiride use, resulting in episodes of hypoglycemia with extremely low blood sugars.
  3. Glimepiride is mainly metabolized in the liver and excreted in urine by the kidneys. If liver function is deficient, the metabolism of these medications can suffer. Individuals with renal disease cannot excrete Glimepiride normally. This can lead to increased blood levels of the medication for longer periods of time, resulting in toxicity and severe side effects. Individuals with poor liver and/or renal function must discuss with their physician regarding their safety with glimepiride intake. In such individuals, glimepiride could be avoided for a safer alternative or be used cautiously with needed dose adjustments and close watch for labs on liver and/or renal function. So, maintain compliance with follow-up physician appointments and lab draws ordered to evaluate liver and/or kidney function. Be accommodative to the plan of dose changes to achieve an optimum blood sugar control response and prevent development of any undesired side-effects.
  4. Take weight reading regularly, every week, and maintain a log of every reading for comparative feedback. Maintain an ideal weight for your height, as striking this balance is key for blood sugar control. Both overweight and underweight conditions can disturb this balance and result in poor blood sugar control.