Insulin is a hormone that is made naturally in your body, in the pancreas. It
helps to control the levels of sugar in your blood. If your body does not make
enough insulin to meet its needs, or if it does not use the insulin it makes
effectively, this results in the condition called diabetes mellitus (sugar
diabetes).
People with diabetes need treatment to control the amount of sugar in their
blood. This is because good control of blood sugar levels reduces the risk of
complications later on. Some people can control the sugar in their blood by
making changes to the food they eat but for other people, medicines like
glimepiride are given alongside the changes in diet.
Glimepiride(CAS.NO:93479-97-1)
works by increasing the amount of insulin that your pancreas releases. It can be
given on its own or alongside other antidiabetic medicines or insulin.
Diabetes mellitus type 2 (formerly noninsulin-dependent diabetes mellitus
(NIDDM) or adult-onset diabetes) is a metabolic disorder that is characterized
by high blood glucose in the context of insulin resistance and relative insulin
deficiency. This is in contrast to diabetes mellitus type 1, in which there is
an absolute insulin deficiency due to destruction of islet cells in the
pancreas. The classic symptoms are excess thirst, frequent urination, and
constant hunger. Type 2 diabetes makes up about 90% of cases of diabetes with
the other 10% due primarily to diabetes mellitus type 1 and gestational
diabetes. Obesity is thought to be the primary cause of type 2 diabetes in
people who are genetically predisposed to the disease.
Type 2 diabetes is initially managed by increasing exercise and dietary
modification. If blood glucose levels are not adequately lowered by these
measures, medications such as metformin or insulin may be needed. In those on
insulin, there is typically the requirement to routinely check blood sugar
levels.
Type 2 diabetes is due to insufficient insulin production from beta cells in
the setting of insulin resistance.Insulin resistance, which is the inability of
cells to respond adequately to normal levels of insulin, occurs primarily within
the muscles, liver, and fat tissue.In the liver, insulin normally suppresses
glucose release. However, in the setting of insulin resistance, the liver
inappropriately releases glucose into the blood. The proportion of insulin
resistance versus beta cell dysfunction differs among individuals, with some
having primarily insulin resistance and only a minor defect in insulin secretion
and others with slight insulin resistance and primarily a lack of insulin
secretion.
Glimepiride is indicated to treat type 2 diabetes mellitus; its mode of
action is to increase insulin production by the pancreas. It is not used for
type 1 diabetes because in type 1 diabetes the pancreas is not able to produce
insulin.
Glimepiride is used with a proper diet and exercise program to control high
blood sugar in people with type 2 diabetes (non-insulin-dependent diabetes). It
may also be used with other diabetes medications. Controlling high blood sugar
helps prevent kidney damage, blindness, nerve problems, loss of limbs, and
sexual function problems. Proper control of diabetes may also lessen your risk
of a heart attack or stroke. Glimepiride
belongs to the class of drugs known as sulfonylureas. It lowers blood sugar by
causing the release of your body's natural insulin.
Glimepiride is used along with diet and exercise, and sometimes with other
medications, to treat type 2 diabetes (condition in which the body does not use
insulin normally and, therefore, cannot control the amount of sugar in the
blood). Glimepiride lowers blood sugar by causing the pancreas to produce
insulin (a natural substance that is needed to break down sugar in the body) and
helping the body use insulin efficiently. This medication will only help lower
blood sugar in people whose bodies produce insulin naturally. Glimepiride is not
used to treat type 1 diabetes (condition in which the body does not produce
insulin and, therefore, cannot control the amount of sugar in the blood) or
diabetic ketoacidosis (a serious condition that may occur if high blood sugar is
not treated).
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