Why is this medication prescribed?

Glyset (generic name: miglitol) is prescribed primarily for the management of type 2 diabetes mellitus. It is used to help control blood sugar levels in people with diabetes. Glyset belongs to a class of medications called alpha-glucosidase inhibitors. These drugs work by slowing the digestion of carbohydrates, thereby reducing the rise in blood sugar levels after meals.

In individuals with type 2 diabetes, the body either does not produce enough insulin or does not use insulin effectively. Insulin is necessary for cells to absorb glucose from the bloodstream and use it for energy. When blood sugar levels remain high over time, it can lead to various complications such as heart disease, kidney damage, nerve damage, and vision problems.

By slowing down the digestion of carbohydrates, Glyset helps to prevent spikes in blood sugar levels after meals, thus aiding in the overall management of diabetes. It is typically used in combination with diet, exercise, and other medications to achieve optimal blood sugar control.

Glyset is usually prescribed as part of a comprehensive treatment plan for type 2 diabetes, and its use should be supervised by a healthcare provider who can monitor its effectiveness and adjust the dosage as needed.

How should this medicine be used?

Here’s how Glyset is typically used:

• Dosage: Glyset is usually taken orally, usually three times a day with the first bite of each main meal. The dosage may vary depending on individual factors such as blood sugar levels and response to treatment. It’s important to follow the dosage prescribed by your healthcare provider.
• Administration: Glyset tablets are taken orally with the first bite of each main meal (usually breakfast, lunch, and dinner).
• Timing: It’s important to take Glyset with the first bite of each main meal because it works by inhibiting the enzymes that break down carbohydrates in the digestive tract. By taking it at the start of a meal, it can help control the rise in blood sugar levels after eating.
• Monitoring: Regular monitoring of blood sugar levels is essential while taking Glyset to ensure it’s effectively managing blood sugar levels without causing hypoglycemia (low blood sugar).
• Diet and Exercise: Along with taking Glyset, following a healthy diet and engaging in regular exercise as recommended by your healthcare provider can help manage blood sugar levels more effectively.
• Compliance: It’s crucial to take Glyset consistently as prescribed by your healthcare provider to get the maximum benefit from the medication.
• Adjustment: Your healthcare provider may adjust your dosage of Glyset based on your response to treatment and changes in your medical condition.

It’s important to note that Glyset is usually not prescribed as the sole treatment for diabetes but is often used in combination with other medications, diet, and lifestyle changes to effectively manage blood sugar levels. Always consult with your healthcare provider for personalized advice regarding the use of Glyset or any other medication.

Other uses for this medicine

Glyset (miglitol) is primarily used for managing type 2 diabetes, but there may be some off-label uses or experimental uses that are being investigated. However, it’s important to note that using Glyset for any purpose other than its intended use should only be done under the guidance and supervision of a healthcare provider.

What special precautions should I follow?

As for special precautions to follow when using Glyset:

• Allergies: Inform your healthcare provider if you have any allergies to miglitol or any other medications.
• Pregnancy and breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, consult your healthcare provider before taking Glyset. The effects of miglitol during pregnancy and breastfeeding are not well-established, so caution is advised.
• Liver or kidney problems: Inform your healthcare provider if you have any liver or kidney problems before taking Glyset. Dose adjustments may be necessary in such cases.
• Digestive disorders: Glyset works by slowing the digestion of carbohydrates, which can lead to gastrointestinal side effects such as flatulence, diarrhea, and abdominal discomfort. If you have a history of digestive disorders, discuss the potential risks and benefits of taking Glyset with your healthcare provider.
• Hypoglycemia: While Glyset is not known to cause hypoglycemia (low blood sugar) on its own, it may increase the risk of hypoglycemia when used in combination with other antidiabetic medications such as insulin or sulfonylureas. Monitor your blood sugar levels closely and be aware of the signs and symptoms of hypoglycemia.
• Interactions: Inform your healthcare provider about all the medications, supplements, and herbal products you are taking, as they may interact with Glyset. This includes both prescription and over-the-counter medications.
• Alcohol: Limit or avoid alcohol consumption while taking Glyset, as it may increase the risk of hypoglycemia and worsen gastrointestinal side effects.
• Diet and exercise: Continue to follow a healthy diet and exercise regimen as recommended by your healthcare provider while taking Glyset.

Always follow your healthcare provider’s instructions and guidance when taking Glyset, and do not adjust your dosage or stop taking the medication without consulting them first.

What special dietary instructions should I follow?

Special dietary instructions to follow for Glyset include:

• Timing: Take Glyset with the first bite of each main meal, usually breakfast, lunch, and dinner. This helps to slow the digestion of carbohydrates and control blood sugar levels after eating.
• Carbohydrate intake: Continue to follow a balanced diet as recommended by your healthcare provider. Glyset works by delaying the digestion of carbohydrates, so it’s important to maintain consistent carbohydrate intake with meals.
• Monitoring: Monitor your blood sugar levels regularly as directed by your healthcare provider, and adjust your diet as needed to maintain stable blood sugar levels.

What should I do if I forget a dose?

If you forget a dose of Glyset:

• Take it as soon as you remember: If it’s close to the time of your next dose, skip the missed dose and take your next dose at the regular time.
• Do not double up: Do not take a double dose to make up for a missed one.
• Continue with your regular dosing schedule: Resume taking Glyset as prescribed by your healthcare provider.

What side effects can this medication cause?

Glyset (miglitol) can cause several side effects, although not everyone will experience them. Common side effects of Glyset include:

• Gastrointestinal discomfort: This is the most common side effect of Glyset. It may include symptoms such as flatulence (gas), diarrhea, abdominal pain, bloating, and indigestion. These symptoms typically occur due to the slowing of carbohydrate digestion in the intestines.
• Hypoglycemia (low blood sugar): While Glyset itself does not usually cause hypoglycemia, it may increase the risk when used in combination with other antidiabetic medications like insulin or sulfonylureas.
• Elevated liver enzymes: Some individuals may experience elevated liver enzymes, although this side effect is rare.
• Allergic reactions: In rare cases, allergic reactions to Glyset may occur. Symptoms of an allergic reaction may include rash, itching, swelling, severe dizziness, or trouble breathing.
• Skin reactions: Some individuals may experience skin reactions such as dermatitis or eczema while taking Glyset.
• Abnormal bowel function: In some cases, Glyset can lead to abnormal bowel movements such as constipation.
• Increased gas production: Due to the slowing of carbohydrate digestion, Glyset may cause an increase in gas production, leading to flatulence.

It’s important to note that individual responses to medication vary, and not everyone will experience these side effects. If you experience any severe or persistent side effects while taking Glyset, it’s essential to contact your healthcare provider for further evaluation and guidance. Additionally, always consult your healthcare provider before starting or stopping any medication.

What should I know about storage and disposal of this medication?

Storage and Disposal:

• Storage: Store Glyset at room temperature away from light and moisture. Keep it out of reach of children and pets.
• Disposal: Dispose of expired or unused Glyset properly according to local regulations. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Consult your pharmacist or local waste disposal company for proper disposal methods.

In case of emergency/overdose

• Seek medical attention: If you suspect an overdose of Glyset or experience severe symptoms such as severe abdominal pain, diarrhea, confusion, or seizures, seek immediate medical attention.
• Poison control: You can also contact your local poison control center at 1-800-222-1222 for guidance on what to do in case of overdose.

What other information should I know?

• Regular monitoring: Regularly monitor your blood sugar levels as directed by your healthcare provider while taking Glyset.
• Lab tests: Your healthcare provider may perform periodic lab tests to monitor your liver function while taking Glyset.
• Diet and exercise: Continue to follow a healthy diet and exercise regimen as recommended by your healthcare provider while taking Glyset.
• Medication interactions: Inform your healthcare provider about all medications, supplements, and herbal products you are taking, as they may interact with Glyset.
• Follow-up appointments: Attend all scheduled follow-up appointments with your healthcare provider to monitor your response to Glyset and make any necessary adjustments to your treatment plan.
• Patient education: Make sure you understand how to take Glyset properly, including dosage instructions, potential side effects, and what to do in case of missed doses or emergencies.
• Medical alert: Consider wearing a medical alert bracelet or carrying a medical alert card to inform healthcare providers about your diabetes medication in case of emergencies.

Always consult your healthcare provider for personalized advice and guidance regarding the use of Glyset or any other medication.