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Treatment should be initiated as an adjunct to diet and exercise to lower the blood glucose in relation to meals.

Combination treatment with metformin is associated with an increased risk of hypoglycaemia.

When a patient stabilised on any oral hypoglycaemic medicinal product is exposed to stress such as fevertraumainfection or surgerya loss of glycaemic control may occurAt such timesit may be necessary to discontinue repaglinide and treat with insulin on a temporary basis.

Take the missed dose as soon as you rememberbut only if you are getting ready to eat a mealSkip the missed dose if it is almost time for your next scheduled doseDo not take extra medicine to make up the missed dose.

Repaglinide can cause low blood sugarhypoglycemiaespecially if you are taking other medicines for diabetesConsuming large quantities of alcoholnot getting enough calories from foodor doing unusually heavy exercise may also lead to low blood sugarSymptoms may include chillscold sweatdizzinessdrowsinessshakingfast heartbeatweaknessheadachefaintingtingling of the hands or feetor hungerIt is a good habit to carry glucose tablets or purchase ditropan gel to treat low blood sugarIf you don’t have these reliable forms of glucoseraise your blood sugar quickly by eating a quick source of sugar such as table sugarhoneycandyor drinking a glass of fruit juice or non-diet sodaCheck with your doctor or pharmacist to find out what you should do if you miss a meal.

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