[Part 2] Inquiry Problem <Endocrinology: Diabetes Edition>

Hello everyone, today I will introduce some inquiry cases for diabetic patients.
Especially with diabetes medications, inquiries like this one are very common, so let's make sure to check them carefully.

Question 2

Endocrinology, 65-year-old male, height 165 cm, weight 52 kg
Lab values: WBC: 6000, GOT: 35, GPT: 25, sCre: 0.95, CRP: 0.01, HbA1c: 8.5

Medical History
Recently, he has been drinking a lot of water due to thirst. He likes sweets and eats them often. After his visit, he was diagnosed with diabetes and the following medications were prescribed.

Prescription
Rp1. Metformin tablets 500mg, 3 times a day after each meal, 30-day supply
Rp2. Voglibose tablets 0.2mg, 3 times a day after each meal, 30-day supply
Rp3. Glucose 10g, for hypoglycemia, 3 units

Now, what would you do for an inquiry here?

The hint is that checking the dosage instructions is important for diabetes medications.
Pharmacists, you know this, right? It's a well-known point.

Prescription
Rp1. Metformin tablets 500mg, 3 times a day after each meal, 30-day supply
Rp2. Voglibose tablets 0.2mg, 3 times a day after each meal 30-day supply
Rp3. Glucose 10g, for hypoglycemia, 3 units

The answer is here.
There are several diabetes medications that should be taken before meals.
In this case, 3 times a day before each meal is correct.

Alpha-glucosidase inhibitors (α-GI) are drugs that inhibit the breakdown of ingested sugars into glucose by the enzyme alpha-glucosidase, preventing their absorption into the bloodstream.

In other words, they are drugs that are ineffective if not taken before a meal.
Also, when taking diabetes medication, you must be careful about hypoglycemia. For patients taking α-GI, glucose must be ingested in the event of hypoglycemia. Let's remember that as well.

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