Geemet Tablet belongs to a class of medicine known as an anti-diabetic. It is primarily used to treat Type 2 diabetes. Type 2 diabetes is a chronic or lifelong condition affecting how your body processes glucose. People with type 2 diabetes either do not produce enough insulin, or if at all the insulin is produced, it is unable to perform its function in the body (insulin resistance). Due to this, the blood glucose level increases and symptoms such as frequent urination, increased thirst and increased hunger start. It can lead to serious complications like skin infection, eye problems (retinopathy), nerve damage (neuropathy), diabetic foot (foot ulcer), kidney disease (nephropathy), high blood pressure, and even stroke.

Geemet Tablet is a combination of two anti-diabetic drugs: Gliclazide and Metformin. Gliclazide is a 'sulfonylurea' which acts by increasing the amount of insulin released by the pancreas. On the other hand, Metformin, which is a 'biguanide', works by lowering the glucose production in the liver, delaying glucose absorption from the intestines and increasing the body's response to insulin. In a nutshell, the two medicines prevent blood glucose levels from rising to very high levels, thus keeping your Diabetes under control. Geemet Tablet act together to keep your blood sugar levels under check. The strict control of blood sugars is especially important to mention the many disabling side effects of Diabetes. Geemet Tablet shows optimum effects when taken along with healthy lifestyle changes like weight loss, regular exercise, a healthy diet etc. 

Geemet Tablet should be taken with food to avoid an upset stomach. Geemet Tablet should be taken at the same time of the day each time for best results. For better advice, your doctor will decide what dose should be taken, which can change quickly depending on your condition. A common side effect of Geemet Tablet is hypoglycaemia (low blood glucose levels) characterized by dizziness, sweating, palpitations, hunger pangs, dry mouth and skin etc. So, to avoid hypoglycaemia, you should not miss meals and also should carry some form of sugar along with you. Other side effects include taste change, nausea, diarrhoea, stomach pain, headache, and upper respiratory symptoms.

You should not take the Geemet Tablet if you have diabetic ketoacidosis (excess acids in your blood). Geemet Tablet should not be stopped even if you feel better without consulting your doctor as sugar levels change. If you stop taking Geemet Tablet abruptly, it may increase your sugar levels which could further increase the risk of eyesight loss (retinopathy), kidney (nephropathy) and nerve damage (neuropathy). Geemet Tablet should not be taken if you have type 1 diabetes mellitus or severe kidney or liver disease. Tell your doctor before prescribing the Geemet Tablet if you are a pregnant woman or nursing mother.

Geemet Tablet plays a vital role in decreasing the blood sugar level in the body as metformin lowers glucose production in the liver, whereas the other increases the amount of insulin released by the pancreas. Geemet Tablet also helps to prevent serious complications of diabetes such as kidney damage (diabetic nephropathy), blindness (diabetic retinopathy), loss of sensation in your hands and feet (diabetic neuropathy) or even loss of the foot. Geemet Tablet also helps to reduce your chance of having a heart attack or stroke. Being a combination of two drugs, it reduces the need to take multiple pills and hence makes it easier to remember to take the drugs.

Some diabetic patients taking Geemet Tablet  may develop a rare but serious condition called lactic acidosis. In this condition, too much lactic acid is accumulated in the blood. So, your liver and kidney's proper functioning is required to eliminate excess lactic acid from the blood. You should not take Geemet Tablet if you have kidney disease, as measured by a blood test. Geemet Tablet may lower vitamin B12 levels, so try to have blood tests annual blood and vitamin. Geemet Tablet , when used with or without insulin, tends to lower the blood sugar level extremely. So, the doctor may reduce the dose of insulin. Geemet Tablet may lower your thyroid-stimulating hormone (TSH), so an annual check-up of TSH is suggested.

• Keep taking the drug even if you think your blood sugar levels are under control. If you miss a dose, do not take a larger dose; consult your treating physician for advice. 
• Take short, frequent meals, and avoid prolonged fasting when taking this drug. Beware of hypoglycaemia symptoms, including sweating, dizziness, palpitations, shivering, intense thirst, dry mouth, dry skin, frequent urination etc. Whenever you experience the symptoms mentioned above, immediately consume 5-6 candies or 3 glucose biscuits or 3 teaspoons of honey/sugar and get in touch with your physician. Make sure to carry these with you at all times, especially for long travels. 
• Before the doctor prescribes this medicine, it is always better that your physician knows about any underlying conditions like kidney or liver disease, prior heart attack, alcohol intake, etc..
• Avoid drinking alcohol while on this drug as it increases the risk of hypoglycaemia (decrease in blood sugar which might be fatal in some cases) and lactic acidosis (when the lactic acid increases in the body, which impacts the functioning of various organs in the body).
• Try to quit smoking and reduce your intake of carbohydrate-rich food like potatoes, rice, mangoes, bread, sugar etc.
• Remember, lifestyle modifications are the most important step in controlling blood sugar levels.