Make allowances for changing time zones and keep your meal times as close as possible to your usual meal times. You need to be prepared for these emergencies. Also, carry an ID card in your wallet or purse that says that you have diabetes and a list of all your medicines. Glyburide and metformin combination can cause low blood sugar. However, it also can occur if you delay or miss a meal or snack, drink alcohol, exercise more than usual, cannot eat because of nausea or vomiting, take certain medicines, or take glyburide and metformin with another type of diabetes medicine.
Different people feel different symptoms of low blood sugar.
It is important that you learn which symptoms of low blood sugar you usually have so that you can treat it quickly. Also, check your blood for low blood sugar. Have a glucagon kit available, along with a syringe or needle, and know how to use it. Members of your household also should know how to use it. High blood sugar may occur if you do not exercise as much as usual, have a fever or infection, do not take enough or skip a dose of your diabetes medicine, or overeat or do not follow your meal plan.