{"id":55002,"date":"2023-09-20T10:43:08","date_gmt":"2023-09-20T10:43:08","guid":{"rendered":"https:\/\/medsname.com\/glycomet-sr\/"},"modified":"2026-05-01T10:49:12","modified_gmt":"2026-05-01T10:49:12","slug":"glycomet-sr","status":"publish","type":"product","link":"https:\/\/medsbase.com\/cs\/product\/glycomet-sr\/","title":{"rendered":"Glycomet SR"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 Rychl\u00e1 odpov\u011b\u010f \u2014 Co je Glycomet SR?<\/h3>\n<p style=\"margin:0;\"><strong>Glycomet SR<\/strong> je zna\u010dka <strong>hydrochlorid metforminu<\/strong> (250 mg, 500 mg, 850 mg nebo 1000 mg SR), prvn\u00ed volba peror\u00e1ln\u00edho l\u00e9ku <strong>diabetu 2. typu<\/strong>. Funguje sn\u00ed\u017een\u00edm produkce gluk\u00f3zy v j\u00e1trech a zlep\u0161en\u00edm reakce t\u011bla na inzul\u00edn \u2014 <strong>nevyvol\u00e1v\u00e1 hypoglyk\u00e9mii samostatn\u011b<\/strong> a je obvykle dob\u0159e sn\u00e1\u0161en po 1\u20132 t\u00fddnech nebo p\u0159i p\u0159echodu na SR. <strong>Vyvarujte se p\u0159i eGFR &lt; 30 ml\/min\/1,73 m\u00b2<\/strong>; d\u00e1vku sni\u017ete, pokud je eGFR 30\u201345 ml\/min\/1,73 m\u00b2.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Co z\u00edsk\u00e1te s MedsBase:<\/strong> V\u00fdrobce certifikovan\u00fd WHO-GMP \u00b7 Diskr\u00e9tn\u00ed balen\u00ed \u00b7 Celosv\u011btov\u00e1 doprava \u00b7 V\u00edce ne\u017e 1 400 ov\u011b\u0159en\u00fdch <a href=\"https:\/\/medsbase.com\/cs\/reviews\/\">recenz\u00ed z\u00e1kazn\u00edk\u016f<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Ka\u017ed\u00e1 objedn\u00e1vka je pokryta na\u0161\u00ed <a href=\"https:\/\/medsbase.com\/cs\/medsbase-re-shipment-assurance-policy\/\"><strong>Z\u00e1rukou op\u011btovn\u00e9ho odesl\u00e1n\u00ed<\/strong><\/a> \u2014 pokud va\u0161e z\u00e1silka nedoraz\u00ed do 20 pracovn\u00edch dn\u016f, p\u0159epos\u00edl\u00e1me ji.<\/p>\n<h3>Pro\u010d objedn\u00e1vat z MedsBase<\/h3>\n<p>Na\u0161e generick\u00e9 l\u00e9ky poch\u00e1zej\u00ed od v\u00fdrobc\u016f certifikovan\u00fdch WHO-GMP a jsou expedov\u00e1ny po cel\u00e9m sv\u011bt\u011b v diskr\u00e9tn\u00edm, nen\u00e1padn\u00e9m balen\u00ed \u2013 na vn\u011bj\u0161\u00ed stran\u011b bal\u00edku nen\u00ed uveden n\u00e1zev l\u00e9ku. Platby kartou jsou sm\u011brov\u00e1ny prost\u0159ednictv\u00edm regulovan\u00e9ho procesoru (popisky na v\u00fdpisu zahrnuj\u00ed regulovan\u00e9ho procesora plateb kartou \u2013 nikdy \u201cMedsBase\u201d nebo n\u00e1zev l\u00e9ku). P\u0159ij\u00edm\u00e1me tak\u00e9 kryptom\u011bny a bankovn\u00ed p\u0159evody SEPA. Ka\u017ed\u00e1 objedn\u00e1vka je zaji\u0161t\u011bna na\u0161\u00ed politikou p\u0159eposl\u00e1n\u00ed.<\/p>\n<h2 class=\"wp-block-heading\">Co je Glycomet SR?<\/h2>\n<p>Glycomet SR je peror\u00e1ln\u00ed antidiabetikum obsahuj\u00edc\u00ed <strong>hydrochlorid metforminu<\/strong> (250 mg, 500 mg, 850 mg nebo 1000 mg SR), vyr\u00e1b\u011bn\u00fd spole\u010dnost\u00ed USV Pharma. Prodlou\u017een\u00e9 uvol\u0148ov\u00e1n\u00ed (SR) \u2014 uvol\u0148uje metformin postupn\u011b po dobu 8\u201310 hodin, sni\u017euje gastrointestin\u00e1ln\u00ed ne\u017e\u00e1douc\u00ed \u00fa\u010dinky a umo\u017e\u0148uje pod\u00e1v\u00e1n\u00ed jednou denn\u011b. Je p\u0159edepisov\u00e1n pro dosp\u011bl\u00e9 a d\u011bti od 10 let v\u011bku, obvykle v kombinaci s dietou a cvi\u010den\u00edm. Dostupn\u00e9 v balen\u00edch po 30, 60, 90 nebo 180 tablet\u00e1ch.<\/p>\n<p>Metformin pat\u0159\u00ed do t\u0159\u00eddy <strong>biguanid\u016f<\/strong> a je pou\u017e\u00edv\u00e1n v klinick\u00e9 praxi od roku 1957. Je jedn\u00edm z nej\u010dast\u011bji p\u0159edepisovan\u00fdch l\u00e9k\u016f na cukrovku na sv\u011bt\u011b a je uveden na Seznamu z\u00e1kladn\u00edch l\u00e9\u010div WHO.<\/p>\n<h2 class=\"wp-block-heading\">Jak funguje Glycomet SR?<\/h2>\n<p>Metformin m\u00e1 t\u0159i p\u0159ekr\u00fdvaj\u00edc\u00ed se mechanismy, kter\u00e9 spole\u010dn\u011b sni\u017euj\u00ed hladinu gluk\u00f3zy v krvi bez vyvol\u00e1n\u00ed hypoglyk\u00e9mie u osob bez diabetu:<\/p>\n<ul>\n<li><strong>Sni\u017euje produkci gluk\u00f3zy v j\u00e1trech<\/strong> \u2014 aktivuje AMP-aktivovanou protein kin\u00e1zu (AMPK) v j\u00e1trech a inhibuje mitochondri\u00e1ln\u00ed glycerolfosf\u00e1t dehydrogen\u00e1zu, \u010d\u00edm\u017e sn\u00ed\u017e\u00ed glukoneogenezi p\u0159ibli\u017en\u011b o t\u0159etinu.<\/li>\n<li><strong>Zlep\u0161uje citlivost na inzul\u00edn<\/strong> \u2014 zvy\u0161uje perifern\u00ed p\u0159\u00edjem gluk\u00f3zy ve svalov\u00e9 a tukov\u00e9 tk\u00e1ni, co\u017e umo\u017e\u0148uje t\u011blu efektivn\u011bji vyu\u017e\u00edvat vlastn\u00ed inzul\u00edn.<\/li>\n<li><strong>Zpomaluje st\u0159evn\u00ed absorpci gluk\u00f3zy<\/strong> \u2014 m\u00edrn\u011b sni\u017euje postprandi\u00e1ln\u00ed vzestup gluk\u00f3zy a m\u016f\u017ee p\u0159\u00edzniv\u011b ovlivnit st\u0159evn\u00ed mikrobiom.<\/li>\n<\/ul>\n<p>Metformin obvykle sni\u017euje HbA1c o <strong>1,0\u20131,5 procentn\u00edho bodu<\/strong> jako monoterapie. Je neutr\u00e1ln\u00ed v\u016f\u010di hmotnosti nebo vede k m\u00edrn\u00e9mu \u00fabytku hmotnosti (v pr\u016fm\u011bru 2\u20133 kg) a m\u00e1 p\u0159\u00edzniv\u00e9 kardiovaskul\u00e1rn\u00ed \u00fa\u010dinky (UKPDS, dlouhodob\u00e9 sledov\u00e1n\u00ed).<\/p>\n<h2 class=\"wp-block-heading\">D\u00e1vkov\u00e1n\u00ed a pod\u00e1n\u00ed<\/h2>\n<p><strong>D\u00e1vkov\u00e1n\u00ed metforminu SR:<\/strong> Obvykl\u00e1 po\u010d\u00e1te\u010dn\u00ed d\u00e1vka je 500 mg jednou denn\u011b s ve\u010dern\u00edm j\u00eddlem. Pokud je dob\u0159e sn\u00e1\u0161en, zvy\u0161ujte d\u00e1vku po 500 mg t\u00fddn\u011b. Maxim\u00e1ln\u00ed d\u00e1vka je 2 000 mg jednou denn\u011b (nebo rozd\u011blen\u00e1 do dvou d\u00e1vek po 1 000 mg dvakr\u00e1t denn\u011b p\u0159i gastrointestin\u00e1ln\u00edch pot\u00ed\u017e\u00edch). Glycomet SR v\u017edy u\u017e\u00edvejte <strong>s j\u00eddlem nebo bezprost\u0159edn\u011b po n\u011bm<\/strong> \u2014 to v\u00fdrazn\u011b sni\u017euje riziko nevolnosti a pr\u016fjmu.<\/p>\n<ul>\n<li><strong>Za\u010dn\u011bte n\u00edzkou d\u00e1vkou, titrujte pomalu.<\/strong> Nejv\u00fdznamn\u011bj\u0161\u00edm prediktorem dlouhodob\u00e9 sn\u00e1\u0161enlivosti je postupn\u00e9 zvy\u0161ov\u00e1n\u00ed d\u00e1vky b\u011bhem 4\u20136 t\u00fddn\u016f.<\/li>\n<li><strong>Vynechali jste d\u00e1vku?<\/strong> Vynechejte tuto d\u00e1vku a u\u017eijte dal\u0161\u00ed v obvyklou dobu \u2014 neduplikujte d\u00e1vku.<\/li>\n<li><strong>\u00daprava d\u00e1vkov\u00e1n\u00ed p\u0159i ren\u00e1ln\u00edm selh\u00e1n\u00ed.<\/strong> eGFR &gt; 60: pln\u00e1 d\u00e1vka. eGFR 45\u201360: monitorujte funkci ledvin ka\u017ed\u00e9 3\u20136 m\u011bs\u00edc\u016f. eGFR 30\u201345: polovi\u010dn\u00ed d\u00e1vka. <strong>eGFR &lt; 30: vysa\u010fte metformin.<\/strong><\/li>\n<li><strong>P\u0159ed kontrastn\u00edm vy\u0161et\u0159en\u00edm nebo operac\u00ed.<\/strong> Vynechejte metformin v den pod\u00e1n\u00ed intraven\u00f3zn\u00edho jodovan\u00e9ho kontrastu, pokud eGFR &lt; 60, a po dobu 48 hodin pot\u00e9; obnovte a\u017e po stabilizaci ren\u00e1ln\u00edch funkc\u00ed.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Vedlej\u0161\u00ed \u00fa\u010dinky<\/h2>\n<p>Metformin je obecn\u011b dob\u0159e sn\u00e1\u0161en. Nej\u010dast\u011bj\u0161\u00ed vedlej\u0161\u00ed \u00fa\u010dinky (postihuj\u00ed 10\u201325 % u\u017eivatel\u016f, obvykle v prvn\u00edch 2 t\u00fddnech) jsou:<\/p>\n<ul>\n<li>Pr\u016fjem, nevolnost, b\u0159i\u0161n\u00ed k\u0159e\u010de<\/li>\n<li>Kovov\u00e1 chu\u0165 v \u00fastech<\/li>\n<li>Ztr\u00e1ta chuti k j\u00eddlu<\/li>\n<li>Flatulence<\/li>\n<\/ul>\n<p>Tyto p\u0159\u00edznaky jsou obvykle m\u00edrn\u00e9 a samovoln\u011b ustupuj\u00ed. P\u0159echod na SR formulaci nebo u\u017e\u00edv\u00e1n\u00ed s v\u011bt\u0161\u00edmi j\u00eddly obvykle GI pot\u00ed\u017ee \u0159e\u0161\u00ed.<\/p>\n<p><strong>M\u00e9n\u011b \u010dast\u00e9, ale d\u016fle\u017eit\u00e9:<\/strong><\/p>\n<ul>\n<li><strong>Deficit vitaminu B12<\/strong> \u2014 dlouhodob\u00e9 u\u017e\u00edv\u00e1n\u00ed metforminu (&gt; 4 roky) sni\u017euje vst\u0159eb\u00e1v\u00e1n\u00ed B12 u 6\u201330 % u\u017eivatel\u016f. Kontrolujte hladinu B12 v s\u00e9ru ro\u010dn\u011b a dopl\u0148te p\u0159i nedostatku.<\/li>\n<li><strong>Lakt\u00e1tov\u00e1 acid\u00f3za<\/strong> \u2014 extr\u00e9mn\u011b vz\u00e1cn\u00e1 (&lt; 10 p\u0159\u00edpad\u016f na 100 000 pacient\u016f za rok), ale potenci\u00e1ln\u011b fat\u00e1ln\u00ed. T\u00e9m\u011b\u0159 v\u017edy vznik\u00e1 p\u0159i akutn\u00edm po\u0161kozen\u00ed ledvin, sepse, t\u011b\u017ek\u00e9 dehydrataci nebo hypoxii. <strong>Vynechejte metformin b\u011bhem jak\u00e9hokoli akutn\u00edho onemocn\u011bn\u00ed spojen\u00e9ho s dehydratac\u00ed, zvracen\u00edm nebo sn\u00ed\u017een\u00fdm p\u0159\u00edjmem tekutin.<\/strong><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interakce s l\u00e9\u010divy<\/h2>\n<ul>\n<li><strong>Jodovan\u00e9 kontrastn\u00ed l\u00e1tky pro intraven\u00f3zn\u00ed pod\u00e1n\u00ed<\/strong> \u2014 vysa\u010fte metformin p\u0159ed v\u00fdkonem a po n\u011bm, pokud eGFR &lt; 60.<\/li>\n<li><strong>Alkohol<\/strong> \u2014 nadm\u011brn\u00e1 konzumace alkoholu zvy\u0161uje riziko lakt\u00e1tov\u00e9 acid\u00f3zy. M\u00edrn\u00e1 konzumace je obecn\u011b bezpe\u010dn\u00e1.<\/li>\n<li><strong>Kationick\u00e9 l\u00e9ky<\/strong> (cimetidin, dolutegravir, ranolazin) \u2014 kompetuj\u00ed o ren\u00e1ln\u00ed tubul\u00e1rn\u00ed sekreci a zvy\u0161uj\u00ed hladiny metforminu.<\/li>\n<li><strong>Inhibitory karboanhydr\u00e1zy<\/strong> (acetazolamid, topiram\u00e1t) \u2014 zv\u00fd\u0161en\u00e9 riziko metabolick\u00e9 acid\u00f3zy.<\/li>\n<li><strong>Inzul\u00edn a sulfonylmo\u010doviny<\/strong> \u2014 aditivn\u00ed hypoglykemizuj\u00edc\u00ed \u00fa\u010dinek; p\u0159i kombinaci hroz\u00ed hypoglyk\u00e9mie.<\/li>\n<li><strong>Kortikosteroidy, diuretika, beta-2 agonist\u00e9<\/strong> \u2014 mohou zv\u00fd\u0161it hladinu gluk\u00f3zy v krvi; je nutn\u00e1 intenzivn\u011bj\u0161\u00ed kontrola.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Pro koho nen\u00ed Glycomet SR vhodn\u00fd?<\/h2>\n<ul>\n<li>T\u011b\u017ek\u00e9 ren\u00e1ln\u00ed selh\u00e1n\u00ed (eGFR &lt; 30 ml\/min\/1,73 m\u00b2)<\/li>\n<li>Akutn\u00ed nebo dekompenzovan\u00e9 srde\u010dn\u00ed selh\u00e1n\u00ed vy\u017eaduj\u00edc\u00ed hospitalizaci<\/li>\n<li>T\u011b\u017ek\u00e9 jatern\u00ed po\u0161kozen\u00ed<\/li>\n<li>Akutn\u00ed metabolick\u00e1 acid\u00f3za v\u010detn\u011b diabetick\u00e9 ketoacid\u00f3zy<\/li>\n<li>Z\u00e1va\u017en\u00e9 akutn\u00ed onemocn\u011bn\u00ed s rizikem tk\u00e1\u0148ov\u00e9 hypoxie (sepse, respira\u010dn\u00ed selh\u00e1n\u00ed, ned\u00e1vn\u00fd IM)<\/li>\n<li>Prok\u00e1zan\u00e1 p\u0159ecitliv\u011blost na metformin<\/li>\n<\/ul>\n<p>V <strong>t\u011bhotenstv\u00ed<\/strong>, metformin se \u0161iroce pou\u017e\u00edv\u00e1 u gesta\u010dn\u00edho diabetu a PCOS a m\u00e1 siln\u00fd bezpe\u010dnostn\u00ed profil; konzultujte s gynekologem. Do mate\u0159sk\u00e9ho ml\u00e9ka p\u0159ech\u00e1z\u00ed v minim\u00e1ln\u00edm mno\u017estv\u00ed a je obecn\u011b pova\u017eov\u00e1n za kompatibiln\u00ed s kojen\u00edm.<\/p>\n<h2 class=\"wp-block-heading\">Skladov\u00e1n\u00ed<\/h2>\n<p>Skladujte Glycomet SR p\u0159i teplot\u011b pod 25\u00b0C na such\u00e9m m\u00edst\u011b, v p\u016fvodn\u00edm blistru. Uchov\u00e1vejte mimo dosah d\u011bt\u00ed.<\/p>\n<h2 id=\"faqs\">\u010casto kladen\u00e9 dotazy<\/h2>\n<h3 class=\"wp-block-heading\">Je Glycomet SR tot\u00e9\u017e co metformin?<\/h3>\n<p>Ano. Glycomet SR obsahuje stejnou \u00fa\u010dinnou l\u00e1tku (metformin hydrochlorid) jako origin\u00e1ln\u00ed p\u0159\u00edpravek Glucophage a v\u0161echny ostatn\u00ed generick\u00e9 verze metforminu. Regula\u010dn\u00ed org\u00e1ny vy\u017eaduj\u00ed bioekvivalenci, tak\u017ee klinick\u00fd \u00fa\u010dinek je p\u0159i stejn\u00e9 d\u00e1vce stejn\u00fd.<\/p>\n<h3 class=\"wp-block-heading\">Pom\u016f\u017ee mi Glycomet SR zhubnout?<\/h3>\n<p>Metformin zp\u016fsobuje m\u00edrn\u00fd \u00fabytek hmotnosti (obvykle 2\u20133 kg za 6\u201312 m\u011bs\u00edc\u016f) u lid\u00ed s diabetem 2. typu nebo inzulinovou rezistenc\u00ed. Nen\u00ed to l\u00e9k na hubnut\u00ed u nediabetik\u016f \u2013 \u00fa\u010dinky jsou mal\u00e9 a v\u011bt\u0161ina studi\u00ed ukazuje \u00fabytek hmotnosti pouze u osob se zv\u00fd\u0161enou hladinou inzulinu nebo PCOS.<\/p>\n<h3 class=\"wp-block-heading\">M\u016f\u017eu u\u017e\u00edvat Glycomet SR na PCOS?<\/h3>\n<p>Ano \u2013 metformin se \u010dasto pou\u017e\u00edv\u00e1 off-label u syndromu polycystick\u00fdch ovari\u00ed ke zlep\u0161en\u00ed citlivosti na inzulin, obnoven\u00ed ovulace a sn\u00ed\u017een\u00ed p\u0159\u00edznak\u016f androgenizace. Obvykl\u00e1 d\u00e1vka je 1 500\u20132 000 mg\/den.<\/p>\n<h3 class=\"wp-block-heading\">Zp\u016fsobuje Glycomet SR hypoglyk\u00e9mii (n\u00edzkou hladinu cukru v krvi)?<\/h3>\n<p>Ne, pokud se u\u017e\u00edv\u00e1 samotn\u00fd. Metformin nestimuluje uvol\u0148ov\u00e1n\u00ed inzulinu, tak\u017ee jako monoterapie hypoglyk\u00e9mii nezp\u016fsobuje. N\u00edzk\u00e1 hladina cukru v krvi se st\u00e1v\u00e1 probl\u00e9mem pouze p\u0159i kombinaci metforminu se sulfonylureou, meglitinidem nebo inzulinem.<\/p>\n<h3 class=\"wp-block-heading\">Za jak dlouho za\u010dne Glycomet SR p\u016fsobit?<\/h3>\n<p>Hladina gluk\u00f3zy nala\u010dno obvykle kles\u00e1 b\u011bhem 1\u20132 t\u00fddn\u016f. Maxim\u00e1ln\u00ed \u00fa\u010dinek na HbA1c je pozorov\u00e1n za 2\u20133 m\u011bs\u00edce. Pokud HbA1c neklesne o 0,5 % nebo v\u00edce po 3 m\u011bs\u00edc\u00edch u maxim\u00e1ln\u00ed tolerovan\u00e9 d\u00e1vky, obvykle se p\u0159id\u00e1 dal\u0161\u00ed terapie.<\/p>\n<h3 class=\"wp-block-heading\">Mohu p\u00edt alkohol p\u0159i u\u017e\u00edv\u00e1n\u00ed p\u0159\u00edpravku Glycomet SR?<\/h3>\n<p>M\u00edrn\u00e1 konzumace alkoholu (1\u20132 n\u00e1poje denn\u011b) je obecn\u011b bezpe\u010dn\u00e1. T\u011b\u017ek\u00e9 pit\u00ed nebo n\u00e1razov\u00e9 pit\u00ed by se m\u011blo vyhnout \u2014 zvy\u0161uje riziko lakt\u00e1tov\u00e9 acid\u00f3zy a m\u016f\u017ee zp\u016fsobit hypoglyk\u00e9mii, zejm\u00e9na bez j\u00eddla.<\/p>\n<h3 class=\"wp-block-heading\">Kde si mohu koupit Glycomet SR online?<\/h3>\n<p>Glycomet SR (250 mg, 500 mg, 850 mg nebo 1000 mg SR) si m\u016f\u017eete objednat na MedsBase v balen\u00edch po 30, 60, 90 nebo 180 tablet\u00e1ch. Dod\u00e1v\u00e1me po cel\u00e9m sv\u011bt\u011b, s diskr\u00e9tn\u00edm balen\u00edm a origin\u00e1ln\u00edmi v\u00fdrobky certifikovan\u00fdmi WHO-GMP.<\/p>\n<h2 class=\"wp-block-heading\">Souvisej\u00edc\u00ed l\u00e9ky na diabetes<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/glycomet-sr\/\">Glycomet SR \u2014 Metformin SR 250\/500\/850\/1000 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/glycomet-gp\/\">Glycomet-GP \u2014 Kombinace metforminu a glimepiridu<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/januvia\/\">Januvia \u2014 Sitagliptin (inhibitor DPP-4)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/jardiance-empagliflozin\/\">Jardiance \u2014 Empagliflozin (inhibitor SGLT-2)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/forxiga-dapagliflozin\/\">Forxiga \u2014 Dapagliflozin (inhibitor SGLT-2)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/amaryl\/\">Amaryl \u2014 Glimepirid (sulfonylurea)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/diabetes-medication\/\"><strong>Prohl\u00e9dnout v\u0161echny l\u00e9ky na diabetes<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 L\u00e9ka\u0159sk\u00e9 upozorn\u011bn\u00ed.<\/strong> Tato str\u00e1nka slou\u017e\u00ed pouze pro informa\u010dn\u00ed \u00fa\u010dely a nenahrazuje l\u00e9ka\u0159skou pomoc kvalifikovan\u00e9ho zdravotnick\u00e9ho pracovn\u00edka. Diabetes 2. typu vy\u017eaduje monitorov\u00e1n\u00ed a individu\u00e1ln\u00ed nastaven\u00ed d\u00e1vky l\u00e9ka\u0159em \u2014 v\u017edy u\u017e\u00edvejte metformin pod l\u00e9ka\u0159sk\u00fdm dohledem, zejm\u00e9na pokud m\u00e1te onemocn\u011bn\u00ed ledvin nebo jater, jste t\u011bhotn\u00e1 nebo koj\u00edte, nebo u\u017e\u00edv\u00e1te jin\u00e9 l\u00e9ky.<\/div>\n<p class=\"medsbase-bundle-link-2026-05-01\" data-marker=\"mb-bundle-link-diabetes-starter-pack\">Nov\u011b diagnostikovan\u00ed pacienti s diabetem 2. typu obvykle za\u010d\u00ednaj\u00ed s monoterapi\u00ed metforminem SR, pot\u00e9 p\u0159ech\u00e1zej\u00ed na kombinaci metforminu a sulfonylmo\u010doviny, kdy\u017e monoterapie p\u0159estane kontrolovat HbA1c; pro kombinovan\u00fd re\u017eim prvn\u00ed linie a postupn\u00e9ho navy\u0161ov\u00e1n\u00ed viz na\u0161e <a href='\/cs\/diabetes-starter-pack\/'>Diabetes Starter Pack (Glycomet SR 1000 mg + Glycomet-GP)<\/a> s ob\u011bma \u00farovn\u011bmi v jedn\u00e9 z\u00e1silce.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Souvisej\u00edc\u00ed alternativy<\/h3>\n<p>Dal\u0161\u00ed produkty v <strong>Chronick\u00e1 onemocn\u011bn\u00ed<\/strong> kter\u00e9 z\u00e1kazn\u00edci tak\u00e9 prohl\u00ed\u017eej\u00ed:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/cs\/hivus-lr\/\">Hivus LR<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/seroflo-autohaler\/\">Seroflo Autohaler<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/montair\/\">Montair<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/solu-medrol\/\">Solu-Medrol<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/cs\/loratin\/\">Loratin<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Reguluje hladinu cukru v krvi<br \/>\n\u2705 Podporuje zvl\u00e1d\u00e1n\u00ed diabetu<br \/>\n\u2705 Zlep\u0161uje citlivost na inzul\u00edn<br \/>\n\u2705 K dispozici forma s prodlou\u017een\u00fdm uvol\u0148ov\u00e1n\u00edm<br \/>\n\u2705 Pom\u00e1h\u00e1 udr\u017eovat glykemickou kontrolu<\/h5>\n<p><span style=\"color: #999999;\">Glycomet SR obsahuje hydrochlorid metforminu<\/span><\/p>","protected":false},"featured_media":55003,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3230,3231],"product_tag":[3851,3239],"class_list":{"0":"post-55002","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-diabetes","9":"product_cat-diabetes-medication","10":"product_tag-glycomet-sr","11":"product_tag-metformin-hydrochloride","13":"first","14":"instock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product\/55002","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/comments?post=55002"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media\/55003"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/media?parent=55002"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_brand?post=55002"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_cat?post=55002"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/cs\/wp-json\/wp\/v2\/product_tag?post=55002"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}