Tenlivest 20mg Tablet is prescribed when diet and exercise as well as other medications are insufficient in controlling blood sugar levels Your doctor may prescribe this medication alone or in combination with other diabetes medicines It can be taken with or without food and the dosage will be determined based on your condition and blood sugar levels It is important to follow your doctors instructions and take the medication regularly at the same time every day for maximum benefit Do not discontinue use unless recommended by your doctor as it helps control blood sugar levels and prevent future complications While taking this medication it is important to adhere to the diet and exercise program recommended by your doctor as lifestyle plays a significant role in diabetes management Headache is the most common side effect of this medication but it is usually minor and improves over time Low blood sugar levels hypoglycemia may occur if you are taking other diabetes medications such as insulin or sulphonylurea so it is important to be aware of how to recognize and manage it You can carry sugar or glucose candy to address low blood sugar levels If the side effects concern you or persist contact your doctor Inform your doctor if you have a history of kidney disease heart or pancreas problems or if you consume alcohol excessively Pregnant or breastfeeding women should consult their doctor before taking this medication Additionally it is important to inform your doctor about any other medications you are taking as they may interfere with the effectiveness of Tenlivest While using this medication it is advisable to limit alcohol intake to reduce the risk of developing low blood sugar levels Regular tests such as kidney function and blood glucose levels may be necessary to ensure the medication is working properly