Dianorm Total 60 Tablet SR is an anti-diabetic medicine that is used to treat type 2 diabetes mellitus. It helps control blood sugar levels in adults with diabetes. Dianorm Total 60 Tablet SR should be taken with food, preferably at the same time each day. Your doctor will decide what dose is best for you and this may change from time to time based on your blood sugar levels.Keep taking this medicine, even if you feel well or your blood sugar levels are controlled. If you stop it without consulting your doctor, your blood sugar levels could rise and put you at risk of kidney damage, blindness, nerve problems, and loss of limbs. Remember that it is only part of a treatment program that should also include a healthy diet, regular exercise, and weight reduction as advised by your doctor. Your lifestyle plays a big part in controlling diabetes.The most common side effect of Dianorm Total 60 Tablet SR is low blood glucose levels (hypoglycemia). Make sure you recognize the signs of low blood glucose levels (sweating, dizziness, headache) and know how to deal with them. To prevent this, it's important to have regular meals and always carry a fast-acting source of glucose such as sugary food or fruit juice with you. Drinking alcohol can also increase your risk of low blood sugar levels and should be avoided. Other side effects that may be seen on taking this medicine include nausea, taste changes, diarrhea, stomach pain, headache, edema (swelling), blurred vision, bone fracture, and upper respiratory tract infections. Some people may find that they put on weight with this medicine.You should not take it if you have type 1 diabetes mellitus, if you have diabetic ketoacidosis (high levels of acid in your blood), or if you have severe kidney or liver disease. Before taking this medicine, tell your doctor if you have ever had heart disease. It may not be suitable. Pregnant or breastfeeding women should also consult their doctor before taking it. Your blood sugar levels should be checked regularly and your doctor may also advise blood tests to monitor your blood cell counts and liver function.