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Why Doctors Are Not Recommending Metformin

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If You Have Diabetes…how To Fast Safely For A Medical Test

Recently, an employee at Bottom Line Publications was scheduled for a colonoscopy, the screening test for colon cancer. The medical test turned into medical mayhem. The day before the test, the woman followed her doctor’s orders to start ingesting a “clear liquid” diet, which includes soft drinks, Jell-O and other clear beverages and foods. But when she drank the “prep”—the bowel-cleaning solution that is consumed the evening before a colonoscopy (and sometimes also the morning of)—she vomited. Over and over. As a result, her colon wasn’t sufficiently emptied to conduct the test, which had to be postponed. What went wrong? The woman has diabetes—and her glucose (blood sugar) levels had become unstable, triggering nausea and vomiting. Yet not one medical professional—not a doctor, not a nurse, not a medical technician—had warned her that people with diabetes need to take special precautions with food and diabetes medicine whenever they have any medical test that involves an extended period of little or no eating. Unfortunately, this lack of diabetes-customized instruction about medical tests is very common. What you need to know… If you’re undergoing a test Continue reading >>

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Popular Questions

  1. foodie

    Dr won't prescribe Metformin

    I just got in from an appointment this morning with my doctor. I had asked for a prescription for Metformin, but she said she wouldn't prescribe until my A1c is 7 or above.
    I have tried my best to eat low carb but after 6 months, it is becoming more and more difficult. Still in that time, I have lost 27 pounds. Even with that weight loss and exercise, 15 grams of carbs at a meal sends my bg level to 150. She said that is normal and she considers that pre-diabetes.
    I'll have today's lab results back next week. If my A1c isn't up, I won't get the Metformin. Is she right?

  2. jwags

    Welcome to DD. Congratulations on the weight loss. You must be doing something right. Is that 150, 2 hrs after meals. I find that when I was first diagnosed I had to increase my protein. My best numbers come aftter I eat eggs and bacon or sausage or a BLT on sprouted bread. My morning numbers are still high ( 115 -150) I'm on 850 metformin 2 x day. The metformin makes the liver produce less glucose, sometimes. But I find I still get bg spikes throughout the day and when I don't eat enough. One thing I have found out about diabetes is nothing is ever the same. What works one day, does not work the next. Stress also causes bg to spike. In my case when I exercise my bg will jump 60 or 70 points. So its about balance. I don't have any problems with metformin but many people have stomach cramps .

  3. foodie

    The 150 is 2 hours after a meal. I just need to add that I am definitely diabetic, not pre-diabetic as my doctor said this morning. I want the Metformin because I want a dang bowl of pinto beans sometimes. Is that too much to ask?

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