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Why Doctors In The Know No Longer Prescribe Metformin Vibrant Health Network

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Why Isn’t Metformin Prescribed More?

Since its debut in the United States in 1995, metformin has become the most popular oral drug for Type 2 diabetes in the country — and the rest of the world. Current guidelines by the American Diabetes Association state that unless there are special risks in a particular person, metformin should be the first drug prescribed to people with Type 2 diabetes. Yet perhaps due in part to its popularity, metformin isn’t free of controversy. As we’ve discussed previously here at Diabetes Flashpoints, there are concerns about prescribing metformin in people with kidney disease, and some doctors even question whether metformin deserves its status as the universally recommended first-line drug for Type 2 diabetes. In addition, there’s debate about whether metformin should be taken by more people with prediabetes. A recent study sought to explore the reasons why metformin isn’t prescribed as widely as clinical guidelines suggest it should be. Published last month in the journal Therapeutic Advances in Chronic Disease, the study notes that only roughly 65% of people with newly diagnosed Type 2 diabetes are prescribed metformin — and that over time, this number drops to just 25% of p 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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