Dr Won't Prescribe Metformin
Friend T2 since Jan 26,2009, looking for guidance I don't understand this doctor. Wasn't there some study recently that showed how metformin could help prevent diabetes in pre-diabetic people? So it seems very irresponsible for this doctor to deny you this treatment until you are "actually" diabetic per her opinion. Seems to me if your Doctor says you are "pre" Diabetic what is he/she waiting for.If you are getting readings over 140 on a consistent basis it is time to start attacking the problem.I see no reason why you should not be on 1000 mg a day (mabey 500 to start)and see what your reaction is to it.My sugar levels were never absurdly high 200 was a rare occassion for me and 140-80 norms.Metformin has changed my life so much and for the better is unbelievable.My Doctor actually just asked me if I wanted to lessen the dosage from 1500 mg a day.I walked out with a new script for 1650 a day I think he gets my point.If you monitor daily why wouldn't you want to give it a shot.What are your highest numbers? Type 2 taking Metformin XR also actos which I plan to stop.Last A1C was 6.7 2-25-09 A1c 6.1.... 8-12-09 5.9...2-2010 5.7 8-12-09 Will now take 2 1000 mg Met per day Someone, somewhere - I can't remember which side of the Atlantic this person was - said that the HbA1c was a good guide to whether a person is diabetic or not, and that levels below 7 indicated that a person wasn't diabetic. Err no. it just means you've got the thing under control. I am a diagnosed diabetic with an HbA1c of below 7. I don't know which planet this person is on, but it's not this one, but I think they were a medical professional (there's an advisory on the use of that word!) Voltaire said:- "It is better to remain silent and be thought a fool than open one's mouth and remove all doubt!" Continue reading >>
Why Good Doctors No Longer Prescribe Metformin
Until recently, diabetics looking for doctor-approved, drug-free treatment options were out of luck. But a growing number of health experts believe those days are behind us. Dr. Marlene Merritt (LAc, DOM(NM), MS Nutrition), an Austin-based doctor who used to suffer high blood sugar herself, made a recent announcement that is sending shockwaves through the medical community. Dr. Merritt knew all too well that commonly-prescribed diabetes drugs like Metformin came with a host of unwanted side effects, and was determined to find a natural, drug-free solution that could actually eliminate the disease, not just treat its symptoms. After months of research, Dr. Merritt developed a simple diet and exercise regimen that had a profound success rate in treating and even reversing type II diabetes. Despite the regimen’s clear effectiveness, medical journals were slow to publish her findings, perhaps due in part, some have speculated, to financial ties to the pharmaceutical industry. In response, Dr. Merritt took matters in to her own hands and shocked the medical community by partnering with independent health publisher Primal Health to make her diabetes-reversing regimen available to everyone in the form of an online presentation. Several viewers have noted the simplicity of the regimen, along with how non-restrictive the diet sounds. Unsurprisingly, many in the pharmaceutical industry have taken issue with the presentation’s drug-free emphasis, but many doctors who have wished for a natural, drug-free treatment to share with their diabetic patients have been quick to embrace it. Dr. Merritt herself cautions viewers to exercise common sense and only go off your medication with the approval of your doctor. Never underestimate the influence you have on those around you. Your wo Continue reading >>
Influences On Prescribing Behavior In Diabetes
Influences on Prescribing Behavior in Diabetes A recent study,[ 1 ] conducted by three pharmacists and a nurse, explores why only 65% of patients with newly diagnosed type 2 diabetes (T2DM) and only 25% of people with ongoing T2DM are prescribed metformin. Although metformin is recommended as a first-line treatment for T2DM, it is still underused by clinicians who manage patients with T2DM. Using two focus groups with a total of 14 participants, including physicians, nurse practitioners, physician assistants, and pharmacists, the study explored situations in which clinicians were hesitant to prescribe or may have discontinued metformin use. These situations included renal insufficiency, heart failure, hepatic dysfunction, alcoholism, current or historical lactic acidosis, and manufacturer-listed contraindications. Despite a lack of scientific evidence supporting the precautions or contraindications to metformin use listed by the manufacturer, many clinicians were not comfortable prescribing metformin in the presence of a precautionary condition or contraindication. After a brief educational presentation about the evidence on the risks associated with metformin, the investigators reassessed the clinicians' level of comfort in prescribing metformin to patients with T2DM and such coexisting conditions as renal insufficiency, heart failure, and contraindications. They found that the participants were more likely to use metformin in these patients. The researchers concluded that the beliefs held by many clinicians about the risks associated with metformin use in T2DM are not consistent with the available evidence. They suggest that metformin use in patients with T2DM can be increased through clinician education to improve their level of comfort in using metformin in patient Continue reading >>
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Docs Won't Prescribe Metformin
So sorry to hear of your experience. Sadly, it sounds like you have a bit more information about PCOS than your doctor. Hate to echo all the previous comments to change doctors, however that might be the best option. I'd humbly suggest, and agree with those who also think, it may be time for a **Reproductive Endocrinologist.** I backed into my PCOS diagnosis after having children; my OB-GYN put me on Clomid simply because I didn't ovulate regularly. And two cycles in, we conceived twins. It was only after the children were a few years old -- and 150+ pounds later -- that an Ann Landers/Dear Abby column my mother read connected the dots between my various symptoms to lead to PCOS. My OB, when presented with the option, totally agreed. She put me on oral contraceptives (to regulate hormones) and spironolactone (a diuretic to help flush excess testosterone from my system). It wasn't long after that we prepared to move to a military installation and my OB, who was trained by the military, suggested that once I was there, I seek out a "reproductive endocrinologist." I'd never heard the term before, but followed her advice. While sitting in that waiting room, I think I was part of a very small percentage of patients not already or actively trying to become pregnant. And yes, this doctor -- who in 2001 had already published articles on PCOS -- pretty immediately added metformin to the other meds I was already using. He did explain that it was an "off-label" use for it, however it was the beginning of cutting edge treatment for PCOS at the time. (With the 150+ pound weight gain, it was pretty evident I was also insulin-resistant; cell walls not allowing nutrients to pass through --> starving cells send out messages for hunger/needing nutrients --> repeat cycle) In discussing t Continue reading >>
Why Is Metformin Considered The Drug Of Choice For Type 2 Diabetes?
Gunda Siska, PharmD, has worked in various fields within the pharmaceutical industry as a licensed pharmacist for more than 20 years. She is currently a staff hospital pharmacist assisting nurses and doctors with drug prescribing, administration, and dispensing, as well as independently monitoring and dosing highly toxic and dangerous drugs. For 2 years, she was concurrently a consultant pharmacist for skilled nursing facilities and nursing homes. Dr. Siska is a member of the New Mexico Society of Health-System Pharmacists and the American Academy of Anti-Aging Medicine. Follow her on Twitter @GundaSiska Metformin is a medication that I believe is underappreciated by the general public. Many people ttell me that their doctor prescribed this drug for them, but they took themselves off of it, but if they knew what I know about metformin, they would have stayed on the medication. This is what I know: metformin extends life. It’s been proven in animal studies1 and in humans. A prospective observational study of nearly 20,000 people with type 2 diabetes mellitus (T2DM) and arteriosclerosis found that metformin use was associated with 24% lower all-cause mortality compared to patients who were not taking metformin.2 It is also the number one go-to medication for type 2 diabetes for several years, despite all the new designer medications coming on the market trying to replace it. How does metformin save lives? Mainly through cardioprotection. Metformin reduces cardiovascular risk in humans.3 Most people with T2DM will most likely die from a cardiovascular event, especially if they are not on metformin.4,5,6 Metformin has so many positive effects on the body, no one really knows for sure all the ways it preserves life. It produces modest weight loss in the near term5 and blun Continue reading >>
Why Doctors In The Know No Longer Prescribe Metformin
A discovery by an Austin-based doctor may change how Type II Diabetes is treated and could even be a cure. Dr. Marlene Merritt suffered from high blood sugar for years and was determined to find a natural solution. “My motivation,” she says, “was to cast off the shackles of the daily monitoring, the shots and pills, and the drug side effects. I wanted to live a normal life again.” After two years of research and trial and error experiments, Dr. Marlene Merritt hit upon a practical diet and exercise regimen that doesn’t just control Type II Diabetes but actually reverses it. While the regimen eliminates a few foods, it most importantly adds a single food that has shown to have a big impact on the disease. The announcement of her discovery has sent shockwaves through the medical community, with some progressive doctors enthusiastically embracing it, and many conventional doctors taking a “wait and see” approach. Within weeks of adopting her own regimen, Dr. Merritt’s condition completely reversed. “It was just gone, and I had my life back,” she says. I then prescribed this drug-free solution to my diabetic patients and, in most cases, they too saw success in a matter of weeks.” Despite the regimen’s effectiveness, medical journals have been slow to publish her findings. And Dr. Merritt suspects the reluctance is due to the outsized influence of the pharmaceutical industry, which stands to lose billions of dollars on lost drug sales. The makers of Metformin, one of several drugs Dr. Merritt’s natural regimen would replace, had no comment. All diabetes drug sales are expected to reach $32 billion in 2017, according to industry analyst, Morder Intelligence. Dr. Merritt says “Diabetics need to know about this safer option.” To get the word out, s Continue reading >>
Do You Have A Good Doctor?
There is one often overlooked factor that can save you or someone you love from a future filled with amputations, failing vision, and dialysis: a family doctor who keeps up-to-date on diabetes treatment. Not all doctors do. In fact, quite a few doctors out there got their training in diabetes care in medical school decades ago, and the only "diabetes education" they've gotten since then has been provided by the drug companies. Drug company "education" is nothing more than promotion for whatever is the newest, most expensive drug available for treating diabetes--with the side effects unmentioned or dismissed as insignificant. Even those doctors who do attempt to keep up with the latest in diabetes treatments may do so by reading newsletters that summarize the most publicized recent research findings. But these, too, focus almost entirely on new drugs and often just summarize drug company press releases. That is why a major part of your diabetes self-care should include finding a doctor who will become a partner, not an obstacle, in your quest for normal health. While this whole site contains a lot of information that can help you assess the quality of the treatment you are getting what I've done here is put together a list of questions you can use to evaluate the care you are getting from the medical professionals you are paying for your care. Does your doctor support you in your desire to attain normal blood sugars? A major warning sign that a doctor's knowledge of diabetes is out of date is the doctor who dismisses your concern about an abnormal blood sugar test because it isn't, in his mind, abnormal enough. If your fasting blood sugar is over 110 mg/dl, or your post meal blood sugars are routinely going over 140 mg/dl at 2 hours, and your doctor tells you that this i Continue reading >>
Dr Won't Prescribe Metformin
D.D. Family T2 for a few years-diet, exercise, Metformin Sounds like you might need a new doctor. Years ago, 7 was the cut-off number for diabetes, but it hasn't been that for a while. She is probably operating on old information. It is never good to go over 150. Congrats on your weight loss! Nice feeling, isn't it? I did that last year. It is nice to be a size "large" instead of "extra-large"! How much metformin do you take and what else do you do to get those fantastic numbers? 1000 mg before bed and 500 mg in the am. I use a small amount of Lantus before bed (10 units). I am a low carber. I've been at it for a while. It is sustainable and quite healthy if done right. I eat well and low carb. Thanks for the info. I take 850 2 x a day and low carb it but can't lower numbers. Maybe Lantus is the difference. We're all different. I think my diabetes came from an acute medical emergency -- I was in an ICU for a week. Perhaps I didn't lose a lot of pancreatic function, i.e. it was acute. But if I eat bread -- any white carb -- I will have a BG of 160 or higher. I am diabetic. At what point did your doctor put you on lantus. It seemed you started out at 6.9 last May. I started out over 9 and currently am at 6.7 up from 6.4. I'm like you any processed carb make my bg skyrocket. Have you tried sproute bread ( trader Joes) I started Lantus last fall. I don't go to an Endo; I go to a GP. He is good and he trusts me. I wanted the Lantus to get my morning numbers below the 110s. It was an argument and he let me have what I wanted. It is important to have a doctor that you can work with. You are in charge of your own health -- they are there to assist you. Diabetes is complicated and we are all different. To those that use Metformin - was it hard to adjust to it? I have been very Continue reading >>
Alternative To Metformin – Why Doctors In The Know No Longer Prescribe Metformin
Alternative to Metformin – Side Effects of Metformin? Urgent news about Metformin – #1 Lie About Diabetes Meds Metformin Side Effects – Alternative to Metformin, Until recently, diabetics looking for doctor-approved, drug-free treatment options were out of luck. Type II Diabetes sufferers may soon be tossing their test strips, lancet needles, and prescription pills as you now have top rate Alternative to Metformin. But a growing number of health experts believe those days are behind us. A discovery by an Austin-based doctor may change how Type II Diabetes is treated and could even be a cure. Dr. Marlene Merritt suffered from high blood sugar for years and was determined to find a natural solution. “My motivation,” she says, “was to cast off the shackles of the daily monitoring, the shots and pills, and the drug side effects. I wanted to live a normal life again.” After two years of research and trial and error experiments, Dr. Marlene Merritt hit upon a practical diet and exercise regimen that doesn’t just control Type II Diabetes but actually reverses it. While the regimen eliminates a few foods, it most importantly adds a single food that has shown to have a big impact on the disease. The announcement of her discovery has sent shockwaves through the medical community, with some progressive doctors enthusiastically embracing it, and many conventional doctors taking a “wait and see” approach. Within weeks of adopting her own regimen, Dr. Merritt’s condition completely reversed. “It was just gone, and I had my life back,” she says. I then prescribed this drug-free solution to my diabetic patients and, in most cases, they too saw success in a matter of weeks.” Dr. Marlene Merritt (LAc, DOM(NM), MS Nutrition), an Austin-based doctor who used to Continue reading >>
The Pros And Cons Of Metformin For Diabetes
Metformin is #7 on the doctors’ hit parade of top 10 prescription drugs. Each year the number of prescriptions increases substantially. Last year there were 87 million metformin prescriptions dispensed in U.S. pharmacies. That does not count combo products that include metformin in their formulation such as Glucovance, Invokamet, Janumet, Kombiglyze XR, Metaglip and Synjardy, to name just a few. Metformin is clearly the #1 drug for diabetes and because the number of people with diabetes keeps going up, prescriptions for metformin are skyrocketing. That’s why readers of our syndicated newspaper column and visitors to this website are so desperate to learn more about metformin for diabetes. How To Know If Metformin for Diabetes Is Right for You: Here is a typical letter from a reader: Q. I crossed the line a month ago from normal blood sugar to type 2 diabetes and was put on metformin. I hate taking drugs. What can you tell me about metformin? Thank the Old Wives: A. Metformin is one of the oldest and most well-studied diabetes medicines. It probably comes as a shock to most prescribers to learn that their favorite diabetes drug is available thanks to the old wives. Practitioners of folk medicine discovered that French lilac (Galega officinalis) helped control the symptoms of a condition associated with “sweet urine.” An article in the Journal of Clinical Investigation (Oct. 15, 2001) noted: “In medieval times, a prescription of Galega officinalis was said to relieve the intense urination accompanying the disease that came to have the name of diabetes mellitus [now known as type 2 diabetes].” The botanist and physician Nicholas Culpeper detailed the health benefits of French lilac in 1656. He described the ability of the plant to lower blood sugar and control Continue reading >>
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 people with the condition. As noted in a Pharmacy Times article on the study, researchers from the University of Colorado put together focus groups of relevant people — doctors, pharmacists, and other medical personnel — to ask about their perceptions regarding metformin. Based on these focus groups, the researchers found that three main factors affected how doctors prescribed metformin: concerns about when to start the drug, concerns about the drug’s known risks, and whether procedures were in place to notice and deal with any adverse reactions caused by the drug. Based on the focus grou Continue reading >>
Here’s Why Doctors Have Stopped Prescribing Metformin
We are quickly approaching the day when people diagnosed with Type II Diabetes can kiss goodbye to their expensive pills and annoying needles and test strips. This is thanks to a breakthrough from a Sri Lankan researcher, a specialist in endocrinology with 23 years’ experience, that is going to change everything we thought we knew about how to treat Type II Diabetes... No more needles! Would you be willing to try a "Delicious Dish"or even a "Miracle Smoothie" that could solve the problem of diabetes naturally? Mr. Michel Dempsey, in a brave (and lucky) attempt to save his wife from diabetes discovered a Sri Lankan tribe that has 0 cases of diabetes or pre diabetes. Against all odds he was able, with the help of a Sri Lankan researcher from the university of Peradeniya, to develop a natural treatment to reverse diabetes using the exact same ingredients the tribe has been consuming for decades. He said that he just couldn't see the mother of his 3 children unable to cast off the shackles of diabetes. He wanted to find a better future for her. Now, several years of research, study and experiments later, Chaminda, the Sri Lankan researcher, has discovered a surprisingly simple way to stop diabetes and even reverse it, giving you back the life you had before. The method involves doing away with the foods that are making the problem worse, and replacing them with ingredients and superfood that has doctors baffled. This new method was met with harsh criticism from the medical community and pharmaceutical companies, but he was never criticised by those who actually try it; most of them experienced success in just a few weeks. Michel says that this method has proven results, and these results can speak for themselves. By now you’re probably wondering why you’ve never heard Continue reading >>
Ignore The Clickbait: Metformin Still Prescribed For Diabetics
Dear Dr. Roach • I have read online and in our local newspaper that doctors are no longer recommending metformin as a treatment for Type 2 diabetes. Can you please explain why metformin is no longer being prescribed? — P.K. Answer • I, too, have seen online ads saying that doctors no longer prescribe metformin, and if you click through enough times, you find that “one weird food” cures diabetes, and that a special diet totally eliminates the need for medication for all diabetics. This is referred to as “clickbait,” and I encourage you not to pay attention to it. Metformin remains an important medication for many people with Type 2 diabetes, especially if they are overweight. For those people with diabetes who need medication despite an appropriate diet and regular exercise, metformin has been shown to be more beneficial, in terms of preventing diabetic complications and death, than most of the other medication options. It isn’t right for everyone, and people with poor kidney function may not be able to safely take it. Only your doctor, nurse practitioner or physician assistant knows what is best for you. Dear Dr. Roach • I started researching information about early dementia and also Alzheimer’s disease. I have perused numerous articles about cholinesterase inhibitors increasing acetylcholine levels that benefit the brain. Some medications are anticholinergic and might increase your risk of developing Alzheimer’s disease. Many of these medications are everyday, over-the-counter drugs. Shouldn’t the public be made aware of these drugs and their possible effect on our brain? — P.C. Answer • One type of treatment for Alzheimer’s disease is a class of drugs called cholinesterase inhibitors. These include donepezil (Aricept) and others. Pharmaco Continue reading >>
Diabetes Medication Metformin: Why Patients Stop Taking It
Gretchen Becker, author of The First Year: Type 2 Diabetes: An Essential Guide for the Newly Diagnosed , has been taking metformin for more than 20 years after receiving a diagnosis of type 2 diabetes in 1996. I never had any problems with metformin until I took a pill that I thought was the extended-release version, but it wasnt, Becker told Healthline. Beckers doctor had accidentally prescribed the regular form of metformin. I had very loose bowels for several months until I figured out what the problem was, Becker said. After getting the proper prescription, it took several months for Beckers digestive system to recover. Corinna Cornejo, who received a diagnosis of type 2 diabetes in 2009, told Healthline that her digestive woes didnt start until shed been taking metformin for more than a year. At first, I thought it was a response to dairy, but my doctor eventually switched my prescription to the extended-release version, Cornejo recalled. That has helped, but the side effect has not gone away completely. For some people, however, metformins unpleasant side effect of loose stools provides a much-needed balance to the side effects that can result from other diabetes drugs theyre taking. GLP-1 drugs, like Victoza or Byetta, can cause constipation, explained Robinson. Taking metformin with a GLP-1 drug means they actually complement each other, balancing out those side effects. And for some, metformin simply isnt the right drug. No matter what you do, some patients just dont tolerate the side effects well, said Robinson. Although there are many diabetes drugs on the market today, doctors will likely push metformin first. There has never been as many diabetes treatment options available as there are now, explained Robinson. But doctors look at cost, and metformin is th Continue reading >>
Ignore Clickbait: Metformin Still Prescribed For Diabetics
Ignore clickbait: Metformin still prescribed for diabetics Dear Dr. Roach: I have read online and in our local newspaper that doctors are no longer recommending metformin as a treatment for Type 2 diabetes. Can you please explain why metformin is no longer being prescribed? P.K. Answer: I, too, have seen online ads saying that doctors no longer prescribe metformin, and if you click through enough times, you find that one weird food cures diabetes, and that a special diet totally eliminates the need for medication for all diabetics. This is referred to as clickbait, and I encourage you not to pay attention to it. Metformin remains an important medication for many people with Type 2 diabetes, especially if they are overweight. For those people with diabetes who need medication despite an appropriate diet and regular exercise, metformin has been shown to be more beneficial, in terms of preventing diabetic complications and death, than most of the other medication options. It isnt right for everyone, and people with poor kidney function may not be able to safely take it. Only your doctor, nurse practitioner or physician assistant knows what is best for you. Dear Dr. Roach: I have (inherited) essential tremor, which is controlled by propranolol. Over the years, my dosage has increased from 10 mg to 60 mg. My tremor (in my dominant hand only) is getting worse. I have heard that there is brain surgery available to address the issue. Is this a better option than the pills? I am 75 and otherwise in good health. C.C. Answer: There are several medications for essential tremor, such as primidone, but in people for whom medications dont work, both deep-brain stimulation and focused ultrasound are now options in many major medical centers across the U.S. and Canada. You can read mor Continue reading >>