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Why Top Us Doctors No Longer Prescribing Metformin

Dr Won't Prescribe Metformin

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 >>

Dr Won't Prescribe Metformin

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 >>

The Diabetes Drug That Could Be An Anti-aging Miracle

The Diabetes Drug That Could Be An Anti-aging Miracle

In a slew of recent flashy endeavors, scientists, academics and exceptionally rich people have taken on the aging process. In 2013, Google launched Calico, its billion-dollar anti-aging research and development arm, which the following year formed a partnership with pharmaceutical giant AbbVie. Meanwhile, another major drug company, Novartis, is developing a patentable form of rapamycin—a biological agent discovered in the soil on Easter Island—which has been shown to boost immune function, and the company hopes it could become the first viable anti-aging pill. But, according to Dr. Nir Barzilai, a scientist based in the Albert Einstein College of Medicine in New York City’s Bronx borough, we might already have the drug we need to slow the aging process—and it’s dirt cheap. Metformin is an old, generic diabetes drug, known for its blood sugar–lowering properties and for being quite safe. It’s common, and it costs about 35 cents per pill. It has also been found to stall the aging process in animal studies. In June, Barzilai, along with academics from the not-for-profit American Federation for Aging Research (AFAR), approached the Food and Drug Administration with an idea: the Targeting Aging With Metformin (TAME) study, to see if metformin could do for humans what it does for animals. It would be the first clinical trial to test if a drug could slow human aging. The FDA said yes, and since that June meeting the media has exploded with excitement over the purported “fountain of youth” drug, with rumors that it could extend human life span up to 120 years. The problem, though, is that no one has agreed to front the capital required to get TAME off the ground. That’s not surprising: There are plenty of reasons Big Pharma won’t fund a study that would m Continue reading >>

Metformin

Metformin

Metformin may rarely cause a serious, life-threatening condition called lactic acidosis. Tell your doctor if you have kidney disease. Your doctor will probably tell you not to take metformin. Also, tell your doctor if you are over 65 years old and if you have ever had a heart attack; stroke; diabetic ketoacidosis (blood sugar that is high enough to cause severe symptoms and requires emergency medical treatment); a coma; or heart or liver disease. Taking certain other medications with metformin may increase the risk of lactic acidosis. Tell your doctor if you are taking acetazolamide (Diamox), dichlorphenamide (Keveyis), methazolamide, topiramate (Topamax, in Qsymia), or zonisamide (Zonegran). Tell your doctor if you have recently had any of the following conditions, or if you develop them during treatment: serious infection; severe diarrhea, vomiting, or fever; or if you drink much less fluid than usual for any reason. You may have to stop taking metformin until you recover. If you are having surgery, including dental surgery, or any major medical procedure, tell the doctor that you are taking metformin. Also, tell your doctor if you plan to have any x-ray procedure in which dye is injected, especially if you drink or have ever drunk large amounts of alcohol or have or have had liver disease or heart failure. You may need to stop taking metformin before the procedure and wait 48 hours to restart treatment. Your doctor will tell you exactly when you should stop taking metformin and when you should start taking it again. If you experience any of the following symptoms, stop taking metformin and call your doctor immediately: extreme tiredness, weakness, or discomfort; nausea; vomiting; stomach pain; decreased appetite; deep and rapid breathing or shortness of breath; dizzi Continue reading >>

Why Isn’t Metformin Prescribed More?

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 >>

Docs Won't Prescribe Metformin

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 >>

Vibrant Health Network

Vibrant Health Network

Why Doctors In The Know No Longer Prescribe Metformin Type II Diabetes sufferers may soon be tossing their test strips, lancet needles, and prescription pills. 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 doesnt 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. Merritts 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 regimens 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. Merritts natural regimen would replace, had no comment. All diabetes drug sales are expected to reach $32 billion in 2017, according to industry a Continue reading >>

Diabetes Medication Metformin: Why Patients Stop Taking It

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

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 >>

Why Doctors In The Know No Longer Prescribe Metformin

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 >>

The Pros And Cons Of Metformin For Diabetes

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 >>

Influences On Prescribing Behavior In Diabetes

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 >>

What Is Metformin?

What Is Metformin?

MORE Metformin is a prescription drug used primarily in the treatment of Type II diabetes. It can be used on its own or combined with other medications. In the United States, it is sold under the brand names Fortamet, Glucophage, Glumetza and Riomet. "Metformin is very often prescribed as the first step in a diabetic's regime," said Ken Sternfeld, a New York-based pharmacist. How it works "When you're diabetic you lose the ability to use the insulin you need to offset the food," Sternfeld explained. "If you eat a carb or sugar that can't be metabolized or offset by the insulin you produce, your sugar levels will be higher. Metformin and drugs in that category will help your body better metabolize that food so that insulin levels will be able to stay more in line." Metformin aims to decrease glucose production in the liver, consequently lowering the levels of glucose in the bloodstream. It also changes the way that your blood cells react to insulin. "It makes them more sensitive to insulin," said Dr. Stephen Neabore, a primary care doctor at the Barnard Medical Center in Washington, D.C. "It makes the same amount of insulin work better. It transports the insulin to the cells in a more effective way." Metformin may have a preventive health role, as well. New research presented at the American Diabetes Association 2017 Scientific Sessions showed that long-term use of metformin is particularly useful in preventing the onset of type II diabetes in women who have suffered from gestational diabetes. Because metformin changes the way the body uses insulin, it is not used to treat Type I diabetes, a condition in which the body does not produce insulin at all. Metformin & PCOS Metformin is sometimes prescribed to treat polycystic ovarian syndrome (PCOS), according to Neabore. "I Continue reading >>

Diabetes Drug That Could Help Us All Live Longer: Doctors Say It Could Also Stave Off Cancer

Diabetes Drug That Could Help Us All Live Longer: Doctors Say It Could Also Stave Off Cancer

A drug widely prescribed to treat type 2 diabetes could help us all live longer, a study says. Research suggests metformin, which controls glucose levels, may also stave off cardiovascular disease and cancer – whether someone has diabetes or not. Scientists who studied more than 180,000 people found a ‘small but statistically significant improvement in survival’ in those taking metformin, compared with those given older anti-diabetic drugs and a group without diabetes. Scroll down for video However, experts said the five-and-a-half year follow-up period was relatively short, considering the complications of diabetes get worse over time and are linked with a shorter lifespan. Lead author Professor Craig Currie, from Cardiff University’s School of Medicine, said further research into the effects of metformin on healthy people was merited, particularly as it had negligible side effects. The drug costs a little over 10p a day for the highest prescribed dose. He said: ‘Patients treated with metformin had a small but statistically significant improvement in survival compared with non-diabetics, whereas those treated with sulphonylureas had a consistently reduced survival compared with non-diabetic patients. 'Surprisingly, the findings indicate that this cheap and widely prescribed diabetic drug may have beneficial effects not only on patients with diabetes but also for people without. ‘Metformin has been shown to have anti-cancer and anti-cardiovascular disease benefits. It can also reduce pre-diabetics’ chances of developing the disease by a third.’ But he said patients with type 2 diabetes would eventually see their health deteriorate, regardless of what drug they took. ‘People lose on average around eight years from their life expectancy after developing Continue reading >>

Here’s Why Doctors Have Stopped Prescribing Metformin

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 >>

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