diabetestalk.net

Is Metformin Contraindicated In Congestive Heart Failure?

Share on facebook

What is HEART FAILURE? What does HEART FAILURE mean? HEART FAILURE meaning & explanation. Heart failure (HF), often referred to as congestive heart failure (CHF), occurs when the heart is unable to pump sufficiently to maintain blood flow to meet the body's needs. Signs and symptoms commonly include shortness of breath, excessive tiredness, and leg swelling. The shortness of breath is usually worse with exercise, while lying down, and may wake the person at night. A limited ability to exercise is also a common feature. Chest pain, including angina, does not typically occur due to heart failure. Common causes of heart failure include coronary artery disease including a previous myocardial infarction (heart attack), high blood pressure, atrial fibrillation, valvular heart disease, excess alcohol use, infection, and cardiomyopathy of an unknown cause. These cause heart failure by changing either the structure or the functioning of the heart. There are two main types of heart failure: heart failure due to left ventricular dysfunction and heart failure with normal ejection fraction depending on whether the ability of the left ventricle to contract is affected, or the heart's ability to

Metformin And Thiazolidinedione Use In Medicare Patients With Heart Failure

Metformin and Thiazolidinedione Use in Medicare Patients With Heart Failure ContextAccording to package inserts, metformin is contraindicated in diabeticpatients receiving drug treatment for heart failure therapy, and thiazolidinedionesare not recommended in diabetic patients with symptoms of advanced heart failure.Little is known about patterns of use of these antihyperglycemic drugs indiabetic patients with heart failure. ObjectiveTo determine the proportions of patients hospitalized with heart failureand concomitant diabetes treated with metformin or thiazolidinediones. DesignSerial cross-sectional measurements using data from retrospective medicalrecord abstraction. SettingNongovernmental acute care hospitals in the United States. PatientsTwo nationally representative samples of Medicare beneficiaries hospitalizedwith the primary diagnosis of heart failure and concomitant diabetes betweenApril 1998 and March 1999 and between July 2000 and June 2001. Main Outcome MeasuresThe prescription of either metformin or a thiazolidinedione at hospitaldischarge. ResultsIn the 1998-1999 sample (n = 12505), 7.1% of patients were dischargedwith a prescription for metformin, 7.2% with a presc Continue reading >>

Share on facebook

Popular Questions

  1. goudie

    12

    How long does it take to re-enter ketosis once breaking it? (self.keto)
    30 comments share save hide
    report


    all 30 comments
    sorted by: best


    Want to add to the discussion?
    Post a comment!


    Create an account

  2. lubdubDO

    it takes me about 5 days to get back into what i call solid-every-time-i-pee ketosis. but everyone is different, my wife gets into ketosis in 2-3 days.

  3. darthluiggi

    Yup: depends on how long you have been on it, how big you cheated, overall body composition and if you hit the gym. Im usually back in one day.

  4. -> Continue reading
read more
Share on facebook

Congestive Heart Failure - congestive heart failure - Explained - MADE EASY end of life- end of life Symptoms, Causes, and Treatment Subscribe My Channel to Stay Updated What is congestive heart failure? Heart failure, sometimes known as congestive heart failure, occurs when your heart muscle doesn't pump blood as well as it should. Certain conditions, such as narrowed arteries in your heart coronary artery disease or high blood pressure, gradually leave your heart too weak or stiff to fill and pump efficiently. What is left sided Congestive Heart Failure - congestive heart failure - end of life? Left-side heart failure occurs when the left ventricle does not pump efficiently, and your body does not receive enough oxygen-rich blood. The blood instead backs up into your lungs, causing shortness of breath and fluid accumulation. What is a left ventricular failure? Systolic failure: The left ventricle loses its ability to contract normally. The heart can't pump with enough force to push enough blood into circulation. Diastolic failure also called diastolic dysfunction: The left ventricle loses its ability to relax normally because the muscle has become stiff What is left ventricular s

Use Of Metformin In Chronic Kidney Disease, Congestive Heart Failure, And Chronic Liver Disease - Curr Med Issues

EVIDENCE-BASED MEDICINE: SUMMARY OF STUDY Year : 2017 | Volume : 15 | Issue : 3 | Page : 240-242 Use of metformin in chronic kidney disease, congestive heart failure, and chronic liver disease Source of Support: None, Conflict of Interest: None . Use of metformin in chronic kidney disease, congestive heart failure, and chronic liver disease. Curr Med Issues 2017;15:240-2 . Use of metformin in chronic kidney disease, congestive heart failure, and chronic liver disease. Curr Med Issues [serial online] 2017 [cited2018 Mar 28];15:240-2. Available from: Source: This is a summary of the study: Clinical Outcomes of Metformin Use in Populations with Chronic Kidney Disease, Congestive Heart Failure, or Chronic Liver Disease: A Systematic Review. Authors: Crowley MJ, Diamantidis CJ, McDuffie JR, Cameron CB, Stanifer JW, Mock CK, et al. Ann Intern Med. 2017 Feb 7;166(3):191-200. doi: 10.7326/M16-1901. Summary prepared by Dr. Ajay Kumar Mishra, Christian Medical College, Vellore, Tamil Nadu, India. Clinical Question: Is metformin safe for use in individuals with chronic kidney disease, congestive heart failure, or chronic liver disease? Authors' conclusion: With appropriate dose optimization, Continue reading >>

Share on facebook

Popular Questions

  1. mch_calypso

    Hi all,
    When counting carbs, how do you count your non-starchy vegetables? Spinach, broccoli, cauliflower, chard, brussel sprouts, etc. Do you count net carbs, or total carbs? Veggies are basically my only source of carbs, I'm just not sure how much I can consume before it takes me out of ketosis!

  2. Ron_Swanson

    Net carbs is the only correct way to count your carbohydrates. You are doing carb refeeding days right? I would take in at the bare minimum 30 grams of carbs a day and then on refeed days 150-200 grams on that day.

  3. turquoisepassion

    Net. The other ones aren't digested.
    Sent from my iPhone using Tapatalk

  4. -> Continue reading
read more
Share on facebook

health and science videos After heart attack - recent studies 2016 - heart failure - heart failure causes 1 in 4 survivors develops this serious condition within 4 years, study finds Risk of heart failure appears high within a few years of a first heart attack, a new study finds. "Heart failure is a major medical problem with a high chance of hospitalization and death," said study author Dr. Johannes Gho, a cardiology resident at the University Medical Center Utrecht in the Netherlands. Heart failure means the heart can't pump blood efficiently enough to meet the body's demands. Improved heart attack treatment has led to higher survival rates, leaving more patients susceptible to later heart failure, Gho said in a European Society of Cardiology news release. For the study, researchers analyzed data from nearly 25,000 people in the United Kingdom who suffered a first heart attack. Nearly 25 percent of these patients developed heart failure within four years, the investigators found. Certain risk factors increased the risk of heart failure after a first heart attack, Gho and his colleagues said. For example, every 10-year rise in age was associated with a 45 percent higher risk, and

Wrongfully Accused: Metformin Use In Heart Failure

Expert Rev Cardiovasc Ther.2011;9(2):147-150. Metformin has long been the cornerstone of therapy for glycemic control in patients with Type 2 diabetes worldwide. It is recommended as first-line therapy by all major diabetes clinical practice guidelines owing to its efficacy, favorable tolerability profile and beneficial effects in limiting weight gain. Moreover, metformin is the only oral anthyperglycemic agent shown in randomized controlled trials to reduce mortality in newly diagnosed patients with Type 2 diabetes. However, the use of metformin has not been without controversy, in particular in patients with heart failure. This article will review a recent observational study by Aguilar et al. published in Circulation Heart Failure that reported improved outcomes associated with metformin therapy in patients with diabetes and heart failure. Heart failure is a very common comorbidity present in 2540% of all adults with diabetes.[ 1 ] Diabetes also portends poorer outcomes in patients with heart failure and hyperglycemia is associated with increased risk of hospital admission.[ 2 ] Historically, the use of metformin in patients with comorbid heart failure was considered 'absolutel Continue reading >>

Share on facebook

Popular Questions

  1. [deleted]

    Look, I like steaks. I like bacon. I can enjoy a burger.
    But I fucking like chicken. I like chicken BREASTS. And I like beef jerky, which is a miracle if you can find it with fewer than 7g of carbs or more but I digress.
    According to my scale, I have 111 or so pounds of lean body mass, but it seems like I'm incapable of eating fewer than 130g of protein every day. I mean hell, even on days when 80%+ of my calories come from fat, I've eaten too many grams of protein.
    I can't just eat butter and coconut oil. I put butter in my chicken broth, even though imo that ruins the taste.
    How the hell am I supposed to lower my protein and eat more fat in a way that isn't 100% gag worthy?
    Edit:
    Why are you so concerned about eating too much protein? How much is 'too much' protein?
    https://www.reddit.com/r/keto/wiki/faq#wiki_protein_and_the_ketogenic_diet

  2. B1GJV

    Are you still losing weight? 130g might not be TOO much, but on the high side. I struggle to get enough protein some days and I love my meat.... 130g of protein is about 400g of chicken! nearly a pound of chicken? that's a lot of chicken.

  3. B1GJV

    Yip! there's about 950kcal in 400g of chicken, if that's 20% then the other 80% = 3800kcal, which is a total of 4750 calories!!!!!
    OP, are you sure you have your macros correct? anyway, 130g of protein is 1.2g per lbs of LBM, so if that's what you're eating I wouldn't worry,

  4. -> Continue reading
read more

No more pages to load

Related Articles

  • Congestive Heart Failure Diabetes

    A type of heart disease in which the heart no longer pumps sufficient blood to meet the body’s needs. Diabetes is a risk factor for heart failure, but a number of measures, including tight blood glucose control, can greatly reduce this risk. The heart is essentially a muscular pump that circulates about 2,000 gallons of blood throughout the body every day. It has four chambers: two upper chambers called atria, which receive blood, and two lower ...

    diabetes May 2, 2018
  • Diabetes And Congestive Heart Failure

    High-Dose Beta-Blockers More Effective in Chronic Heart Failure, Diabetes High-Dose Beta-Blockers More Effective in Chronic Heart Failure, Diabetes Increased angiotensin-converting enzyme inhibitor dosage was associated with a lower mortality rate in people with diabetes. Patients with chronic heart failure and diabetes may have a greater reduction in mortality with higher beta blocker doses than those without diabetes, according to a prospectiv ...

    diabetes Feb 27, 2018
  • Congestive Heart Failure And Diabetes

    Article INTRODUCTION Cardiovascular diseases are the most important complication, by far, of diabetes mellitus. Nowadays, cardiovascular complications are the major risk factor for morbidity and mortality in diabetic patients.1 It is well known that the most frequent heart disease in diabetes is coronary artery disease, including the major epicardial arteries and microcirculation. Mortality from acute myocardial infarction is greater in diabetic ...

    diabetes Jan 20, 2018
  • Is Metformin Contraindicated In Congestive Heart Failure?

    EVIDENCE-BASED MEDICINE: SUMMARY OF STUDY Year : 2017 | Volume : 15 | Issue : 3 | Page : 240-242 Use of metformin in chronic kidney disease, congestive heart failure, and chronic liver disease Source of Support: None, Conflict of Interest: None . Use of metformin in chronic kidney disease, congestive heart failure, and chronic liver disease. Curr Med Issues 2017;15:240-2 . Use of metformin in chronic kidney disease, congestive heart failure, and ...

    ketosis Apr 21, 2018
  • Congestive Heart Failure Diabetes And Kidney Failure

    Heart failure and comorbidities: renal failure, diabetes, atrial fibrillation, and inflammation Editor-in-Chief, Zurich Heart House, Careum Campus, Moussonstrasse 4, 8091 Zurich, Switzerland Search for other works by this author on: European Heart Journal, Volume 36, Issue 23, 14 June 2015, Pages 14151417, Thomas F. Lscher; Heart failure and comorbidities: renal failure, diabetes, atrial fibrillation, and inflammation, European Heart Journal, Vo ...

    diabetes Mar 29, 2018
  • Diabetes Congestive Heart Failure

    Increasingly, diabetes specialists need to know about preventing and treating cardiovascular complications in these patients. A panel of experts explores the urgency of creating a new paradigm for managing congestive heart failure in patients with type 2 diabetes. While the coexistence of congestive heart failure (CHF) is increasingly common in people with diabetes, but without specific treatment guidelines to address these comorbid conditions, e ...

    diabetes Apr 29, 2018

Popular Articles

More in ketosis