Why Are Doctors Hesitant To Prescribe Metformin

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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 r Continue reading >>

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Popular Questions

  1. fenlady

    Help - I am really struggling to control my Type 2 with diet alone, and am in a wheelchair so can't exercise much. My last Hba1c was 36 (5.4). I know this is a good reading, but my weight keeps going up even so. And I'm only eating 1350 calories a day. I really think metformin would help me to control my weight as well as my blood sugars, but the doctor won't prescribe it and won't say why! Can anyone explain this - what does my Hba1c have to be before I can be offered metformin? Thanks.

  2. ally1

    I do think it depends on your blood test results

  3. Brunneria

    My surgery has to follow the rules set them by the local NHS governing body (are they still called primary care trusts, or have they changed name yet again?) - and their rule is that metformin is only prescribed to diagnosed diabetics with an hba1c above 48
    Some people have posted that their surgeries refuse to prescribe met until the hba1c hits 53

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