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Why Doctors Are Not Recommending Metformin

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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 ear Continue reading >>

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  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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Medication For Type 2 Diabetes

People with type 2 diabetes are often given medications including insulin to help control their blood glucose levels. Most of these medications are in the form of tablets, but some are given by injection. Tablets or injections are intended to be used in conjunction with healthy eating and regular physical activity, not as a substitute. Diabetes tablets are not an oral form of insulin.Speak with your doctor or pharmacist if you experience any problems. An alternative medication is usually available. All people with diabetes need to check their glucose levels on a regular basis. When taking medication, you may need to check your glucose levels more often to keep you safe and to ensure the medication is having the desired effect. In Australia there are seven classes of medicines used to treat type 2 diabetes: Biguanides Sulphonylureas Thiazolidinediones (Glitazones) Alpha-glucosidase Inhibitors. Dipeptidyl peptidase 4 (DPP4) inhibitors Incretin mimetics Sodium-glucose transporter (SGLT2) inhibitors Your doctor will talk to you about which tablets are right for you, when to take your tablets and how much to take. Your doctor can also tell you about any possible side effects. You should Continue reading >>

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  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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Is It Safe To Take Supplements If You Have Diabetes?

You will find supplements for anything and everything these days. Even when you do not suffer from an ailment, supplements are suggested to keep you healthy and ailment-free. According to CDC, use of supplements is common among US adult population – over 50% adults used supplements during 2003-2006, with multivitamins/multiminerals being the most commonly used. So when you are a diabetic, especially if you have prediabetes and type-2 diabetes, you may find yourself confronting a large number of options for supplements that claim to support, reduce and even cure your diabetes. Diabetes is quite a frustrating disorder and you may find yourself tempted to try out these supplements one after another. But is it really safe to take supplements when you are a diabetic? Let us find out. But before that you need to understand what exactly supplements are. Defining Supplements As the name suggests, a supplement is anything that adds on to something. A dietary supplement is therefore something that one takes in addition to one’s diet to get proper nutrition. US Congress in the Dietary Supplement Health and Education Act defines dietary supplements as having the following characteristics: 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

  4. -> Continue reading
read more

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