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Suggest Treatment For Diabetes When Diagnosed With Insulin Resistance
Question: I was recently dx w insulin resistance
The 21 is fasting, the 136 is post meal.
My glucose tests are all optimal and my hbA1C is 4.2.
My dr rx 1000mg of Metformin/day. I started with 500mg and tolerate it fine. I find my appetite is smaller and I require less carbs for adequatr energy. Do I have to worry about hypoglycemia when I increase to 1000?
The 21 is fasting, the 136 is post meal.
My glucose tests are all optimal and my hbA1C is 4.2.
My dr rx 1000mg of Metformin/day. I started with 500mg and tolerate it fine. I find my appetite is smaller and I require less carbs for adequatr energy. Do I have to worry about hypoglycemia when I increase to 1000?
Brief Answer:
Hypoglycaemia is rare with Metformin
Detailed Answer:
Hi,
Welcome to HCM. I have gone through the question and understand your concerns.
Hypohlycaemia is rare with Metformin. But with an HbA1c of 4.2 and controlled blood sugars I feel there is no need to increase the dose.
Do follow up blood sugars and HbA1c. Ic fasting blood sugars are persistently above 100 mg/dl, you can increase the dose.
Hope I have answered your questions. If you have any further queries I will be happy to help you
Regards,
Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Hypoglycaemia is rare with Metformin
Detailed Answer:
Hi,
Welcome to HCM. I have gone through the question and understand your concerns.
Hypohlycaemia is rare with Metformin. But with an HbA1c of 4.2 and controlled blood sugars I feel there is no need to increase the dose.
Do follow up blood sugars and HbA1c. Ic fasting blood sugars are persistently above 100 mg/dl, you can increase the dose.
Hope I have answered your questions. If you have any further queries I will be happy to help you
Regards,
Dr Ajish TP [MD,DM]
Consultant Endocrinologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Should I discuss w my dr about keeping dose at 500mg?
Brief Answer:
Should discuss
Detailed Answer:
Hi,
Welcome back.
If your fasting sugars are below 100 mg/dl, you should discuss with your doctor if you could keep the dose at 500 mg/day.
Regards
Dr Ajish TP
Should discuss
Detailed Answer:
Hi,
Welcome back.
If your fasting sugars are below 100 mg/dl, you should discuss with your doctor if you could keep the dose at 500 mg/day.
Regards
Dr Ajish TP
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Are there additional risks associated w me increasing to 1000mg?
Brief Answer:
May increase gastritis
Detailed Answer:
Hi,
Welcome back.
The side effect expected is gastric intolerance and vitamin B 12 deficiency. If you take a multi vitamin and don't have gastric intolerance, there are no issues with increasing dose. Hypoglycaemia ( low sugars) is relatively rare side effect.
regards
Dr Ajish TP
May increase gastritis
Detailed Answer:
Hi,
Welcome back.
The side effect expected is gastric intolerance and vitamin B 12 deficiency. If you take a multi vitamin and don't have gastric intolerance, there are no issues with increasing dose. Hypoglycaemia ( low sugars) is relatively rare side effect.
regards
Dr Ajish TP
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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