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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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AC1 Blood Test Score 6.1, Metformin HCL ER Given As Primary Care. Any Side Effects ?

I had an ac1 blood test done this past May and just found out that the score was 6.1. My primary care gave me metformin HCL ER 500 mg. I have no desire to take this drug because of the side effects. Why would he give me this drug after only one test. I was tested by another doctor late last year and my reading was fine. Wouldn t it be better to just lose my excess weight and exercise?
Mon, 27 Aug 2012
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General & Family Physician 's  Response
Hi,
There are always different school of thought in medicines, these things make so much of contradictions between different physicians.
If you are tested for blood glucose level, it would require repeat test to get to an conclusion.
For HbA1c one value is enough with supported history like family history of diabetes, life style, food habits, exercise etc,
Value of 6.1 lies in prediabetic range.
It is usually treated by lifestyle modification and strict diet control with or without Metformin to prevent developing frank diabetes.
Metformin is usually the first line of drug prescribed for type 2 diabetes, yes like every other drug it also has its own acceptable side effects.
Take care
Bye
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AC1 Blood Test Score 6.1, Metformin HCL ER Given As Primary Care. Any Side Effects ?

Hi, There are always different school of thought in medicines, these things make so much of contradictions between different physicians. If you are tested for blood glucose level, it would require repeat test to get to an conclusion. For HbA1c one value is enough with supported history like family history of diabetes, life style, food habits, exercise etc, Value of 6.1 lies in prediabetic range. It is usually treated by lifestyle modification and strict diet control with or without Metformin to prevent developing frank diabetes. Metformin is usually the first line of drug prescribed for type 2 diabetes, yes like every other drug it also has its own acceptable side effects. Take care Bye