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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can I Take Prescribed Medicines To Produce Organs?

I had pancreatitis in March 2002. Today I am 67 years old, and have had a few drinks over the last few years. I recovered from pancreatitis, and started taking Metformin for some time, but about 2-3 years ago I developed a need for insulin and prescription Glipizide along with the Metformin. I now am invited into a home of a friend, and he wants to have me and my family come with the intent to have a few drinks and a barbeque. He is like my only family (not really related, but we have done lots of litigation together, he as the attorney, me as the expert witness. I know the only way I won t drink, is not to go. (I don t drink at all, at home usually.) Question: Should I be taking 2-500 MG Metformin twice a day, and 2 Glipizide pills also twice a day? My doctor wants to encourage my organs to produce insulin so he s doubling up on the meds without doubling up on my injected insulin (25 m injectable insulin once a day). FIRST: what is the likelihood I will push myself over the limit and cause irreversible damage to the insulin-producing-organs in my body. such that my body will not get enough insulin. I only want to have a couple drinks. SECOND: Is beer the safest drink for me? I have no problem drinking beer if it is safer. Also, I like red wine (unfortunately I must say that I like wine and even hard liquor).
Fri, 25 Nov 2016
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Diabetologist 's  Response
Hi I would like to answer your questions in detail.
1) In type 2 diabetes, the beta cells that is the insulin producing cells undergo a gradual destruction over time. That would mean you might require insulin from external resources after a period of time.
2) You can double the dose of metformin and glipizide as adviced by your doctor. I would second your doctor on this. Metformin actually improves the insulin resistance in diabetics. Glipizide will increase the insulin secretion. Once you double the dose, your insulin dose may be reduced. It's always good to delay the external insulin regimen.
3) There is nothing like a type of alcohol is good for diabetics. You need to be within safe limits and maintain good glycemic control. Alcohol can cause alterations in glycemic control. Considering your history of pancreatitis and diabetes, I would advice you to limit alcohol consumption to least possible quantity and never exceed the safety limit at any instance. Also have regular blood glucose monitoring for optimal glycemic control.
I hope the above exhaustive information helps you. Thank you very much for writing into healthcaremagic.
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Can I Take Prescribed Medicines To Produce Organs?

Hi I would like to answer your questions in detail. 1) In type 2 diabetes, the beta cells that is the insulin producing cells undergo a gradual destruction over time. That would mean you might require insulin from external resources after a period of time. 2) You can double the dose of metformin and glipizide as adviced by your doctor. I would second your doctor on this. Metformin actually improves the insulin resistance in diabetics. Glipizide will increase the insulin secretion. Once you double the dose, your insulin dose may be reduced. It s always good to delay the external insulin regimen. 3) There is nothing like a type of alcohol is good for diabetics. You need to be within safe limits and maintain good glycemic control. Alcohol can cause alterations in glycemic control. Considering your history of pancreatitis and diabetes, I would advice you to limit alcohol consumption to least possible quantity and never exceed the safety limit at any instance. Also have regular blood glucose monitoring for optimal glycemic control. I hope the above exhaustive information helps you. Thank you very much for writing into healthcaremagic.