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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diabetes

I did take metformin for diabetis but then two years have gone by and I lost eight and changed diet.Blood sugar stayed under 100. Went off med last year. Broke leg and have had pain and stress lately just took blood monitor and registered 163. Can I take metformin now after not taking it for so long?
Thu, 18 Dec 2014
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General & Family Physician 's  Response
Hi Welcome to HCM
Going through your History I don't know what was the indication to make diagnosis Diabetes ? As you are telling that you you are not taking any medicine for diabetic and your sugar was under 100 mg/dl . But earlier your Blood sugar is 163 mg/dl . According to American diabetic Association the RANDOM BLOOD SUGAR is beyond normal range but earlier you was on Metformine kindly check Fasting Blood Sugar and HbA1C and contact to Endocrinology. These are two basic parameter to make diagnosis diabetic . Absence of these report it will be difficult to explain about Diabetic drug
Thanks
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Internal Medicine Specialist Dr. Panagiotis Zografakis's  Response
Hello,

sure you can! Let me explain how things work in type 2 diabetes.
Diabetic patients have an impaired glucose metabolism that predisposes to higher blood sugar than normal. Loosing weight helped you control your blood sugar, when you were healthy.
In disease though, hormonal and other factors predispose to higher blood sugar. This is why you've seen this 163 after so long and so many normal measurements. Of course you can take metformin, unless you're about to be operated or you're in a critical condition (if for example you've lost a lot of blood). Metformin is contraindicated when organ deficiency is present or imminent.
I hope I've helped!
If you'd like more information, please let me know. I'll be glad to help.

Kind Regards!
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Suggest Treatment For Diabetes

Hi Welcome to HCM Going through your History I don t know what was the indication to make diagnosis Diabetes ? As you are telling that you you are not taking any medicine for diabetic and your sugar was under 100 mg/dl . But earlier your Blood sugar is 163 mg/dl . According to American diabetic Association the RANDOM BLOOD SUGAR is beyond normal range but earlier you was on Metformine kindly check Fasting Blood Sugar and HbA1C and contact to Endocrinology. These are two basic parameter to make diagnosis diabetic . Absence of these report it will be difficult to explain about Diabetic drug Thanks