Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
171 Doctors are Online

should a man over 80 take metformin . His glucose

User rating for this question
Answered by

General & Family Physician
Practicing since : 2011
Answered : 1416 Questions
should a man over 80 take metformin. His glucose level 108 and his A1C is 6.1 and his average glucose is 128?
Fri, 9 Feb 2018 in General Health
Answered by Dr. Saddiq Ulabidin 50 minutes later
Brief Answer:
Age is not an absolute contraindication for metformin

Detailed Answer:
Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible.

Based on the history you have shared, yes low dose metformin can be taken in this case as age is no absolute contraindication for the use of metformin but caution has to the taken with renal functions as with age GFR or normal kidney functions are lesser than normal and this is result of normal age related wear and tear in kindey functional units or nephrons.

Also it can cause lactic acidosis so patient should be assessed for any metabolic derangements beforehand. However the HbA1c that you have shared, is quite under control as below 6.5 and with these sugar levels that you shared, life style modifications and diet control are preferred choice of therapy.

Though metformin has advantage that it causes less incidences of hypoglycemia but with these readings chances still exist. Also if patient is underweight metformin can cause weight loss which on the other hand is beneficial in heavy weighted individuals.

Hope this has answered your query. If you have any questions please feel free to ask. Regards
Above answer was peer-reviewed by
Follow-up: should a man over 80 take metformin . His glucose 46 hours later
I think my doctor is concerned about the glucose, fasting of 108 was way to high and that I should start metformin. I disagree. I am a runner and average 32 miles a week. And do not take any other medications except vitamins. I think if I can keep the glucose at 108 or below and the A1C at 6.1 that it would not to take metformin. Could respond?
Answered by Dr. Saddiq Ulabidin 1 hour later
Brief Answer:
Yes food control and excercises can help you achieve control

Detailed Answer:
Hi! Yes fasting sugars and HbA1c are not bad but you don't need to get relax to let it be rather more food compliance and excercises should be continued to achieve better control and hopefully you will do good with such supportive measures without treatment at this range. Regards
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor