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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Metafort Be Taken For Elevated Sugar Levels?

my fasting blood sugar level is 186 iused to take metafort SR500 can i take it now without consulting my diabetologist as she is available only on mondays and thursdays what other way can iuse via diet to bring it down is there any cause for worry till i consult her thank
Mon, 20 Apr 2015
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Diabetologist 's  Response
Hi,
I would like to know -
1) Your age.
2) Duration of Diabetes.
3) Height and weight.
4) Family history of diabetes
5) Current medicines other than metformin if any.
5) Any associated high blood pressure or cholesterol problem.

You can take metformin (Metafort) in maximal tolerated dose (1500 to 2000mg per day in divided doses, as it will help in reducing insulin resistance which is a basic pathology of diabetes.
And visit your diabetologist on Monday.

I would also like to advise you -
1) Low calorie diet and regular exercise.
2) Try to reduce weight if overweight.
3) Quarterly check your HbA1c level that give much better idea regarding your diabetes control. Also check Blood sugar level Fasting and postprandial once in a month or two months.
4) If it is feasible for you to do Self monitoring of blood sugar level (BSL done by glucometer at different times of the day (Fasting, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, early morning sugar 3am) all sugar not daily but whole profile in a week at least once in a month.
If there are symptoms of low BSL or High BSL you should confirm it.
5) Regular BP check, clinical examination to rule out microvascular complications of diabetes (retinopathy - fundiscopy, foot examination for neuropathy)
6) Check your Lipid profile, it is advisable to take statin (lipid lowering drugs) in diabetes patients above 35yrs though normal lipid level.
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Can Metafort Be Taken For Elevated Sugar Levels?

Hi, I would like to know - 1) Your age. 2) Duration of Diabetes. 3) Height and weight. 4) Family history of diabetes 5) Current medicines other than metformin if any. 5) Any associated high blood pressure or cholesterol problem. You can take metformin (Metafort) in maximal tolerated dose (1500 to 2000mg per day in divided doses, as it will help in reducing insulin resistance which is a basic pathology of diabetes. And visit your diabetologist on Monday. I would also like to advise you - 1) Low calorie diet and regular exercise. 2) Try to reduce weight if overweight. 3) Quarterly check your HbA1c level that give much better idea regarding your diabetes control. Also check Blood sugar level Fasting and postprandial once in a month or two months. 4) If it is feasible for you to do Self monitoring of blood sugar level (BSL done by glucometer at different times of the day (Fasting, 2 hours after breakfast, before lunch, 2 hours after lunch, before dinner, 2 hours after dinner, early morning sugar 3am) all sugar not daily but whole profile in a week at least once in a month. If there are symptoms of low BSL or High BSL you should confirm it. 5) Regular BP check, clinical examination to rule out microvascular complications of diabetes (retinopathy - fundiscopy, foot examination for neuropathy) 6) Check your Lipid profile, it is advisable to take statin (lipid lowering drugs) in diabetes patients above 35yrs though normal lipid level.