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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should Diabetes, Hypoglycemia With Diarrhea Be Treated?

I am a 55 year old male with diabetic type II for the last 20 years
I am 5'10" tall and used to wiegh 166 lbs
I was on Minidab 2.5 mg OD plus Glucophage 500mg BD until about two months back
I was having increasing episodes of hypoglycemia and stopped Minidab and doubled the dose of Glucophage
I stopped having hypoglycemia and have lost 5 lbs
i hav diarrhea off and on , please advise regarding medication
Wed, 17 Sep 2014
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General & Family Physician 's  Response
Hello there,
I understand that currently you are taking only Glucophage 1000 mg BD. First thing to determine if this medication is enough for you, you need to check your blood sugars in fasting and post meal states. If blood sugars are under control then probably that is all you need. However in some patients high doses of Metforin (Glucophage) can cause diarrhea but it usually stops in some days to weeks. Metformin also helps to lose weight which could explain your weight loss. Good to know that you do not suffer from hypoglycemia anymore. Stopping Minidiab seems to be the right way to go. Diarrhea can also be caused by diabetes affecting your nerves of the intestines and need a thorough examination before suggesting any treatment. Please visit your treating physician who can evaluate and suggest any tests if required for your diarrhea.
Till then continue to check your blood sugars and follow diet and exercise regulations as told by your physician.
Hope this helps.
Take care.
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How Should Diabetes, Hypoglycemia With Diarrhea Be Treated?

Hello there, I understand that currently you are taking only Glucophage 1000 mg BD. First thing to determine if this medication is enough for you, you need to check your blood sugars in fasting and post meal states. If blood sugars are under control then probably that is all you need. However in some patients high doses of Metforin (Glucophage) can cause diarrhea but it usually stops in some days to weeks. Metformin also helps to lose weight which could explain your weight loss. Good to know that you do not suffer from hypoglycemia anymore. Stopping Minidiab seems to be the right way to go. Diarrhea can also be caused by diabetes affecting your nerves of the intestines and need a thorough examination before suggesting any treatment. Please visit your treating physician who can evaluate and suggest any tests if required for your diarrhea. Till then continue to check your blood sugars and follow diet and exercise regulations as told by your physician. Hope this helps. Take care.