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Suffering from diabetes. Have dizziness, nausea, diarrhea and headaches. Taking metformin, levemir and januvia

I am a 42 year old woman, 216 lbs and have type 2 diabetes . I take Levemir , 140 units/day, Metphorman, 1000 mg/2 times per day, and Januvia, not sure of the amounts right now. I am sick often, dizzy, nauseous, diarrhea , headaches. My fasting blood sugars are averaging 115 so things are looking good there. I just want to know if my diabetes is causing the illnesses or the medications or what? I m also a full time college student. my email address is YYYY@YYYY
Asked On : Sat, 1 Dec 2012
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Diabetologist 's  Response
Aug 2012

The nausea and diarrhea can be due to Metformin which you take 1000 mg twice a day. Januvia and Levemir are less likely to cause these symptoms. Did your doctor start the tab Metformin at this dose all of a sudden? If yes, then you can cut it down to 250 mg twice a day for three days, then increase it to 500 mg twice a day for next two days, then 500 mg THRICE a day for next 1 week and then come to the current dose of 1000mg twice a day. Also you should use a 'sustained release' form of Metformin. Request for its prescription with your doctor.
This should take care of your all symptoms. If you keep feeling the same in-spite of this regime, then make sure you are not running with low sugars for the rest of the day and also get your liver function tests done.
I hope you got your answer. Please get back for any further query. Take care.
Answered: Wed, 5 Dec 2012
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