Pre-Diabetic on Metformin with questions? - Page 2

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Pre-Diabetic on Metformin with questions? - Page 2

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Old 05-29-2014, 14:19   #11
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Originally Posted by skb View Post
I will beg to differ from the others a bit. With one A1c test, returning non-daibetic numbers, the doctor should have probably labelled you as Insulin Resistant rather than pre-diabetic. Though when very loosely used both the terms might mean the same thing. Metformin is prescribed based more on weight rather than A1c, as Mary says.
My latest doctor said she considers me to have impaired fasting blood glucose as my latest A1c was 5.6 and fasting the morning of the blood work was 102. I don't know a lot about metformin but if your A1c was in normal range then why be on meds?

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Old 05-29-2014, 15:47   #12
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Welcome to the forum Nikki.

If you use your meter to test 1hr and 2hr after your meals - this is a better indication of how you are handling carbs than anything else.

Whatever your level of impaired glucose metabolism, or insulin resistant - you can't go wrong with a diet low in carbs, moderate in protein, and high in fats. Many people use this way of eating to lose weight, and doctors often prescribe metformin to non-diabetics as an aid to losing weight. So it's really not a bad thing, if you can take it without "issues".

I think you will find the LCHF way of eating to be helpful for you in several areas, not just for blood sugar control. It is a very healthy way to eat - and clears up many health problems, some that one didn't even know existed until it went away. It has a great impact on normalizing cholesterol and blood pressure, eliminating GERD and heartburn. In my case it cleared up my very dry skin and eyes. Several members here have reported that it improved their mood and helped lift depression (I'm one of them).

LCHF is a win/win lifestyle - for anyone - and especially diabetics.

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Old 05-29-2014, 17:46   #13
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Check out the other thread this morning. Jademuffin has some clear advice about how to take metformin without those side effects. The advice about not eating white is good--she meant no grains, potatoes, starchy vegs, etc. BTW cauliflower is white and really good with butter (real butter, not margarine). Cauliflower and mushrooms are the exceptions to the white advice.

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A1c 12/30/12 6.0
A1c 6/24/13 5.5 !!
A1c 6/18/15 6.0
A1C 2/25/16 5.8

Meds: Metformin 1000mm/2 times a day
71 years old
Other meds: synthroid (no thyroid due to cancer); verapamil, losartan, water pill, standard eye drops for glaucoma.
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Old 05-30-2014, 05:53   #14
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I'm surprised that your doctor started you on Metformin with an A1c of just 5.5. According to the American Diabetes Association web site, 5.5 is normal:

Diagnosing Diabetes and Learning About Prediabetes: American Diabetes Association®
I know that some doctors prefer to start pre-diabetic patients on low doses of metformin, but your A1c is in the normal range, and 500 twice a day isn't a low dose.

Maybe you could call your doctor and ask if you could reduce the dose, or hold of on the metformin for 3 months and do another A1c?

My A1c is currently 5.9 and has been as high as 6.2, but my doctor has not prescribed metformin. She diagnoses by A1c, but doesn't prescribe until you're in the diabetic range. She might be a little *too* conservative, but still, I wonder if your doctor is being too aggressive. Do you have a family history of diabetes? Do you have heart problems?

You said you were overweight. Some people have an easier time losing weight on Metformin. Maybe she's prescribing it to help you with weight loss? (Not all overweight people are diabetic, and not all diabetics are overweight, but many doctors seem to focus on weight.)


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Old 05-30-2014, 06:21   #15
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Yes, metformin is prescribed to help with weight loss, so I see nothing peculiar or threatening about the prescription or its dosage. I think you should switch to the extended release version, and then if that does not bring some relief, make up your mind to continue or quit. But met does curb appetite, and it's been a safe time-tested drug.

I wonder if you had moved up to 1500mg for awhile instead of doubling your original dosage - things may have been easier on your digestion. Have you considered dropping back a bit, since you apparently had no issues on the lower dosage?

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