Alternatives to Metformin prolonged-release

Any particular reason why they want him to be on metformin and not just insulin if he's a T1?

Melgar said:

Not as far as I’m aware @Antje77 . It doesn’t make sense to me either. He just follows the DN’s advice. I do know that he is very slowly losing his pancreatic capacity. When you were diagnosed LADA were you on Metformin at first and if you were for how long? Thanks @Antje77

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I started on gliclazide when first misdiagnosed as a T2.
I tested a lot so it became clear very soon that that and reducing carbs wasn't going to do the trick, so I begged for insulin a month after diagnosis.
A basal insulin brought me down but it didn't do anything about food, so another month later I begged for a bolus insulin because eating became increasingly frustrating.

I stopped the gliclazide (can't remember if I asked my diabetes nurse first) and have been on a typical T1 basal and bolus regime ever since.

Rediagnosis only happened two years later, it didn't change my treatment though except for being under the care of the hospital team instead of the practice nurse now.

I've been on metformin for 8 months, about two years ago. This was at my own request, I wanted to see if it would make a difference.
My endo didn't expect much of it but didn't mind me trying it out.
She was correct so I stopped it again.

Is your brother being seen by an endo?
The insulin he's on aren't used that much anymore for T1's, they're more often prescribed to T2's who are treated by a GP/practice nurse.

Managing T1 with a mixed insulin is very hard, from all I've heard.

Antje77 said:

Managing T1 with a mixed insulin is very hard, from all I've heard.

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And am pretty sure the NICE guidelines say all type 1s should be on a basal bolus regime these days.