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Diabetes Management
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Metformin/Biguanides
An additional Metformin if BG high?
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<blockquote data-quote="Stephen Lewis" data-source="post: 2015747" data-attributes="member: 479176"><p>From my experience the danger is starting on the drug train. I began on 500 mg Metformin per day and the drugs increased for 10 years. Finally on 2000 mg Metformin, a linagliptin, a diglyceride and Invokana (not sure of the chemical term). The Invokana worked really well for 3 years then apparently caused major kidney failure. Drugs cut and put on insulin a year ago. As stated above the Metformin depresses the liver's production of glucose and is long term. As far as I am aware the only reason for fast or slow release is to help reduce stomach issues. Initially I had very bad indigestion and had to have the slow release. I now have a tablet for acid indigestion and can take the fast release that are much cheaper. But, and I cannot say this loud enough - cut your carbs. Since last July I have cut insulin, cut the Metformin back 2 x 500 mg per day and take 5 mg of linagliptin. My winter A1cs are down from 9.5% to 6.9%. The three main reasons are: trying to follow the Low Carb program, going to the gym at least 4 times a week and prayer at church. I repeat - Cut the Carbs. Should become a mantra for T2 and pre-diabetics.</p></blockquote><p></p>
[QUOTE="Stephen Lewis, post: 2015747, member: 479176"] From my experience the danger is starting on the drug train. I began on 500 mg Metformin per day and the drugs increased for 10 years. Finally on 2000 mg Metformin, a linagliptin, a diglyceride and Invokana (not sure of the chemical term). The Invokana worked really well for 3 years then apparently caused major kidney failure. Drugs cut and put on insulin a year ago. As stated above the Metformin depresses the liver's production of glucose and is long term. As far as I am aware the only reason for fast or slow release is to help reduce stomach issues. Initially I had very bad indigestion and had to have the slow release. I now have a tablet for acid indigestion and can take the fast release that are much cheaper. But, and I cannot say this loud enough - cut your carbs. Since last July I have cut insulin, cut the Metformin back 2 x 500 mg per day and take 5 mg of linagliptin. My winter A1cs are down from 9.5% to 6.9%. The three main reasons are: trying to follow the Low Carb program, going to the gym at least 4 times a week and prayer at church. I repeat - Cut the Carbs. Should become a mantra for T2 and pre-diabetics. [/QUOTE]
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