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B12 And Metformin
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<blockquote data-quote="SimonCrox" data-source="post: 2066421" data-attributes="member: 388174"><p>Sorry to hear of all the bothers that you are having.</p><p></p><p>Agree that it may not be B12 deficiency that is causing your symptoms - tired, lethargic, sleepy. From your posts, it could be your heart, or glucose levels or something else making you tired and sleepy. If your HbA1c is around 101 mmol/mol, that is a bit high and would make you feel poorly also; not sure if diet alone will get it down - was your diet that bad before glucose levels went up? </p><p></p><p>What side effects did you get from the metformin - aboout 30% folk get SE from metformin.</p><p></p><p>Have you asked your GP about this - as above could be something else like hypothyroid, poor renal function, high calcium etc so worth checking for things that one can improve</p><p></p><p>Re B12 jabs, I think it is unlikely that making them more frequent will make a difference; if your original B12 level was only a bit low, I would consider sublingual but others have stated not available on NHS; but oral would be no more effective than IM (although less painful and cheaper). It does not take a diabetic specialist to help make this decision, your GP would be fine.</p><p></p><p>re the muscular pains and shoulder pains, there are several possibilities. I guess that you have already wondered about statins causing these? Frozen shoulders with calcification in some of the tendons are more common in diabeic people and may show up on X-ray (or may not), but are really a clinical diagnosis; if you swing your arm from relaxed, sideways all the way around to above your head, is there a part where it really hurts (a painful arc) ? Your GP could look at this problem. Vitamin D deficiency is very common (almost universal in UK unless taking vitamin D) as someone else states and can cause muscle aches and pains so worth testing. There is a condition called polymyalgia rheumatica where the muscles are more stiff than tender particularly in morning so worth asking GP about this (and blood test for it). There is also a condition called polymyositis which is incredibly rare but might be worth checking for with creatinine (phospho-)kinase blood test, although the commonest cause of a raised CPK in UK would be statins, and other drugs, and ones activities.</p><p></p><p>SOrry about delay in replying; hope that you are feeling better soon</p><p></p><p>best wishes</p></blockquote><p></p>
[QUOTE="SimonCrox, post: 2066421, member: 388174"] Sorry to hear of all the bothers that you are having. Agree that it may not be B12 deficiency that is causing your symptoms - tired, lethargic, sleepy. From your posts, it could be your heart, or glucose levels or something else making you tired and sleepy. If your HbA1c is around 101 mmol/mol, that is a bit high and would make you feel poorly also; not sure if diet alone will get it down - was your diet that bad before glucose levels went up? What side effects did you get from the metformin - aboout 30% folk get SE from metformin. Have you asked your GP about this - as above could be something else like hypothyroid, poor renal function, high calcium etc so worth checking for things that one can improve Re B12 jabs, I think it is unlikely that making them more frequent will make a difference; if your original B12 level was only a bit low, I would consider sublingual but others have stated not available on NHS; but oral would be no more effective than IM (although less painful and cheaper). It does not take a diabetic specialist to help make this decision, your GP would be fine. re the muscular pains and shoulder pains, there are several possibilities. I guess that you have already wondered about statins causing these? Frozen shoulders with calcification in some of the tendons are more common in diabeic people and may show up on X-ray (or may not), but are really a clinical diagnosis; if you swing your arm from relaxed, sideways all the way around to above your head, is there a part where it really hurts (a painful arc) ? Your GP could look at this problem. Vitamin D deficiency is very common (almost universal in UK unless taking vitamin D) as someone else states and can cause muscle aches and pains so worth testing. There is a condition called polymyalgia rheumatica where the muscles are more stiff than tender particularly in morning so worth asking GP about this (and blood test for it). There is also a condition called polymyositis which is incredibly rare but might be worth checking for with creatinine (phospho-)kinase blood test, although the commonest cause of a raised CPK in UK would be statins, and other drugs, and ones activities. SOrry about delay in replying; hope that you are feeling better soon best wishes [/QUOTE]
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