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Can I take 2 x Metformin without the ok from my Doctor?
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<blockquote data-quote="xyzzy" data-source="post: 1355043" data-attributes="member: 40343"><p>Why would I need to send evidence to NICE about DPP4's are already recommended by NICE in their latest guidelines? I have nothing against Januvia or any other diabetes medication in fact I would actively encourage the use of medications to anyone who either wants to or is not or is unable to control their condition by other means.</p><p></p><p>I take your general point that all medicines have side effects however surely it is better to choose the ones with the least side effects as that minimises risk?</p><p></p><p>You are not the first GP or medical professional to post on this site. There have been many before you and all have had differing viewpoints over the years. Your profession is pretty divided on its recommendations so for example you have your opinion but both my current GP & my previous GP (I moved a couple of years ago) encourage a low carbohydrate minimal medication approach as does one of the countries leading diabetes clinics (my son who is T1 since a teenager sat as a patient representative on their guidance committee for a number of years).</p><p></p><p>Personally I find the anecdotal evidence of 1000's of diabetics real experiences over 10 years quite compelling but feel free to ignore them.</p><p></p><p>The art in this is to find the way that works for you long term and so I congratulate on your 20 years of control.</p><p></p><p>Take care</p></blockquote><p></p>
[QUOTE="xyzzy, post: 1355043, member: 40343"] Why would I need to send evidence to NICE about DPP4's are already recommended by NICE in their latest guidelines? I have nothing against Januvia or any other diabetes medication in fact I would actively encourage the use of medications to anyone who either wants to or is not or is unable to control their condition by other means. I take your general point that all medicines have side effects however surely it is better to choose the ones with the least side effects as that minimises risk? You are not the first GP or medical professional to post on this site. There have been many before you and all have had differing viewpoints over the years. Your profession is pretty divided on its recommendations so for example you have your opinion but both my current GP & my previous GP (I moved a couple of years ago) encourage a low carbohydrate minimal medication approach as does one of the countries leading diabetes clinics (my son who is T1 since a teenager sat as a patient representative on their guidance committee for a number of years). Personally I find the anecdotal evidence of 1000's of diabetics real experiences over 10 years quite compelling but feel free to ignore them. The art in this is to find the way that works for you long term and so I congratulate on your 20 years of control. Take care [/QUOTE]
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