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Message: <blockquote data-quote="Daibell" data-source="post: 1154371" data-attributes="member: 21149"><p>Hi. It's all a bit complicated! If you are a LADA as I am, Metformin helps a bit at any time as it does for T2s as well. If never has much effect on blood sugar and is of most use if you have excess weight. I have found and a Google search confirmed it that as a LADA on Basal/Bolus, having Metformin does reduce the need for insulin by a small percentage amount. LADAs normally need something like Gliclazide (Diamicron is the USA) and perhaps a Gliptin for a while before insulin to stimulate the pancreas as it will be failing. I found Gliclazide helped a bit for a few years but eventually the max dose I was having stopped having any effect. Whatever your diagnosis, controlling the carbs is vital to avoid blood sugar and/or weight gain even when on insulin. In summary, if your blood sugar is too high even on low-carb then eventually you will need insulin if a LADA. Something Gliclazide may help for a while. Metformin is really just a background diabetes medication and some would say docs rely on it a bit too much.</p></blockquote><p></p>

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