Metformin dose

[douglas99]

@katiek

I noticed one of your responses in a different thread, so, as not wanting to take that thread off track, and as I among others on here, are on a lower dose of metformin that has been prescribed based on blood sugar results from HbA1c tests, thought it worth starting a new thread to discuss what evidence there is to show we are being prescribed incorrectly, and if a lower dose will be having no effect?

phil is that an actual diabetes nurse that told you you didnt need to increase your metformin dose, or a practice nurse? The therapeutic dose of metformin is 2 grams, it doesn't work like other tablets where you increase or decrease according to blood sugars. Unless there are issues with tolerance all the evidence (sorry to mention that pesky evidence again!) says that metformin should be taken at the therapeutic dose of 2g.

 

[Bluetit1802]

If, as at my Practice, Metformin is not prescribed on diagnosis if the HbA1c is 53 or less, why would anyone who manages to reduce their levels from a higher starting point to below 53 need Metformin (unless they have a lot of weight to lose, as it is an appetite suppressant) ?

 

[masonbason63]

If, as at my Practice, Metformin is not prescribed on diagnosis if the HbA1c is 53 or less, why would anyone who manages to reduce their levels from a higher starting point to below 53 need Metformin (unless they have a lot of weight to lose, as it is an appetite suppressant) ?

I'm on a pump and metformin I was put on this for weight loss and insulin sensitivity , it has reduced my weight a bit but I think that's more my own doing than a couple of pills, but I do respond better to insulin sensitivity and my control is really good and has been since pumping in fact too good I have now been told, HbA1c of 39 apparently is too low, which I thought was the whole point of dropping carbs.