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NHS Direct doctor says... NO testing when taking Metformin
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<blockquote data-quote="Zedar" data-source="post: 888321" data-attributes="member: 36566"><p>Metformin's main purpose is to suppress excess glucose production by the liver since the messed-up insulin is giving it the wrong messages. Taking metformin without food is simply a waste. Without food, the liver isn't going to produce any glucose and the metformin you've taken never gets to do its job.</p><p></p><p>Since I'm posting, I'll add that while understanding the reasoning behind the NICE advice, that testing isn't needed by people on metformin. If their needs were more acute, they'd be insulin dependent and there wouldn't be an issue. Test strips are expensive and budgetary concerns can't be thrown aside. So, while testing isn't necessary, it would be a fool who'd not see the wisdom of testing. I think any response from a doctor other than 'Well, the guidelines advise against it, but if you can see your way to buying them yourself...' should be responded to with sharp words.</p><p></p><p>By the way, on the couple of occasions when I've run short because of over-testing, I've bought boxes of Contour Next 50 test-strips off eBay from a seller in Galway (Ireland) at €15 a pop and no postage. At the current exchange rate , that's just over a tenner.</p></blockquote><p></p>
[QUOTE="Zedar, post: 888321, member: 36566"] Metformin's main purpose is to suppress excess glucose production by the liver since the messed-up insulin is giving it the wrong messages. Taking metformin without food is simply a waste. Without food, the liver isn't going to produce any glucose and the metformin you've taken never gets to do its job. Since I'm posting, I'll add that while understanding the reasoning behind the NICE advice, that testing isn't needed by people on metformin. If their needs were more acute, they'd be insulin dependent and there wouldn't be an issue. Test strips are expensive and budgetary concerns can't be thrown aside. So, while testing isn't necessary, it would be a fool who'd not see the wisdom of testing. I think any response from a doctor other than 'Well, the guidelines advise against it, but if you can see your way to buying them yourself...' should be responded to with sharp words. By the way, on the couple of occasions when I've run short because of over-testing, I've bought boxes of Contour Next 50 test-strips off eBay from a seller in Galway (Ireland) at €15 a pop and no postage. At the current exchange rate , that's just over a tenner. [/QUOTE]
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