Remission

Anits

Member
Messages
8
Type of diabetes
Family member
Treatment type
Tablets (oral)
My husband is on metaformin and wondering what would be the criteria for coming off medication. He has significantly changed his lifestyle and wanting to get to remission.
 

Rachox

Oracle
Retired Moderator
Messages
17,132
Type of diabetes
I reversed my Type 2
Treatment type
Tablets (oral)
I think the starting point would be for him to get an up to date HbA1c blood test.
 

KennyA

Moderator
Staff Member
Moderator
Messages
3,746
Type of diabetes
Treatment type
Diet only
Metformin's effect is to lower blood glucose by a few points - it does this by interfereing with the liver adding its own created glucose to the blood. I've never used it so have no personal experience, but those on these forums who have seem to get slightly different reductions. This is most noticeable when someone stops metformin: BG will typically rise a little. Your husband, if he's thinking about stopping metformin, should discuss that with his GP or diabetic nurse.

There are a number of different views around on remission - I stick to one that says it's normal BG levels, no medication, no symptoms, for a reasonably long period of time - eg a year. There are other views that say it's two HbA1c results under 48 three months apart, without glucose lowering medication. Obviously one is easier to achieve than the other.
 
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Anits

Member
Messages
8
Type of diabetes
Family member
Treatment type
Tablets (oral)
October 1st A1C 72 Started metformin 8th October. AC1 22nd October 48! Seems to be a massive drop. Not due another A1C until January 8th
 

VashtiB

Well-Known Member
Retired Moderator
Messages
2,365
Treatment type
Diet only
Hello and welcome @Anits

Just a question- is there a particular reason he is anxious to get off metformin? I completely understand the desire to be drug free but just wondering whether he has any reactions to it or other factors to want to be off it as soon as possible. I was fortunate and was provided the long release metformin and had no issues beside the desire to be drug free.

My personal view is that I wanted to be in the 'normal' range for a while before getting rid of metformin and I then tested rigorously for a long while.

I pretty much agree with @KennyA 's definition of remission and my doctor also agrees that I'm in remission. My warning though is that you need to be vigilant even after remission.

Best of luck to you both :)