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Type 2 Diabetes
Why did my doc prescribe 4 times as much medication as I needed?
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<blockquote data-quote="Tim55" data-source="post: 995084" data-attributes="member: 186079"><p>I can't speak for your Doctor but I had a similar exerience.</p><p></p><p>On diagnosis, some 15 months ago, my Doc prescribed 1 x 500 mg Metformin daily, increasing to 2 in a couple of weeks.</p><p></p><p>I then had to go see the Diabetic Nurse, who told me to up it gradually to 4, which I did.</p><p></p><p>My initial HbA1c was up around 107, which, if I've done the maths right, is around 16.6.</p><p></p><p>I immediately went onto the LCHF route and rapidly got that down to more encouraging levels, last HbA1c was 34 or 5.3.</p><p></p><p>I also started taking three supplements, as although my levels were Ok I was struggling with peripheral neuropathy which are Alpha Lipoic Acid, methyl B1 and methyl B12.</p><p></p><p>At my last annual review with the DN we discussed the possibility of reducing the metformin which both the DN and (later) the Doc were happy with, so I went to 3 for a few weeks and then to 2.</p><p></p><p>I test twice a day and my FBG levels are better now than they were on the full dose, so I am contemplating dropping it just one too.</p><p></p><p>If I were to speculate I think the major problem the HCP see is the high FBG levels and Metformin is the first drug of choice to address that symptom, and little further thought seems to be given to getting to the real root of the problem - which is "why are you insulin resistant?"</p><p></p><p>JMTC</p><p></p><p>Tim</p></blockquote><p></p>
[QUOTE="Tim55, post: 995084, member: 186079"] I can't speak for your Doctor but I had a similar exerience. On diagnosis, some 15 months ago, my Doc prescribed 1 x 500 mg Metformin daily, increasing to 2 in a couple of weeks. I then had to go see the Diabetic Nurse, who told me to up it gradually to 4, which I did. My initial HbA1c was up around 107, which, if I've done the maths right, is around 16.6. I immediately went onto the LCHF route and rapidly got that down to more encouraging levels, last HbA1c was 34 or 5.3. I also started taking three supplements, as although my levels were Ok I was struggling with peripheral neuropathy which are Alpha Lipoic Acid, methyl B1 and methyl B12. At my last annual review with the DN we discussed the possibility of reducing the metformin which both the DN and (later) the Doc were happy with, so I went to 3 for a few weeks and then to 2. I test twice a day and my FBG levels are better now than they were on the full dose, so I am contemplating dropping it just one too. If I were to speculate I think the major problem the HCP see is the high FBG levels and Metformin is the first drug of choice to address that symptom, and little further thought seems to be given to getting to the real root of the problem - which is "why are you insulin resistant?" JMTC Tim [/QUOTE]
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Why did my doc prescribe 4 times as much medication as I needed?
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