Metformin Health Feed

Lybrate-user, Thanks for the query.
With metformin there may be some side effects like the ones described. However, if taken after food, the drug is better tolerated. Since there is no mention of glucose levels & HbA1c%, there is no idea how good the glucose control is.
Switching over to alternat therapies is your choice. There are no drugs that can reduce blood glucose or make pancreas secrete insulin in those therapies, even though a lot of false claims are made. Thanks.

Hello, Thanks for the query.
Treatment for diabetes has to be continued even when your glucose levels become normal. There is no stoppage of treatment. Aim at achieving fasting glucose closer to 100 mg, PP 180 mg & HbA1c% 7%. Your weight is too high, with a BMI of 32.81 kgs/Sq meter you are in grade 1 obesity. This is an invitation for high glucose levels. Thanks.

Hello, Thanks for the query.
I have seen the details given. It is not clear whether blood glucose level mentioned is fasting, PP or random one. Considering your age, fasting glucose can be around 110 to 120 mg & PP can be about 180 mg or so. What is the HbA1c%? It should be around 7%.
One imprtant factor is you have excess weight with a BMI of 32.81 kgs/Sq meter(Normal < 23 kgs/Sq meter). Your actual body weight should be around 54 kgs. Hence, there is an excess of over 30 kgs. This ...more

Hello, thanks for the query.
Tablet diamet contains only metformin where as istamrt is a combination of metformin plus sitagliptin.

Mr. lybrate-user, thanks for the query.
I have seen the query. However, there is no mention of how the glucose levels are controlled. It is essential to know fasting & pp levels as well as hba1c% before any comment can be made or any suggestion is given. As regards dapagliflozin and vildagliptin+ metformin combination usage, both these (dapagliflozin & vildagliptin) are totally different drugs. One can not be substituted for the other. Mode actions are totally different. Thanks.

Two different drugs, as you are allergic to metformin so your doctor changed the meds. Kindly give details of blood sugar levels.

Hello.
Since the onset of diabetes is so early in pregnancy and the blood sugar is not within target level it's will be best to shift to insulin rather than continuing with metformin.
The target of treatment should be fasting blood sugar less than 90 and 2 hours post prandial less than 120. With this calorie restriction and light physical restriction is also desirable.

do tests pre- pregnancy tests profile ..if all are normals then you can conceive 100%.

IN HYPOTHYROIDISM:---

Deficiency of thyroxine hormone leading to sluggishness,
tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and
face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is
giving ' THYROXINE ' tablets. And dose are according ...more

Hello, Thanks for the query.
I have seen the information given. HbA1c% is quite good, showing very good glucose control. Fasting glucose should ideally be < 100 mg or closer to 100 mg.
It is invariably dependent on your night time food intake and on overall physical activity.
So reduce fasting, you will have to give a closer look at your dietary intake particularly at dinner time. If you cut down that fasting glucose will come down.
Another important aspect is in relation to y...more

1) because of age before planning pregnancy understand and accept higher risk to both mother and baby. 2) any couple desirous of pregnancy and not getting the same naturally must meet a gynecologist or infertility specialist accepting the fact that it needs many reports and different trials of treatment. This means the couple must have patience and go to one with whom they have trust to stick for a long time.
3) because of age better to gget pregnancy at the earliest so choose such treatment...more