Metformin in Diabetes

kamalakar pasupuleti wrote in message ...

Quoted message said:

I am 62 , was diagnosed as type 2 diabetic 1-1/2 years
ago . I was prescribed Metformin - 500 mg twice daily .
My diabetes did improve but had lost 12 lbs . I also
find my HDL going low from 38 to 32 , and triglycerides
also increased from 140 to 190 . My hbac1 came down from
6.6 to 5.9 .

I constantly check my BG and it shows 104-112
fasting . I am hypertensive and take the following ,
Atenalol 50 , Norvasc 5 and Enalapril 5 . I am a
vegeterian but do take eggs .

I need answeres for the following ,

1. Is Metformin alone is OK / do I need to ask for adding
something else .

2. Does Metformin has any tendency to alter lipids and
decrease HDL and increase the triglycerides .

3. The weight loss was fat / muscle / bone .

4. Since I am a vegeterian what should I add to my diet .

Pl. help .

Regards ,
- kp

One measure of the danger of premature heart attack caused
by Type 2 diabetes is the ratio of triglycerides to HDL. A
ratio of 3.0 and lower is preferred. Higher ratios reflect
high Insulin Resistance and damage to the arteries leading
to premature heart attack.

Metformin acts to reduce triglycerides. The U.S. Physician's
Desk Reference quotes an effective dose of metformin as 1500
mg/day. The maximum dose is about 2500 mg/day. You are
taking a relatively low dose.

You would reduce your risk of premature heart attack if you
could reduce your triglycerides and increase your HDL.

Some ways to increase HDL:

heartdisease.about.comraiseHDL.Open ↗
htm

Increasing your metformin dose would act to reduce your
triglycerides. Another technique would be to use time-
release Niacin. A dose of 2 x 500
mg/day is doctor-recommended for triglycerides control.

Insulin Resistance (and by inference, triglycerides levels)
is sensitive to exercise levels. Vigorous daily exercise
tends to help.

The 10,000 Step program results suggest that merely walking
10,000 steps per day is a useful exercise.
diabetesincontrol.comstep.shtmlOpen ↗

Regards
Old Al

On 28 Apr 2004 19:16:44 -0700, [email hidden] (kamalakar

pasupuleti) said:

I am 62 , was diagnosed as type 2 diabetic 1-1/2 years
ago . I was prescribed Metformin - 500 mg twice daily .
My diabetes did improve but had lost 12 lbs . I also
find my HDL going low from 38 to 32 , and triglycerides
also increased from 140 to 190 . My hbac1 came down from
6.6 to 5.9 .

I constantly check my BG and it shows 104-112
fasting . I am hypertensive and take the following ,
Atenalol 50 , Norvasc 5 and Enalapril 5 . I am a
vegeterian but do take eggs .

I need answeres for the following ,

1. Is Metformin alone is OK / do I need to ask for adding
something else .

I started metformin three days ago and the reduction in BG's
were quite dramatic. But, my BP has increased by about 20
points. Did you see the same thing?

_____________________________________________
tcainternet.comindex.htmlOpen ↗ Free
Diabetic Software

I am not overly fond of the medical profession but that is
slander. If my doctor doesn't answer my questions he quickly
stops being my doctor. That is why I pay for insurance.
Larry D NJ

NoSpamo~ said:

Did you all every try to get an answer from a doc? Forget
it. Answers are faster here and most likely more accurate.

Patch said:

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mail.spaminspector.commail.spaminspector.comOpen ↗

"kamalakar pasupuleti" <[email hidden]> wrote in
message
"]news:[email hidden]...

Quoted message said:

I am 62 , was diagnosed as type 2 diabetic 1-1/2 years
ago . I was prescribed Metformin - 500 mg twice daily .
My diabetes did improve but had lost 12 lbs . I also
find my HDL going low from 38 to 32 , and triglycerides
also increased from 140 to 190 . My hbac1 came down from
6.6 to 5.9 .

I constantly check my BG and it shows 104-112
fasting . I am hypertensive and take the following
, Atenalol 50 , Norvasc 5 and Enalapril 5 . I am a
vegeterian but do take eggs .

I need answeres for the following ,

1. Is Metformin alone is OK / do I need to ask for
adding something else .

2. Does Metformin has any tendency to alter lipids and
decrease HDL and increase the triglycerides .

3. The weight loss was fat / muscle / bone .

4. Since I am a vegeterian what should I add to my
diet .

Pl. help .

Regards ,
- kp

Why in the world are you asking for medical advice from a
bunch of anonymous strangers rather than your doctor?

Actually I was on the same dosage and was stuck at an avg
reading of 125 and couldn't get it lower. I walk 2.5 miles a
day at a pace of 36 minutes for the distance. Nothing helped
until they added Glyburide 2.5 gm. 1 a day to the Metaformin
now I average in the high 80's. So talk to your doctor like
I did. I told him and he added the new med.( Diag.10/03
while changing my pacemaker) Larry D NJ

oldal4865 said:

Kamalakar Pasupuleti wrote in message <8ede2fdf09a27a8157-
[email hidden]>...

Quoted message said:

"Patch" <[email hidden]> wrote in message
news:IVukc.11896$bS1.10869@okepread02

Quoted message said:

--

Why in the world are you asking for medical advice from a
bunch of anonymous strangers rather than your doctor?

I am looking for a feedback from Metformin users .
I feel feedback is very vital since you come across
experiences of others with the drug and also
doctors .

All doctor's arn't so good . When I moved out and
seen a new physician he went thru all medical
records and questioned ' Are you diabetic ? ' What
to say ?

- kp

Diabetes is a specialty disease which deserves a
Diabetologist. There
aren't enough to go around so many/most of us are stuck
with G.P. who often
are in over their heads. Many are obsolete. Some graduated
obsolete.

The fact that you have an unacceptable lipid profile (very
high triglycerides, low HDL) is proof by itself that you
ought to be rooting around looking for some better advice
somewhere. Your panel is borderline for a non-diabetic,
unacceptable for a Type 2

BTW: You said you "constantly check your bG and it shows
104 -112 fasting". Er. . .fasting bG is often one of the
lowest bG and usually one of the least important bG of
the day.

You are primarily interested in your 2-hour-after-eating
bG. You must control your Fasting bG, but the real
struggle is usually the 2-hr-after-eating bG.

Regards
Old Al