iCliniq logo

Ask a Doctor Online Now

HomeAnswersDiabetologydiabetesHow can fatigue be managed in a patient taking Metformin?

How to effectively manage fatigue in Metformin patients?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At May 26, 2019
Reviewed AtMay 10, 2024

Patient's Query

Hello doctor,

My father's age is 60 years and is a patient of type 2 DM. He is also a patient of hypertension with an abnormal lipid profile. His RBS is now 360 mg/dl. He is suffering from extreme fatigue although BP is controlled by anti-hypertensive drugs. In this condition, how can we manage fatigue although he is taking Metformin regularly?

Hello,

Welcome to icliniq.com.

Looking at RBG given (360 mg/100 ml), he has totally uncontrolled diabetes. When this happens there is a lot of glucose lost through urine, leading to excess urination, excess thirst and excess hunger. Plus there is unexplained weight loss and severe tiredness. The remedy for that is to achieve strict glucose control. Ideally, in a well-controlled patient, fasting glucose should be less than 100 mg, PP 150 to 170 mg and HbA1c % less than 6.8. For his age, it can be around 7 %. It is clear that his current treatment is totally inadequate. There is a need to upgrade the same. Some additional drug or drugs are required. Plus we will have to give a closer look at his present diet, weight, the extent of daily exercise. It is also necessary to check lipid profile, serum creatinine, and urea as well as microalbuminuria. Therefore, it is necessary to consult your local physician and get the necessary treatment initiated. If you are looking for online help, then please come back with all the above details for a consultation. Then I will be able to give specific guidance and even prescribe necessary medication. But please do not neglect. Such high glucose is an invitation for long term complications associated with diabetes. I hope you understand the situation.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prabhakar Laxman Jathar
Dr. Prabhakar Laxman Jathar

Diabetology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Read answers about:

diabetesmetformin

Ask your health query to a doctor online

Diabetology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy