Do I need Metformin to manage my rising blood glucose levels?

Q. Can Metformin and a healthy lifestyle help manage high blood sugar levels in a patient?

Answered by
Dr. Suneetha B S
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Apr 20, 2023 and last reviewed on: Dec 14, 2023

Hello doctor,

I was diagnosed with type 2 diabetes and high triglyceridemia three years ago. My current HbA1C is 6.5 percent and triglyceride is 212 mg/dL without any medicine. I work out daily, walk 3.1 mile, and maintain my diet also. But sometimes my fasting glucose is 125 mg/dL and my PP is about 180 mg/dL. Do I need Metformin to balance this fluctuation in glucose level?



Welcome to

I read your query and can understand your concern. Your blood sugar level is not too high right now, and I have not seen your previous reports when you were diagnosed as having diabetes. Assuming your blood sugar levels were higher earlier, first of all, let me congratulate you on the amazing progress you have made. I really appreciate the modifications you have made to your lifestyle. Having said that, since you are just 34 years old, you have a long way to go, so it is a good idea to keep your blood sugar level under control at all times. If you are seeing an increase in the blood sugar level sometimes, it is a good idea to bring it under control to prevent any long-term problems. Remember that diabetes is not a disease by itself. But if it is not kept under control, it could lead to diseases. Metformin is definitely the best drug to start off with. One dose of 500 mg a day should be enough to keep you at a safe level. But it is a good idea to meet a doctor in your locality before you start the medication. Any long-term medicine should be prescribed only after a proper clinical examination. There are certain situations where some medicines are not allowed. It is important to be sure before you start treatment. In the meantime, please continue your healthy lifestyle habits. I hope that helps. Thanks and take care.

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