Common "Metformin" queries answered by top doctors | iCliniq


Metformin is an antidiabetic drug used as the first-line medication for the treatment of type 2 diabetes, especially in overweight patients. It works by restoring your body's response to the naturally produced insulin. It also reduces the blood sugar by decreasing the sugar production in the liver and its absorption in the intestine.

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I have been diagnosed with PCOS, and my doctor prescribed me a birth control pill and Metformin. Please help.

Query: Hello doctor, I am 26 years old. I recently found out that I have PCOS by taking some blood tests and ultrasounds. I noticed that I have a medium-sized cyst on my ovaries. So the doctor has given me birth control pills and a few packs of Metformin. I am worried about the cyst. Please give me advice...  Read Full »

Dr. Balakrishnan R

Answer: Hi, Welcome to PCOD is best to be diagnosed by history and never by ultrasound. It will be overdiagnosed. If I may explain - polycystic ovarian disease (PCOD) is a congenital condition. I mean, it is a genetically programmed condition. You get it from your parents. When you suddenly ...  Read Full »

For 7.5 HbA1c level, should Gemer 1 tablet be continued?

Query: Hi doctor, Last month, my HbA1C was 7.5. I was advised to take Gemer 1 tablet before breakfast for 30 days. My LDL cholesterol is 119 mg/dL, HDL is 40mg/dL and triglycerides 161 mg/dL. My age is 49. Should I continue Gemer 1 along with other medicines? Kindly suggest.  Read Full »

Dr. Talal Hussain

Answer: Hi, Welcome to With an HbA1C level above 7, you have a confirmatory diagnosis of diabetes mellitus. Therefore, you should receive full diabetic management, including diet modification, regular exercise, and medication. I recommend taking tablet Gemer 1 mg (Glimepiride) lifelong, along...  Read Full »

I have weight gain due to PCOS. Please help.

Query: Hi doctor,I was told I have PCOS after a scan but after telling the doctors something was wrong as I kept gaining weight. I was put on Metformin but I started gaining even more weight so I stopped taking it. My facial hair increased and I still had very slow weight loss. I then started taking it aga...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I just read your query and from what you have mentioned it appears that you have PCOS (polycystic ovarian syndrome). Yes, it is common to have weight loss with Metformin therapy and it is actually very good for you. You see Metformin decreases insulin resistance whic...  Read Full »

I have PCOS, and I am trying to conceive. Please help.

Query: Hi doctor, I have been diagnosed with polycystic ovary syndrome and, also trying to conceive for more than three years ago. I consulted a doctor and he has prescribed me Metformin hydochloride. However, it has been three months since there have been no signs of a period. This Metformin hydrochloride...  Read Full »

Dr. Richa Agarwal

Answer: Hi, Welcome to Thank you for your query, Menstrual irregularities could be due to hormonal imbalance cause by polycystic ovarian syndrome. Polycystic ovarian syndrome is a endocrinal disorder in which hormonal imbalance will be there due to cyst in ovary, facial hair growth and weigh...  Read Full »

How can fatigue be managed in a patient taking Metformin?

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 fatig...  Read Full »

Dr. Prabhakar Laxman Jathar

Answer: Hello, Welcome to 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 r...  Read Full »

I have a lot of facial hair. Please help.

Query: Hello doctor, I am a 32 year old female. I have PCOD. My doctor prescribed me Fertiplus tablets containing Myo-inositol and D-chiro inositol. But, I cannot afford it. Please suggest me a low-cost treatment.  Read Full »

Dr. Deepika Joshi

Answer: Hello, Welcome to The easiest and cheapest way for you to get healthy is by lifestyle modification such as diet and exercise. Try losing weight. You need to lose 20 kg. Weight loss itself will improve the symptoms of PCOD (polycystic ovarian disease). Take Calcium tablet like Shelcal-...  Read Full »

I have a high BP and a heavy feeling in my head. Kindly help.

Query: Hi, I am a 65-year-old female. My sugar level before three months was fasting 180 mg/dl, postprandial 253 mg/dl and HbA1C 8 %. After having medication, the test done a few days back showed fasting 93 mg/dl, postprandial 80 mg/dl, HbA1C 7 %, triglycerides 259 and VLDL cholesterol 51.80. Also, the bl...  Read Full »

Dr. Ashaq Hussain Parrey

Answer: Hi, Welcome to Your sugar is well controlled. In fact, you need to decrease the dose of Glycomet GP 2 (Glimipiride and Metformin) to Glycomet GP 1. Major problem is that you have accelerated bloodstream pressure. Instead of Tricinod (Telmisartan, Clinidipine, Chlorthalidone), better w...  Read Full »

Can an enlarged prostate change the effectiveness of a medicine?

Query: Hello doctor, My father, aged 55, experienced high blood pressure at 181/94 today and felt unwell. He does not regularly take blood pressure medication. After taking Omazest 20, his blood pressure lowered to 166/94 within two hours. He is also diabetic and takes a fixed-dose combination of Linaglip...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to I can understand your concern. Sleep apnea is a known cause of resistant hypertension. Identifying the underlying cause and addressing it is important. For individuals who are overweight, weight reduction is recommended. If there are specific issues like tons...  Read Full »

Patient has continuous pelvic pain that goes away on rubbing. What is it?

Query: Hello doctor,My father's age is 56. He is diabetic for the last two years and the only medicine he takes is Metformin 500 tablets daily before meals twice a day. He is been complaining about a continuous mild pain in his pelvic area since last month and he says it hurts more usually after he pees. W...  Read Full »

Dr. Karthik Rajan

Answer: Hi, Welcome to I have gone through your query. I would like to know if your father has any difficulty in passing urine like straining, thin stream or whether he has had any fever with burning sensation while urination. It is likely that being a diabetic he has a urinary tract infectio...  Read Full »

My periods are irregular and not conceiving. Please help.

Query: Hi doctor, I have had a history of irregular periods and now I am failing to get pregnant. To highlight about my past, I started having my periods from the age of 14 and had irregular periods always. Sometimes, I had heavy flow for 7 to 8 days and sometimes it was scanty for only 2 days. I was put o...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to You are a clear cut case of PCOS (polycystic ovarian syndrome). If you are not intending to get pregnant soon, then you should be started on monthly pills of Krimson 35 or Ginette 35 with Cyproterone acetate from day 3 of your cycle for at least three to six months ...  Read Full »

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