Metformin

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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How does Metformin help in conception?

Query: Hi doctor,Recently, my wife had a fasting sugar level test. The insulin (fasting serum plasma chemiluminescence) was shown as 9.3 mcg/mL. We had recently consulted a gynecologist who said that the result is very near to borderline case and prescribed Metformin 500 mg tablets. Per the diagnostic labo...  Read Full »


Dr. Salah Saad Shoman

Answer: Hi, Welcome to icliniq.com. The latest recommendations of the American Diabetic Association include prescribing Metformin to prediabetic patients, those who are at high risk of developing diabetes especially if under 60 years of age. Both, Metformin and lifestyle modifications as exercisin...  Read Full »

How effective is Metformin 1000 mg a day in controlling sugar levels?

Query: Hello doctor, I had my glucose over 600 mg/dL for about a month. I went to the ER and was diagnosed with type 2 diabetes. They put me on Metformin 500 mg twice daily. I have been taking it for almost two weeks, and my fasting glucose levels are not going under 300 mg/dL. I do not have the doctor's a...  Read Full »


Dr. Suneetha B S

Answer: Hello, Welcome back to icliniq.com. I understand your concern. Going by your reports (attachment removed to protect patient identity), it looks like you need an increase in the dose of medication. Your doctor may either choose to increase the dose of Metformin or to add another new drug to the exi...  Read Full »

Can you suggest a medicine to lower blood sugar?

Query: Hi doctor, I am worried about my husband's type-2 diabetes. Today evening before dinneŕ the sugar was 317. He is taking Januvia along with Diamicon XR 60 and in night Razel along with Dimicron XR 60. The medicine is also not working very well on him. He would not able to visit a doctor for another...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query about your husband and from what you have mentioned it appears that your husband has uncontrolled blood sugar. I suggest that you add the tablet Metformin 1000 mg twice a day in addition to all the drugs that you have mentioned. This is only i...  Read Full »

Can diarrhea be related to low blood sugar levels?

Query: Hello doctor, I am a type 2 diabetic, and today I had a low blood sugar episode. I woke up from a nap and my blood sugar had dropped to 80. My fasting blood sugar is usually around 110. After I ate something and started feeling better, I had bad diarrhea. Is it somehow linked to my low blood sugar? ...  Read Full »


Dr. Settipalli Saravan Pramod

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern about sugar levels. As you mentioned that you were diagnosed as having type 2 diabetes, could you specify for how long you have been having it? Please get your diabetes medications rechecked if you have not done so ...  Read Full »

For uncontrolled diabetes, is Glycomet-GP2 better than Glycomet-GP3?

Query: Hi doctor, I am a medical student doing my internship. My father has been suffering from fever since seven days up to 101 F. I have given him Ofloxacin 200 mg 2 times a day. But, the cause of the fever is unknown. All the blood reports are negative. He is a known diabetic since 20 years and his bloo...  Read Full »


Dr. Vivek Chail

Answer: Hello, Welcome to icliniq.com. If your father is having continuous fever for seven days with negative blood reports then probably a detailed evaluation is required. Tablet Ofloxacin is a broad spectrum antibiotic against most bacterial infections and if his fever is not improving and bl...  Read Full »

Is diabetes medicine needed if HbA1c is 7.5?

Query: Hello doctor, I am a 52 year old female. One year before I went to a diabetologist and took glucose tolerance test. Here is the result, fasting - 128 mg/dL, 1 hour - 340 mg/dL, 2 hour - 196 mg/dL. Doctor prescribed medicine for a month but after that I did not take any medication. Now I would...  Read Full »


Dr. Ankush Gupta Dhaniram

Answer: Hi, Welcome to icliniq.com. As you have mentioned that took medicine for a month, still your HbA1c - glycated hemoglobin is 7.5 (attachment removed to protect patient identity). This is little high. The target of HbA1c should be less than 7. So, I would suggest you to continue with tablet Gly...  Read Full »

My HbA1c level was found to be high. What should I do next?

Query: Hello doctor,I am a 31-year-old. For the last two to three weeks, I was feeling very low, a sort of weakness, and I felt that there is something wrong with my body. So, I went to a clinical laboratory for an HbA1c test and got a result of 10.50 %. The person at the clinical laboratory told me that t...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query, and from what you have mentioned, it appears that you have diabetes. I suggest you take tablet Metformin 500 mg thrice a day after meals. Consult your specialist doctor, discuss with him or her and start taking the medicines with their conse...  Read Full »

I have acne and coarse hair on my body. Why?

Query: Hello doctor, I have had hormonal imbalances my whole life. My menstrual cycle has never been regular. I have acne and coarse hair on my body. My gynecologist said that I have severe PCOD and referred me to an endocrinologist. He asked for some blood tests and I need an evaluation of them as he was ...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query about your symptoms and saw your detailed laboratory tests results (attachment removed to protect patient identity). It appears that you have a non-classic congenital adrenal hyperplasia in which there is a partial deficiency of 21 alpha hydro...  Read Full »

My mother's sugar levels have been low since taking medications for diabetes. Why?

Query: Hello doctor, My mother was diagnosed with type 2 diabetes. Her first blood sugar test report was at 437. Now, after three months, the fasting level is 86. Last month fasting was 105 and post-prandial was 120. She is taking half a tablet of Glimepiride 2 mg and Metformin 1000 mg both twice a day. Sh...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query about your mother and it seems that she has a very good diabetes control. However, if you reduce her dose, then her blood sugar level will go up and ruin her diabetes control. If you ever find that she has symptoms of hypoglycemia like sweating...  Read Full »

What are the side effects of Glycomet SR 500 mg?

Query: Hi doctor, I am in the initial stage of diabetes. I have been diagnosed before a year only. I walk 7 km a day and five days a week. Still, my present medication does not maintain my glucose levels. My average fasting blood sugar level is 140. I am currently on Glycomet 250 and I am wondering if I sh...  Read Full »


Dr. Suneetha B S

Answer: Hello, Welcome to icliniq.com. I understand your concern. From your blood glucose levels, it is clear that the medication you are taking is not sufficient to control your blood glucose. You have not mentioned if you are taking Glycomet 250 once or twice a day. If you are taking Glycomet 25...  Read Full »

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