Common "Metformin" queries answered by top doctors | iCliniq

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 do I maintain my blood sugar levels?

Query: Hello doctor, I was diagnosed with type II diabetes five years back. I have maintained good sugar control. Currently, I am taking Trulicity 1.5 weekly, Lantus nightly and 2000 mg of Metformin with my evening meal. Toward the end of last year, my diet was not good, as I was eating a lot of carbohydr...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. Since you have started proper diet control, your blood sugar levels are getting better and better day by day. Yes, it does take some time to get back to normal once you are careful about your diet and exercise. You can check your HbA1c levels now and after three mont...  Read Full »

How can I lower my HbA1c levels?

Query: Hello doctor, I am a 45-year-old male. I am 6 feet tall and I weigh 200.6 lbs. I had taken excess BCAA supplement powder to enhance my gym performance and then stopped going to the gym for two months but continued taking the BCAA powder. I feel bloated all the time after food intake and have high bl...  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 and you must definitely take treatment for it. I suggest that you start with the tablet Metformin 500 mg thrice a day and then repeat your HbA1c (glycated hemoglobin) after thr...  Read Full »

I have excessive body hair and obesity. What to do?

Query: Hi doctor, I have had PCOS for over a decade now. I initially saw a gynecologist who tried oral contraceptive pills, microgynon, and spironolactone. She did a battery of blood tests and ultrasounds to confirm I have the condition. A general physician prescribed Metformin a few years back. All of the...  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 a 21-hydroxylase deficiency and that causes an excess of testosterone and androstenedione causing virilization of females and PCOS. This is the cause of your hirsutism and insulin resis...  Read Full »

I underwent blood tests for PCOD. Kindly review my report.

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 »

I am 40 years old and was diagnosed with PCOD. I was taking Exermet 500 mg and discontinued on my own. Can I continue to take it now?

Query: Hello doctor, I am 40 years old and was diagnosed with PCOD 18 to 19 years ago. I had a 14-year-old son. My first baby was dead (stillbirth) this one is the second. After that, my pregnancy was aborted by itself twice. I took Exermet 500 mg twice a day for three to four years and discontinued them ...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query and am sorry to hear about the unfortunate loss. Well, from what you have mentioned it appears that you have PCOD (polycystic ovarian disease) you have stopped taking Metformin (Exermet 500 mg) and you have hirsutism along with baldness. I sugges...  Read Full »

I am under medication for diabetes, but my blood sugar levels are still high. Please help.

Query: Hi doctor,I have been a diabetic for the past eight years, and my depression is 9.7 out of 10. My retina is also affected by it. I also have blurred vision, weakness, increased thirst, loss of memory, coordination problems of body parts, sudden blanking out, and numbness of my leg, which is increasi...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I understand your concern. And from what you have attached (attachment removed to protect the patient’s identity), it appears that you have uncontrolled diabetes with complications of diabetic retinopathy and peripheral neuropathy. Your HbA1c (glycated hemoglobin) is...  Read Full »

Is it common to gain weight and then lose weight with Metformin?

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 icliniq.com. 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 »

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 »

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