Metformin
This Discussion Forum is now closed; you can read and participate in the follow-up Discussion Forum: CLICK HERE.
It was the 14th in a series of discussion forums at Diabetes.Blog.Com, and is for people using metformin (Glucophage) to be able to share their experiences. Ground rules are available at http://diabetes.blog.com/690512/.To share your thoughts, use the "Comments" link immediately below.
Bill the diabetesdoc
wwq@diabetesmonitor.com
Diabetes.Blog.Com is a blogcompanion to our main website, the Diabetes Monitor, which you can find at www.DiabetesMonitor.com.

(3) Also: if you haven't yet answered our polls to tell us more about yourself, we'd encourage you to please do so:
(Comment this)The package insert for my metforminER mentions that sometimes it may appear that the metformin gets passed right through, however, what passes through is only the inert ingredients, not the medicine. So don't fear!
Kathy (Comment this)
Do you see any side effect so far from metformin? such as sex life.
Jack (Comment this)
My husband and I have been on Metformin for five years and our endo has given us a flu shot every year and we haven't had any problems from it that I'm aware of. I'm assuming since she's the one prescribing the Metformin she wouldn't give us the flu shots if it was contraindicated. (Comment this)
(2) Also: if you haven't yet answered our polls to tell us more about yourself, we'd encourage you to please do so:
(Comment this)i have just started metformin tablets to start my periods and it seems to be working but i dont know much abiut them.
Please can someone who is on these help me and chat to me as i have loads of things to ask
Thanks rhiannon (Comment this)
Will the medicine help me to lose weight? Should I insist on a second opinion from another internest, or is this normal? Thank you, Wanda D (Comment this)
To my enlightment now I know what happened after I had pictures taken of my eyes/retinas. They used the contrast dye, I developed N/v, which the previous year I did also. The statement made to me was that everyone gets sick during these procedures.
I felt better as I was checking out, but on the ride home I became very ill, with a severe headache, aching body, and the pain I experience was that my whole circulatory systen had pins/needles within. This last a few hours, but I had a sever headache for several days after. I knew I had a reaction but not knowing why or what actually caused the reaction.
Now for my questions, What actual signs/symptoms has anyone experience? What makes the med and the dye causes the incompatibility?
Thanks for taking the time to read this. Patty (Comment this)
I have just started metformin and whilst i am not a heavy drinker,i have been told by my doctor not to drink at all,i am only talking a couple of glasses of wine at the week end can anyone help? is this true? (Comment this)
(2) Also: if you haven't yet answered our polls to tell us more about yourself, we'd encourage you to please do so:
(Comment this)Some people DO take metformin or glucophage that are NOT diabetic. Why have a site where you claim you are a Dr. and people come here for medical advice? The only thing you seem to do is post for people to check out the current newsletter or whatever.
Metformin is NOT always used in diabetic patients. If this site is up to help people, then help them by answering their questions instead of directing them to useless information. (Comment this)
Your anger is unnecessary, and inappropriate.
1) I do monitor the comments, and occasionally respond (such as this response!).
2) I am a physician.
3) Sure, some people take metformin for indications other than diabetes. But such use is off-label, and not approved by the FDA.
4) If you have a specific question, you have a choice of posting it here for everyone to read, or sending it to the Diabetes Question and Answer section of the Diabetes Monitor website.
Bill
William W. Quick, MD, FACP, FACE (Comment this)
Roy Harvison (Comment this)
Is this GI discomfort normal (especially the nausea)? I've been taking my dose (500 mg once a day) with food each time, but suddenly, I don't feel well. (Comment this)
The nausea and diarrhea are "normal" side effects of metformin, and THEY GET BETTER with time, thank goodness! If you are crawling on the floor ill, ask your doc if you can start off slower - 250mg/day then increase to a full pill. That's what worked for me when I restarted it. The lactic acidosis is scarey, but I don't think it happens to often.
Good Luck! (Comment this)
I think if the "discomfort" (don't you love that word???)is incapacitating you then call your doc. Or if you have tried the medicine for say a week or so and the side effects aren't getting better. My doctor has email and I have used that to let him know what's up, without feeling like I was bugging him too badly. Hope this helps. (Comment this)
(2) Also: if you haven't yet answered our polls to tell us more about yourself, we'd encourage you to please do so:
(Comment this)Good questions for your docs!
Virginia- I believe the maximum daily dose of metformin is 2000 mg. (Comment this)
What makes the med and the dye causes the incompatibility?
I was told the the combination of the dye and Metformin puts a great stress on your kidneys.
Your kidneys are trying to get rid of the dye and the metformin at the same time.
I was told to stop the Metformin 2 days before any dye and stay off Metformin for 2 days after.
Be sure and ask your doctor.
Angela in Iowa
(Comment this)
When I was diagnosed my sigar level was 38 (European measurement) Now for some reason I have gone rioght down, and even go too low. At any rate I am normally now between 4.5 (low for me) and 8.6 ( high for me)
So have I been cured or what? (Comment this)
Does Chromium help withtype II if so what kind how muck??
Merry Christmas (Comment this)
last week my father aged 66 yrs was admitted in the hosp. for the complaints of loss of appetite, and uneasiness. he has been a heart patient since 1981 and later underwent bypass in 1997. he is diabetic since 1985. he has been on antidiabetics and on insulin started in 1998. last week under hospitalization all tests and echo were normal. doctors here discontinued metformin which he was taking 850 mg twice daily, pioglitazone 15 mg twice daily disprin 75 mg twice daily. insulin 10 units two times. it has been told by doctors here that disprin causes this loss of appetite, later they stopped metformin and started pioglitazone 154 mg and metformin 500 mg combination and insulin actrapid 10 units two times daily. he is not 100% yet. though he has been discharged from hosp. kindly advise. pl. clarify whether metformin and disprin have any role in loss of appetite? thanks. (Comment this)
(2) Also: if you haven't yet answered our polls to tell us more about yourself, we'd encourage you to please do so:
(Comment this)Dr Bill, I realise that you have had extensive medical training but did your training include nutrition? In the US, only 30% of med schools have core lessons in nutrition! WIth good nurtition we can prevent our body falling apart - and we can also help repair it without drugs. (Comment this)
Your comments on nutrition are appreciated, but please be aware that diabetes is a progressive disorder, and although meal planning and exercise may control the disorder early on, gradually the defects in the pancreas WILL worsen and medications WILL be needed.
Any further discussions about the merits of nutrition should be over at another discussion forum, at Meals, eating and nutrition. Thanks. (Comment this)
In spite of this, two and half years ago, my Accuchek readings started going up. I took this as reason to step up my health maintenance program. In spite of all I did, when I had my checkup 2 years ago my A1c had gone up to 7.8. I continued to refuse meds for another year and tried to bring my sugars down like I had in the past. Increased blood pressure, increased neuropathy, trace of microalbumin, and the encouragement of an excellent CDE convinced me to try oral meds. I used Actos for one year, Metformin XL since past summer. I no longer use Actos and minimal dose of Metformin since starting on Byetta in November.
It is good to see normal blood sugar readings again but I could no longer do it without drugs. Yes, Sharon, you are right. No one wants to live a life on drugs and I pray your cousin is successful in your endeaver. We all know that anything she does to eat well and live well will ultimately benefit her tremendously but do not consider her a failure if she eventually needs drugs. (Comment this)
Thanks. (Comment this)
(2) Also: if you haven't yet answered our polls to tell us more about yourself, we'd encourage you to please do so:
(Comment this)With many thanks (Comment this)
Someone asked the same question previously, and I posted a reply at the Diabetes Monitor, at
does this mean every person with diabetes cannot take metformin?
Hope this helps! (Comment this)