diastole

Q:

I have really tried all suggestions to try to tolerate MetforminER. Nothing works! I have learned to deal with daily diarrhea but not the almost constant nausea. I was doing fine on Januvia but my doctor said FDA research showed evidence of pancreatitis. I count carbs and exercise everyday (30 min. cardio). My blood sugars are OK during the day but the really troublesome one is FBS (formerly 109-112; now 119-127).

Dr. David Erani

A:

There are a lot of very good reasons for a person with type 2 diabetes to take metformin. Most people tolerate it well if it is taken properly. That said, some people do everything right and still cannot take it. Before you decide that you are one of those people, make sure you are doing everything you can to maximize your chances of doing well with metformin. You mentioned that you are taking the extended-release (ER) form of metformin. This form may be less likely to cause adverse effects. You should be taking it with your biggest meal of the day. It can also help to start with a low dose and increase it slowly. Even if it turns out that you can’t take metformin, you are doing pretty well. The fasting blood glucose levels you are getting are still good and not very different from the ones you were getting when you consider that blood glucose meters have a margin of error of 20%.

June 29, 2013 at 10:29 am