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Question: From Champlin, Minnesota, USA: I was diagnosed at the age of 29 with type 1 diabetes, and had gestational diabetes with both children. At the time of diagnosis, I was "skin and bones" and continuing to lose weight. My fasting blood sugar was 680 mg/dl [37.8 mmol/L]. The doctors first tried oral agents which didn't help. I was hospitalized after two days and put on insulin. My control has been horrible for the past 4 to 5 years, and my most recent hemoglobin A1c was 10.5%. I am starting to have some loss of sensation in my feet. I just found a new doctor (an endocrinologist) who wants to put me on metformin along with my insulin regimen. Research appears to show that metformin is contraindicated in type 1 diabetes. Should I be concerned? Is it possible that I was misdiagnosed originally and actually have type 2 diabetes? Answer: The strategy for using metformin is aimed at improving your response to the insulin you take without having you gain a lot of weight. When it is used in patients with type 1 diabetes, it is not meant to be a primary treatment. Rather, it is meant to supplement your insulin therapy. Sounds like you have type 1 diabetes with a genetic component of type 2 diabetes. This makes it more difficult for you to respond to the insulin you need. It is not an uncommon strategy. JTL DTQ-20010308121811 Original posting 22 Mar 2001 Posted to Pills for Diabetes

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:19
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