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?
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.
Original posting 22 Mar 2001
Posted to Pills for Diabetes
Last Updated: Tuesday April 06, 2010 15:09:20
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