Advertisement
E-mail Page
Print Format
 

  Back to Ask the Diabetes Team Ask the Diabetes Team
Question:

From Guj, India:

My husband, age 45, weight 97 kg (213 pounds), has mild diabetes. He was prescribed 1 mg SR metformin and a 1200 calorie diet, to be eaten as three or four meals. He is not able to stick with this diet. So, can he occasionally take a 50 mg acarbose on the days when he eats more than the 1200 calories? Or, can he increase the metformin up to 500 mg for that day? What other advice do you have for those days when he overeats?

Answer:

You ask a good question. This is a common problem. First, I would ask whether a 1200 calorie diet is appropriate for him. He may be able to lose weight gradually with a slightly higher calorie intake and be able to meet the demands of such a diet. Second, if a dietitian is available to you, this would be a good opportunity to evaluate this. I presume you mean he is on 1 gram of metformin SR per day. The dose can be increased to 2 grams per day. The acarbose is not unreasonable. It would be important for him to correlate his blood sugars on good and bad days and see how far out he is from target. If they are not that bad, he may not have to increase his metformin or use acarbose. The most important thing is not to set him up to fail. Do not let him skip over the nutritional interventions that would help him in the big picture.

JTL

DTQ-20051119232819
Original posting 30 Nov 2005
Posted to Pills for Diabetes and Meal Planning, Food and Diet

  
Advertisement
Just diagnosed? Learn about a study to protect your islets


 
Not Helpful  1 2 3 4 5  Very Helpful                  E-mail Article E-mail Page     Printer Friendly format Print Format    
  Home Return to Top

Last Updated: Sun Jan 15 12:10:19 2006
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

US Flag This site is published by Children With Diabetes, Inc, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice and Privacy Policy.
© Children with Diabetes, Inc. 1995-2009. Comments and Feedback.