Back to Ask the Diabetes Team Ask the Diabetes Team

From Hindustan, India:

I have controlled my diabetes by a planned food program and discontinued the medicines. Sometimes I eat more than usual. Can I take Xenical and 25mg of Acarbose at those times? If I stay on a strict diet, can I skip my metformin? My doctor says that metformin's effect can last for a few days.


I know my patients here in the United States would prefer to be off of medications. However, metformin is such an effective drug that I don't recommend that strategy. The American Diabetes Association does not recommend that diet alone be used without metformin therapy because the risk of progression is too great. Type 2 diabetes has a story line. It may not start off serious enough to require regular medication. However, with time, the disease usually progresses. The ability to hold the sugars down now, with metformin, may impact your diabetes and decrease the absolute progression or the rate of progression and decrease your exposure to high blood sugars over your lifetime and, hopefully, spare you from the complications of diabetes. My recommendation would be to continue the metformin under the direction of your physician, along with your dietary restrictions.


Original posting 21 Oct 2008
Posted to Type 2 and Pills for Diabetes


  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:10:16
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.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, 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. 1995-2015. Comments and Feedback.