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Pills for Diabetes

1. Though my A1c is okay, my postprandial blood sugars are elevated despite metformin and Acarbose. What other medication do you recommend? What about voglibose? (17 Aug 2010)
2. After five years on metformin I am having post-prandial spikes over 200 mg/dl [11.1 mmol/L]. Is there another medication I could take? (5 Mar 2010)
3. Can long term use of metformin cause kidney damage? If so, will the damage reverse itself after stopping metformin? (6 Jan 2010)
4. My daughter's new endocrinologist has recommended metformin to help my daughter improve her A1c and have lower blood sugar levels. Is this really safe for someone with type 1? (26 Dec 2009)
5. Despite Glucovance, diet and exercise, my blood sugars were elevated. Now on Glucophage and Amaryl, I see no difference. Is my pancreas slowly dying? (2 Dec 2009)
6. Which diabetic conditions and diabetic medicines can slightly lower blood pH? (3 Jun 2009)
7. Can metformin's effect be attributed just to its acidic (lactic) effect causing vasodilation and more transcapillary movements of glucose and insulin? (3 Jun 2009)
8. Can oral medications for diabetes and exogenous insulin cause some instability or impairment in endogenous insulin's production and secretion? (15 May 2009)
9. What can you tell me about the dosing of metformin in children? A friend has indicated that her 12-year-old's dose was increased to 1500 mg. (6 May 2009)
10. What are the possible side effects of taking metformin regarding lactic acid? (8 Mar 2009)
11. Why would an A1c be "normal" when the patient often has elevated blood sugars? If prolonged use of metformin can cause kidney damage, is there another safer drug? (24 Oct 2008)
12. I am controlling my diabetes by diet. On days that I eat extra, can I take Xenical and Acarbose? Can I skip metformin, too? (21 Oct 2008)
13. Does metformin help those with type 1 by making insulin work properly? If I take it, might it lower the amount of insulin I need to take? (12 Aug 2008)
14. I have diarrhea, which my doctor thinks is related to my metformin. She has suggested Januvia along with my insulin. I am not comfortable with this. What do you suggest? (16 Jun 2008)
15. My son is overweight and has been diagnosed with insulin resistance and a male version of PCOS. Would he benefit from taking metformin? Is there anything else I should do? (11 Jun 2008)
16. Because she is overweight and had an elevated A1c, our diabetes team would like to start my daughter on Glucophage or Symlin. Are either reasonable for a child? (16 May 2008)
17. Since moving, my new doctor has changed my oral medication dosage and wants me to take Lantus in the morning instead of the evening. Why would he have made these changes? (16 Mar 2008)
18. I have diarrhea and have problems with anti-diarrheal medications. Can my metformin and Actos cause further damage? What kind of doctor should I see? (25 Feb 2008)
19. What do you know about products such as Diamaxol that claim to reverse both type 1 and type 2 diabetes? (23 Feb 2008)
20. I was told acarbose is harmful to the liver if you take it for more than three months. Is this true? Can I continue to take it? (22 Feb 2008)

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Last Updated: Tuesday August 17, 2010 20:59:04
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