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Question to GP Maarten: I have diabetes 2 but it seems as if the metformin is not working properly?

By Maarten Vasbinder
Posted in Health, General practitioner Maarten
Tags: ,
October 27, 2024

Dear Martin,

Man, 71 years old. 192 cm and 105 kg. Diabetic for many years 2. Does not smoke. 2 glasses of red wine in the evening. Medication: bisopronol 5 mg, coversyl plus, uni diomecron 2 tabl. In the morning, metformin 3 to 4 x 500 mg. Plus extra vitamins. Sports. Swimming 2 x 1 hour every day.

The last few weeks it seems like the metformin is not working anymore. Previously the values ​​were always between 80 and 120. Fasting never above 120. The last 2 weeks however 2 hours after eating up to 175. This is too high. What can I change?

I take metformin after every meal. 3 x a day. Diamicron 2 in the morning. I have not changed my habits. It now takes 3 to 4 hours to reduce

Regards,

G.

*****

Dear G,

Your HBA1c glucose in (hemoglobin) can tell you how bad or not it all is. I would worry too much about those few extra hours. For now your sugar level is still reasonable. To lower it you can increase the Metformin to 1000-500-500, and maximum 1000-1000-1000.

If that doesn't work, there are still many resources available.

Yours faithfully,

Dr. Maarten

Do you have a question for Maarten and do you live in Thailand? Send this to the editor: www.thailandblog.nl/contact/ It is important that you provide correct and complete information.

About this blogger

Martin Vasbinder
Martin Vasbinder
Maarten Vasbinder is a retired general practitioner, a profession he previously practiced largely in Spain. On Thailandblog he answers questions from readers who live in Thailand.

Do you have a question for Maarten and do you live in Thailand? Send it to the editors: www.thailandblog.nl/contact/ It is important that you provide the correct information such as:

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