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Why Is Metformin The First Drug Prescribed For Type 2's?

Why Is Metformin The First Drug Prescribed For Type 2's?

Lot's of new faces in the group and if they are anything like most of the (audience) I see with the Wellness Group I work with, the newly diagnosed have many unanswered questions - sometimes, there is questions they don't even know to ask.

Most of us are treated by a Primary Care (PCP), General (GP) or Family Doc that probably doesn't have a great in depth knowledge of Diabetes and they treat based on the "Treatment Guidelines for Type 2" which is produce (and updated every couple of years) by… read more

A DiabetesTeam Member said:

Hey @A DiabetesTeam Member, that is not an unreasonable goal at all.

Since February of 2017 my A1C has been 5.4 "clinically non-diabetic" and I don't take meds.

In fact, there has been two very large studies (DiRECT - Diabetes REmission Clinical Trial and Look Ahead) to see if they could come up a with format/plan/recipe to achieve "remission" which is now universally defined as an A1C below 5.5 without any meds for a period of minimally 6 months.

While not "carved in stone" what they found was, as long as your A1C has never been above 7.6, you have been diabetic for less than 6 years, you get your BMI below 25 and restrict your carbs to no more than 26% of total calories (which would be 130 carbs in a 2000 calorie a day diet), that just about "anyone" could achieve remission.

They found "which diet" you follow doesn't seem to make a difference as long as you stick with it and it's under 130 carbs a day (I personally follow a Low Carb/High Fat - LCHF diet that somewhat resembles the Atkins 100 diet - it works for me but is by no means THE Diet to follow)

There are a couple of other members of this group that achieved "remission" despite starting out with a much higher A1C at diagnosis which just shows that some, who put in the hard work, can beat the odds.

Some of the other things noted was you had the best chance of long term success (and the DiRECT study is now in the "5th year of follow-up") If you "get a grip" within 3 years" and the results have been so positive that it is being incorporated into typical diabetes treatment plans in the UK (can google it if you want to do some reading - the original study and all the follow up reports are all available on line).

It was being conducted when I was diagnosed and I adopted most of their (methods) within the first year I was diagnosed and can attest that it "worked for me" - just the 4 basic tenants - BMI under 25, <130 carbs a day, was recently diagnosed and A1C at diagnosis was 6.9

It does take, at least initially, great dedication without making excuses to put yourself on the path to remission, but after a while it simply becomes "habit" - and then you have won the game...

edited, originally posted 6 months ago
A DiabetesTeam Member said:

good questionas for my self metformin isvery effective it has lowerdmyblood sugar and im able to maintain normal blood sugar levels so it works very well

posted 6 months ago
A DiabetesTeam Member said:

I've been extreme with my diet and exercise since discovering I was type 2 in the spring. I've managed to get my sugar to almost normal levels without meds. My biggest issue is high bs at night and especially first thing in the morning. I've started metformin for this and things have improved but I'm not there yet. For me, "there" means a non-diabetic a1c. Is this an unreasonable goal?

posted 6 months ago
A DiabetesTeam Member said:

I been metformin for years i take one at 6am before breakfast and then one more at before supper around 4: 30 pm . i take it twice aday 😃

posted 6 months ago
A DiabetesTeam Member said:

I did not do well on metformin

posted 6 months ago
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