THE MISTAKES YOU HAVE BEEN MAKING WITH METFORMIN! FIND OUT HOW TO PREVENT METFORMIN SIDE EFFECTS

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Proper way to take metformin.
Eliminating side effects of metformin such as, diarrhea, bloating, abdominal pain, etc.
Why does metformin cause b12 deficiency and how we treat this in endocrine
Metformin vs. Metformin ER or Metformin XR
Timecodes:
00:00 Intro
01:00 Metformin side effects
03:00 Metformin vs. Metformin XR
04:30 Metformin dosing
05:30 Preventing metformin side effects
06:45 B12 and metformin
#metformin
#metforminsideeffects
#diarrhea
#metforminXR
#metforminER
#diabetes
#prediabetes
#vitaminb12deficiency
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Disclaimer:
The information on this channel (The Voice of Diabetes) is provided as an information resource ONLY. It is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, doe not create any patient-physician (APRN) relationship, and should not be used as a substitute for professional diagnosis and treatment. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. Diana Bytyqi, DNP-FNP-C shall have no liability for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained on this site.

Опубликовано:

22 июл 2024

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Комментарии : 223

@clark3830 Год назад

As a physician of 40 plus years, I recommend 500mg BID starting with 500mg in the AM. It is a must to have the patient take 1000mcg B12 with 400mcg of folic acid every day. In the long term, with out the cyanocobalamin (B12) they will have serious problems later. The folic acid carries the B12 into the system to be used. Just a FYI.

@serenity2032 5 месяцев назад

Doc, isn't FOLIC ACID and Cyanocobalamine aren't the greatest forms of these two supplements. Wouldn't methylated forms be better. Folate, not FOLIC ACID.

@clark3830 5 месяцев назад

It is easier and cheaper for many to access. Something is better than nothing for many. I look to help the many and not just 1st world countries.@@serenity2032

@demonincabare4337 17 дней назад

Metilcobalamina +metilfolato

@maxa3552 2 года назад

so much info. thanks doc

@ide005 3 года назад

These are so helpful! Please keep them coming!!!

@thevoiceofdiabetes 3 года назад

Thanks for watching, Ide!

@PattyRichardson1 3 месяца назад

Great video! Very informative! Thank you! 👍

@thevoiceofdiabetes 3 месяца назад

Thanks for watching 😀

@cindywiley9448 Год назад

Thank you for this information. It was very helpful

@thevoiceofdiabetes Год назад

Anytime. Glad you enjoyed it 😀

@anjarusi7614 3 года назад

Looking forward to the next one!

@thevoiceofdiabetes 3 года назад

Thanks for watching, Anja! More to come. Stay tuned.

@vlorabytyqi4568 3 года назад

Great video! Very thorough

@thevoiceofdiabetes 3 года назад

Thanks for watching, Vlora. More to come. Stay tuned.

@cortneyleonard5107 24 дня назад

Thanks for the info 😘

@butterflybutterfly454 2 года назад

Thank you! you explained very well👏👍

@thevoiceofdiabetes 2 года назад

Thanks for tuning in, Butterfly. More to come...

@iqbalkhan7074 3 года назад

Excellent!! Very helping to underd

@thevoiceofdiabetes 5 месяцев назад

Thank you

@edonabytyqi5294 3 года назад

Awesome video once again! Thanks for sharing the side effects

@thevoiceofdiabetes 3 года назад

Thanks for watching, Edona! Stay tuned for more to come.

@mannyfreeesh5256 3 года назад

The one thing I've noticed that causes diarrhea for me is eating excessive garbage carbs.

@thevoiceofdiabetes 3 года назад

Hi Manny, Eating healthy is so important. Definitely reduce the simple carbs and eat more complex carbs with higher levels of fiber.

@mariojakova5155 3 года назад

Nice video. I will share with my family members who are on metformin. Informative.

@thevoiceofdiabetes 3 года назад

Thanks for watching, Mario! Stay tuned for more video to come...

@rachelbuck8306 3 года назад

So weird how the insurance companies consider one dosage generic and another not generic. Great video as always Diana!!

@thevoiceofdiabetes 3 года назад

Thanks for watching, Rachel! It is very strange... Higher dose does not make a medication "brand", but for some reason, it always requires a prior auth. I avoid it, in general, as discussed in the video but that never made sense to me either.

@vlerakryeziu9725 3 года назад

Very well explained 👌

@thevoiceofdiabetes 5 месяцев назад

Thank you :)

@GoogleUser-kr6se 3 года назад

Oh yeah I forgot to say my mom also a Diabetic.. Long story but short after today we both agreed and this be her last day to take b12 metformin and she been on it for years

@leonbeyond 3 года назад

Great video👍

@thevoiceofdiabetes 3 года назад

Thanks for watching, Elma. Glad you enjoyed the video.

@dirghashrestha6388 5 месяцев назад

Good Morning Diana! I’m very excited to hear about you I’m taking METFORMIN 500 mg last 9 months I want to ask questions with you When I quite this Medicine ? Please reply me Thank you 🙏

@antonjetaleka4465 Год назад

Bravissima Dianaaaaa

@meditationbeyond7930 2 года назад

I love how you are not trying not to push the pharma people like you make RU-vid worth it!!!

@thevoiceofdiabetes 2 года назад

Thanks for watching Mike! All of my videos are meant to help people, never for sale purposes. Will always keep it that way 😀

@thevoiceofdiabetes 2 года назад

Thanks for watching Mike! All of my videos are meant to help people, never for sale purposes. Will always keep it that way 😀

@jenniferbassfirstchannel 2 года назад

Voice of diabetes!!! Can you do a video on byetta,tradjenta,glipizide,metformin,levemir,novolog and how taking all those medications help with diabetes for type 2 and what are the pros and cons of taking them ? I see many other videos on topics of medicine and doctors and online and pharmacy only give so much info I’d like to know more about it and is there any new information you can provide for type 2 diabetes.

@thevoiceofdiabetes 2 года назад

Hi Jennifer, Thanks for tuning in and welcome to my channel! Yes, I am creating a lot of content that I will be posting which includes many of those medications you mentioned. I hope you will find them helpful! Best wishes,

@ltrocha 2 года назад

Thank you for talking about B12 deficiency. I have numbness in my hands and knees. I've been to 4 doctors and none had any idea what could be causing it. A1c is 5.6 so it's not diabetes.

@thevoiceofdiabetes 2 года назад

Hi Larry, I am sorry to hear that. I hope your symptoms have improved. B12 and other vitamins are helpful in improving symptoms related to numbness and tingling, it's not always just diabetes.

@Veeveeskitchen Месяц назад

Pinched nerves, carpal tunnel syndrome

@ltrocha Месяц назад

@@Veeveeskitchen Thank you. Turns out I do have pinched nerves. Two cervical surgeries so far. Only so so results.

@trollgrgg2672 3 года назад

Lots of great information. I have been on metformin for over 3 years and have had chronic diarrhea for that whole time. No one bothered to explain to me the association. I will definitely follow up on this. Thanks

@thevoiceofdiabetes 3 года назад

Hi Trollgrg, I am glad you enjoyed the video. I hope you will be able to resolve your issue possibility being from metformin use. Please consult with your ordering provider :). Thanks for watching. Good luck!

@carolshepherd6811 2 года назад

People I got my numbers down to normal range without metformin. There's numerous herbs that help tremendously such as: Berberene, as good as metformin without side effects. Alpha lipoic acid (ALA) Cinnamon Cloves Chlorophyll Chromium Berberine is the best I've found. Also I take a carb blocker. This brought down my numbers immediately. ❤️🌷❤️🌹

@tessapitt1646 2 года назад

I really don’t know how to appreciate Dr IGUDIA on RU-vid who cured my type 2 Diabetes with his herbal medication.

@rockybridges4820 2 года назад

thx for sharing. i am going thru metformin side effects (diarrhea and won't leave the house). will talk to Dr about ER or EX metformin

@thevoiceofdiabetes 2 года назад

Yes, definitely ! Hope it works out for you. Best of luck. Keep us posted 🙏🏻

@Bro.TommyEJohnson 2 года назад

Diana Was searching today on RU-vid about the side effects of taking metformin and came across your channel. My Dr. Started me taking metformin 500 mg one tablet bid for a week and the switch it to 2 tablets bid, I didn't notice the onset of symptoms until I started the new regimen. I thought it was because I was taking amoxicillin with the metformin because I had a root canal done and I thought it was causing me to have diarrhea but boy was I wrong I have to say thank you for breaking this down for me you just took the guessing out for me 👍

@thevoiceofdiabetes 2 года назад

Hi Tommy, Thanks for tuning in and watching my content. I am glad the video helped and sorry to hear about the side effects you had.... but you are not alone as it is so common with metformin use. Best wishes,

@Bro.TommyEJohnson 2 года назад

It feels like the side effects are a inside joke 😂 for the Dr. I know you all swore an oth to do no harm dose that includes loss bowles

@thevoiceofdiabetes 2 года назад

@@Bro.TommyEJohnson I understand. It’s very frustrating. Side effects to medications are common unfortunately. We wish they only did what we want them to do without the side effects. Sometimes we have to try different things until we can find what works best for the patient. Everyone responds differently. It’s hard to know until we actually try and see, always hoping for the best outcome.

@craftygirl17 10 месяцев назад

Why do some doctors not know this and others do, that’s why I manage my type 2 diabetes by diet and exercise, it’s hard enough dealing with diabetes than to deal with side effects of medications, way to much stress, I think all doctors should know this, I feel bad for people who live with this horrible disease, it’s a very complex disease, also in some of your videos you use the word obese and obesity can you change that to unhealthy weight. Here in Canada we’re trying to change the wording around diabetes, people with diabetes find it very insulting and not helpful, just advocating for people who live with diabetes, did you know that people with normal weight can develop Type 2 diabetes also, just some food for thought.

@davidanderson8469 7 месяцев назад

Thank you Diana. I've been taking 1000mg of metformin twice daily for 20 yrs.. My primary physician never once has brought up the B-12 recommendation. I took it upon myself to research it. I take Nature's Bounty B-12 always placing it under my tongue for a minute before swallowing. This is a USP tested product which is what I always look for in supplements. I've just found your site and have subscribed.

@thevoiceofdiabetes 5 месяцев назад

Thanks for sharing this with us. So glad the video helped you

@dorothybrown8859 3 месяца назад

I have taken Metformin for 24 years. Never knew about B12 or Folic Acid, thanks for the one-up! I occasionally take B12, but will make sure to take it more consistently.

@dorothybrown8859 3 месяца назад

Great info, thanks. I was given Metformin and forgotten about, just refills, no direction. Will subscribe as you answered my questions.❤

@lorikabytyqi5953 3 года назад

Great video Diana. As a nurse, I never knew the side effects metformin causes my patients. I will be sure to educate them better now after watching these two videos

@thevoiceofdiabetes 3 года назад

Glad you enjoyed the video. It is always helpful for nurses and patient's to know possible side effects of medications. We find that patient's will undergo extensive GI workup when metformin was the culprit of the symptoms. Unnecessary stress for the patient and unnecessary testing that can be avoided with more knowledge about possible metformin side effects.

@r.aphrodite6683 2 года назад

Hello Dr.Diana I have a question my doctor prescribe me 750mg every 7 day it means weekly? Is that okay or the normal dosage should be daily

@GoogleUser-kr6se 3 года назад

I was told I was a Diabetic on a walk in I did. I couldn't believe what I heard cause I was told my lab work was good most of my life.. So I did what I was told by the Dr. Still I couldn't believe so this what I did I took the b12 metformin and BGR and that come up good all the time and also stop sugar goodie till next update appointment and told I was doing a lot better and schedule another update.. And after that visit I stop taking only the b12 metformin and started up the goodies.. My BGR that come up good all the time.. On the next update appt I was told I was doing better and keep up with b12 metformin.. Been almost 3 years and till this day I never told the Dr I stop taking the b12 metformin.

@thevoiceofdiabetes 2 года назад

@@OrangeSkyMusic Hi Brenda, sorry you had a bad experience with metformin. Not everyone can tolerate it, unfortunately, There are other medications available if you cannot tolerate metformin. If your blood sugars are not in good control on just diet and exercise, I'd recommend discussing with your doctor to see if there are other alternatives. You want to keep your sugars under good control as much as possible to prevent complications.

@michaellundphotography 7 месяцев назад

I just took my first metformin pill today, wish me luck! Also I love your shirt!! =)

@thevoiceofdiabetes 5 месяцев назад

Thank you! hope it's working out well for you

@steamengineer100 4 месяца назад

It’s been 3 months. Any progress?

@ASIM_MI 3 месяца назад

did you loose weight?

@carolshepherd6811 2 года назад

PS:. ALA helps with neuropathy.❤️

@thevoiceofdiabetes 2 года назад

Thanks for the feedback, Carol.

@sashwillpower Год назад

Is it true that the extended release is a little better for weight loss ?

@HijabisRocks 3 года назад

Day 4 on 500mg so far so good 🙏🏽

@thevoiceofdiabetes 3 года назад

That's awesome! Hope it will help :)

@jaygee5536 2 года назад

Get ready for the fun….

@1rwjwith 3 месяца назад

I tried starting it a week ago…got exactly what you listed at the beginning ..total Gastro issues, terrible, diarrhea in the middle of the night…I stopped taking it . I started a LOW CARB DIET 10 days ago ..losing weight so far. They gave me 500 twice a day , I cannot tolerate it. I am Pre-diabetes officially so I am going to try with diet alone right now.

@demonincabare4337 17 дней назад

How are you now?

@Jj_86 Год назад

How is this diff then ozemptic? Diagnosed with pcos & they want to start her on metformin

@RogerBurnette-gq5vb 29 дней назад

Can you take metformin with blood pressure medication I'm on losartan 25mg

@hwy138 3 года назад

i have been on timed release for about 7 years morning and night . I have terrible diarrhea, just as soon as I eat.

@thevoiceofdiabetes 3 года назад

Hello, sorry to hear that. Have you talked to your provider? Maybe you need different dosing or adjusting your dose?

@jacobjoseph5480 2 года назад

I am Type 2 diabetic for the last 15 yrs.I am taking medicines Torglip50/500&GlygometGP1 twice daily and my HBA1C is 6.0.Both these medicines contains 500mg Metformin each and I am consuming these medicines for the last 6 months.That is 2000mg Metformin is consumed daily.Now I am having excess flatulence which make my life miserable.Also stomach issues .Is these problems are because of Metformin dosage?

@michellereeve3909 20 дней назад

Is it ok to stay on 500mg ER? How do you know if it needs to be increased?

@sai1118 2 года назад

Thank you so much for your informative videos.☺️ Can i continue taking Metformin if i’m intermittent fasting? Having one meal a day. Will it cause my blood sugars to drop too much?

@thevoiceofdiabetes 2 года назад

Sai, thanks for watching. I am glad you are learning from them. Although I can’t give medical advice as I don’t have your medical chart and information… yes, patients doing intermittent fasting can continue to take metformin. Metformin works by reducing insulin resistance and working with the liver to “stop” overproduction of glucose. Therefore, very unlikely to cause low blood sugars. Please advise with your doctor as they know you best. This is in general terms only. I hope it helps. :)

@sai1118 2 года назад

@@thevoiceofdiabetes thank you so much 😃

@thevoiceofdiabetes 2 года назад

@@sai1118 anytime. Good luck 😀

@randoff32 3 года назад

Yesterday my doctor told me my chronic diarrhea is inherited. Runs in the family.

@thevoiceofdiabetes 3 года назад

Hi Randoff, Sorry to hear that. It can be difficult to adjust to chronic diarrhea. I hope there is something that you and your provider can find that may be able to help you. Good luck!

@randoff32 3 года назад

@@thevoiceofdiabetes “...diarrhea, RUNS in the family...” get it??? (But thank you for all your advice.

@markhansen8078 Год назад

Informative video. I'll be honest with you, I hate metformin. It is intolerable to me. I truly hate this and what it does to me. Probably the worst medication I have taken in my life. I will call my doctor and try the extended release to see if that helps. This med is terrible for me. TY MH

@robertstancliffsr9575 Год назад

How much are you taking and what is it doing that is terrible?

@thevoiceofdiabetes Год назад

Hi Mark, I hear you... Some people just do not tolerate it. Hopefully the extended release will work better for you. Keep us posted. :)

@Momtocam1997 3 года назад

I'm starting it tomorrow..500 milligram Extended Release. I'm very concerned on the side effects especially B12 deficiency. But am aware all drugs will deplete nutrients from the body. I've had issues with anemia in the past.

@thevoiceofdiabetes 3 года назад

It can cause b12 deficiency especially with long term use. You can request to have your b13 checked yearly if you wish. You don’t want to be b12 deficient for several reasons. I’m uploading a video on that this weekend which you may find helpful :). Thanks for tuning in

@sandradeleon6171 3 года назад

@@thevoiceofdiabetes : I have had to get blood transfusions twice in less than a year. I recently asked my gastric doctor (at the hospital) and my Endo doctor if the anemia, unknown bleeding, and need for blood transfusions could be linked to Metformin. They both said no, but didn't explain why not. Have you ever researched or had a patient who did become anemic and need blood transfusions and it WAS linked to Metformin use? I currently take 2000 mg XR, but I take them all together at breakfast. This was the first time I had heard about a scaled increase or splitting dosage so it doesn't hit you too severe with side effects.

@thevoiceofdiabetes 3 года назад

@@sandradeleon6171 Hi Sandra , no, there is no link between Metformin and anemia. You’d have to look for other possible causes. The way in which metformin works, it wouldn’t cause blood loss. There’s a video is how metformin works. Check it out. You may find it helpful. Yes, if you are having side effects, definitely split the dose or take extended release as mentioned in the video. Hope this helps. Good luck!

@garybeahm6990 3 года назад

@@thevoiceofdiabetes 0

@adamguymon7096 2 года назад

I was diagnosed with GP. I am overweight. In 2003 I had a laparoscopic Nissen and ever since I cannot drink carbonated drinks and I can only drink with a straw. When I was a kid I have always had a very hard time being able to eat many different types of foods like many fruits and vegetables. My entire life if I was to eat a salad I would get sick the minute I put it in my mouth let alone if I was to get any of it down? For example, if I have a burger it could only have the bun meat and cheese and no spread of any kind. No mayo etc. If I was to have a tuna fish sandwich it could only be made with butter plane. I have been trying to lose weight but have been having a hard time doing so? I was just put on a medication called Metformin because I was told I was producing too much insulin and that was causing me to gain weight? I hate the food pyramid and even the my plate because they don't address issues like GP and other dietary issues? Because I am legally blind and use a power chair with limited mobility it's hard to read labels and count calories to be healthy and know what will help me lose weight and live healthier? I wish someone could make a video about this issue?

@thevoiceofdiabetes 2 года назад

Hi Adam, I am sorry to hear that. Are you talking about gastroparesis? I just want to make sure I am addressing the proper question. Thank you

@prakashkumbar7631 Год назад

Medam i taking metformin from 9 month, my vitamin b12 level is 249 .know i am facing memory loss . anxiety. Brain neurology is smooth. My cognitive function is very low

@adlesal24 3 года назад

Thank you doctor informative and to the point I have one of my patients suffer from B12 deficiency after using metformin for years for compliance issues, I started him from the beginning on IM b12. is it acceptable practice?

@thevoiceofdiabetes 3 года назад

Hi Adel, thanks for tuning in. Glad you enjoyed the video. I have several patients on b12 injections (usually monthly) depending on their specific needs. So it is acceptable if you feel the patient needs injections vs. oral b12. It's patient and provider preference as well.... Hope that helps! Good luck!

@adlesal24 3 года назад

@@thevoiceofdiabetes Thanks doctor for prompt answer Yes sure, very helpful and reassuring

@psarkarsarkar8916 2 года назад

Very nice video, also there no word in English vocabulary as "un-tolerable", it is in-tolerable.

@thevoiceofdiabetes 2 года назад

Thank you for watching. We use intolerable in the USA

@annmenezes4277 Год назад

😢i take 500mg metformin hydrochloride thrice a day..but i have bowel problems like loose motions ..have lost weight from 57 to 47 kg....i sweat a lot even while in air conditioner room.

@Mir_Tabinda 2 года назад

Hii ma'am...I hope you are doing well..I am taking melmet SR 500 for my pcos but it has been only two days since I have started to take this medicine and I m already seeing the side effects like diahhera..what should I do .. please reply me as soon as possible

@thevoiceofdiabetes 2 года назад

Hi Mir, Are you taking regular metformin (Metformin HCL) or Metformin ER or XR?

@AndraJapan2 2 года назад

I been taking this for pcos in the evenings I noticed it makes me go to the bathroom in the morning and i was very tired till I balanced it with vitamins. Are there any foods in the evening that I can have that will lessen this effect in the morning?

@thevoiceofdiabetes 2 года назад

Hello, I am sorry to hear about the am side effects you are having... are you taking the extended-release or regular metformin? if you are taking regular metformin, I would suggest starting by changing it to extended-release as that may make the difference without needing to adjust your diet. There are no particular foods to help-- however, I do recommend a higher fiber diet which includes whole grains and vegetables. Hope this helps!

@realdeal5163 3 года назад

I’m taking 500 mg regular. What basic steps can I take to avoid the diarrhea?? It’s killing me! Thanks for your advice.

@thevoiceofdiabetes 2 года назад

Hi there Real Deal, thanks for your question. I would suggest taking extended release vs. regular metformin. Also, start low dose. 500mg daily then gradually increase to 1000mg daily, etc, until you reach the desired dose your doctor wants you on. Also, always take this with food. Never on an empty stomach. Hope this helps. Good luck

@realdeal5163 2 года назад

@@thevoiceofdiabetes Thank you. Your information is always true and helpful.

@thevoiceofdiabetes 2 года назад

@@realdeal5163 thank you! I appreciate the positive feedback. More to come… stay tuned and good luck 😀

@butterflybutterfly454 2 года назад

Hi doc, just saw your video! i went to see my doctor last week and he said i am prediabetic so they put me on med foreman 750mg. But I am always constipated

@thevoiceofdiabetes 2 года назад

Hi Butterfly, have you tried increasing your water intake and adding more fiber to your diet? That can be helpful with that. Also, increasing activity is great for constipation. Hope this helps.

@reinatrevino2281 3 года назад

My husband only take one because he’s blood sugar are always between 100 and 80 and he lost weight and he’s numbers went from 7to 6 and they want him to take 4 that’s too much like I said he’s doing one and he’s being doing it for 3 months and he feel very well

@thevoiceofdiabetes 3 года назад

Hi Reina, I am glad your husband is having success with metformin. My recommendation would be discussing it with his doctor. If he is doing well on a smaller dose and his blood sugars are in target range, I would likely suggest keeping him on the dose that is working. However, if his doctor is recommending an increase, I would suggest discussing with his doctor first. It is always good to vocalize your concerns and question orders to clarify why something is being changed. We love when patients are involved in their care and are knowledgeable about their health and medications.

@beyhivexxx5455 2 года назад

hello :) thanks for your great video, i have insulin resistant and started taking metformin in december i started with 500ml a day and worked my way up ..i am now at 2000ml a day ,i didn't have any extreme Gastrointestinal complaints but i have a lot of flatulence is this normal ? and will this go away? and I have to say that I haven't lost weight ? ..are there certain things to be aware of when it comes to the diet while taking metformin?

@thevoiceofdiabetes 2 года назад

Are you taking regular metformin or extended release? That can be a side effect unfortunately. I would discuss with your doctor about reducing the dose and trying the extended release if you’re not on already. Metformin is not indicated for weight loss but it can help given it reduces insulin resistance.

@marionfletcher7973 3 года назад

My husband has been on Metformin for 30 years. Over the past year he has experienced bowel problems. I think he is maybe taking too much now as his weight has dropped by a stone and a half with attention to diet but the dosage is the same. Could he be now taking too much metformin?

@thevoiceofdiabetes 3 года назад

Hi Marion, thanks for sharing this. If he is starting to have bowel issues, you definitely want to discuss with his doctor about lower the dose. If he's been able to lose weight with lifestyle adjustments and his blood sugars are in good range, since he is having issues as mentioned, lowering the dose is definitely a wise move. Please discuss with his provider and make them aware of his symptoms. Good luck! Keep me updated.

@badgalruth 3 года назад

Had my gall bladder removed in 2008. Doctor just prescribed this to me, is there a recall for the extended release. I want the extended release.

@thevoiceofdiabetes 3 года назад

Hi Bufferly, one certain metformin brand was recalled sometime last year. However, they’ve since switched patients who were on that particular one to the ones that haven’t been recalled. If you were prescribed metformin now, you will automatically get the correct ones. Hope this helps. Good luck

@carolshepherd6811 2 года назад

After your gall bladder is removed be sure and take purified bile salts. Doctors won't tell you this. ❤️🤗🌹

@reinatrevino2281 3 года назад

I have a question my husband takes 1000 and he’s A1C whent from 7 to 6 and he’s blood sugar numbers are good it has being only two months and the doctor gave him another pill why if the nutrition told him he’s doing good and to eat more so he wouldn’t loose to much weight so he’s not taking more than 1000 she said she will him in more weeks more why ?

@thevoiceofdiabetes 3 года назад

Hi Reina, so he’s still only taking 1000mg daily?

@kumudnigam7514 3 года назад

i am dibetic for 20 yrs now i am 80 yrs old and i take 1000 mg of Metformin am and 500 mg mostly at night but some times 1000 at night is it too much? my fasting blood sugar is in the range of 100

@thevoiceofdiabetes 3 года назад

Hi Kumud. Thanks for tuning in to The Voice of Diabetes. Max dose recommended for metformin is 2000mg-2500mg (varies between regular and extended release). You’re dose is within the recommended ranges so you are good with the dose. Your readings seem to be in great range! Keep up the great work and make sure to follow with your doctor, regularly to continue checking kidney and liver functions as needed.

@2ndAmendmentArms 3 года назад

I've been taking 1000 ER twice a day for more than 10 years.

@thevoiceofdiabetes 3 года назад

Hi Richard, I hope you are doing well with it. It’s definitely a great medication and has been around a long time.

@demonincabare4337 17 дней назад

How is your level of b12?

@iqbalkhan7074 3 года назад

Can I take CoQ10, as I am diabetic.

@thevoiceofdiabetes 3 года назад

Hi Iqbal, thanks for tuning in. Yes, you can take CoQ10 as a diabetic. Just remember, over the counter products are not FDA regulated so be sure to always follow up with your doctor for regular blood work and to make sure it doesn’t interact with other medications you are on. You’d be surprised how these over the counter supplements can affect other medications and or kidney/ liver function. In general, CoQ10 is not contraindicated in diabetes but always make sure your doctor is aware you are on it just in case you’re on a medication that can potentially interact. Hope this helps.

@marciahorton656 3 года назад

I’m taking 750 ER only at dinner time

@thevoiceofdiabetes 2 года назад

Hi Marcia, That's good! Extended release is a good choice as it can reduce possible side effects. Hope you are tolerating well :)

@robertstancliffsr9575 Год назад

I have been taking metformin for 0ver 30 years, 2x1000mgs daily. I am breaking them and taking them 4 times daily, No negative effects except over the last year or so I have been constipated. After years of not having that side effect is it likely that metformin in now the cause? Any suggestion on maybe taking it differently? Is it likely to be the cause of my constipation? I have had all kinds of test over the years and never saw any negative side effect from metformin. Also, this does not definitively mean anything, but I will be 79 in a week, which is 5 years older than the next oldest person in my immediate family has lived to be. Perhaps metformin can also increase life expectancy? Thanks......

@thevoiceofdiabetes Год назад

Hi Robert. Great comment. Thanks for sharing this with us. It's not uncommon for people to develop side effects from meds even years after taking something-- we get older and our bodies respond differently to things. Therefore, we can't rule out metformin as a possible cause. There are some studies to suggest that (longevity), however, there are no indications for it's use for that as this time that is FDA approved. We will have to wait and see if that is added as one of it's benefits. Would be nice...

@lisalisa6696 3 года назад

I started metformin at 1000 mg a day. Since starting 2 weeks ago my feet tingle and have shooting pains that travel. Is this due to vit b 12 deficiency and would this symptom come so quickly? Plus my eyesight got more blurry. 🙄 also when I take vit b 12 supplements it calms the feet down a lot

@thevoiceofdiabetes 2 года назад

Hi Lisa, sorry to hear about that. So, it's unlikely those symptoms are from your medication being that you just started it. It's likely because there is a change in your blood sugar values. You most likely went from high blood sugar readings to more normal values, therefore, you will experience blurry vision, tingling, etc. however, those symptoms will get better with time (usually within a few weeks) as your body will adjust to more normal blood sugar readings. Hope this helps! Best of luck

@lisalisa6696 2 года назад

@@thevoiceofdiabetes thank u! Yeah the blurry vision is a lot better, but my feet are still really bad..

@thevoiceofdiabetes 2 года назад

@@lisalisa6696 are you taking any meds for diabetic neuropathy?

@reinatrevino2281 3 года назад

He’s take it before breakfast and before dinner

@thevoiceofdiabetes 3 года назад

Oh that’s great! He should continue with the proper eating and regular exercise ( as tolerated) as well. Those are always first line.

@patrickrea3847 12 дней назад

I get diarea but yes it works lost a lot of weight,fat.I only take 500.Still get diareah.2000! Wow I get shuts with 500. Don't overdo it like she says.Its a good medication.

@ung789 3 года назад

Dr. how long methformin stay in our system?

@thevoiceofdiabetes 3 года назад

Metformin can be in your system for roughly 4 days which is why we have patient's stop it about a week before a procedure or surgery. However, you need to discuss this with your doctor. We take other things into consideration such as kidney function, etc. Hope this helps

@alexmills7572 2 года назад

Extended release causes cancer I thought?

@thevoiceofdiabetes 2 года назад

Hi Alex... to date, there is no reliable evidence of that. I know there are "articles" on the internet but those are not reliable sources that the FDA nor Endocrine society follow. If you come across an article, please email it to me. Also, be very careful with what you read on the internet. Unfortunately, there are misleading and inaccurate information all over. We have to be mindful of where our information is coming from. Hope this helps!

@fortheloveofmoon 2 года назад

Why does metformin have such horrible side effects? Can someone please explain? What is it about the medication that gives you horrible gastrointestinal side effects? Thank you in advance.

@thevoiceofdiabetes 2 года назад

Hi L, great question. Although the exact mechanism is not widely understood, it is believed that metformin has similar structural makeup at selective agonists of the 5-HT

@robertstancliffsr9575 Год назад

Metformin often has no or only minor side effects. I have been talking metformin 1000mgs X 2 daily for 30 years. No adverse side effects...no low B-12 readings, no kidney damage...it just works...... I would say the vast majority of people who take metformin have no or only minor side effects. It's a safe and effective and inexpensive drug that works.......also, I will be 79 in a few days and am hoping the longevity effects that are being contributed to metformin are proven correct in the on-going studies.......anything over 80 and I will give the credit to metformin.....😊

@vickylacangan7996 2 года назад

Im taking gliclacide in the morning and metformin after lunch but 2 hrs after my body felt weak, shaking, palpitation and difficulty in breathing. Thats why sometimes i dont take metformin after dinner. But also somethimes i dont feel any side efects so i take metformin after lunch and after dinner.

@thevoiceofdiabetes 2 года назад

Hi Vicky, Gliclazide can cause lows unfortunately… not my favorite class of medications. It’s likely the reaction you are having at times is caused by Gliclazide and not Metformin. I would be curious to see what your blood sugar level is when you are having these symptoms. I’d discuss cutting down on Gliclazide and take metformin regularly. Metformin is a much better medication. Hope this helps. Best of luck

@vickylacangan7996 2 года назад

@@thevoiceofdiabetes Thank you for replying to my message mam i do appriciate it ver much. THANK YOU for the information. Now i knew that metformin ( 1g tablet) is better than gliclazide. I maybe stop taking gliclazide in the morning and just contue taking Metformin twice a day after lunch and after dinner. Thank you mam. GOD bless!

@thevoiceofdiabetes 2 года назад

@@vickylacangan7996 hope it works out well. Keep us posted. Good luck

@jeanniewilliams3402 3 года назад

I take the regular metformin twice a day 500mg I don't run to the bathroom and I haven't lost any weight actually I think I gained weight any information why I eat healthy

@jeanniewilliams3402 3 года назад

And by the way I am just a pre-diabetic thanks for any information that can help

@thevoiceofdiabetes 3 года назад

Hi Jeannie, Sorry to hear that. Usually this helps with some weight loss but not always. I will recommend making some adjustments to your diet if you feel you can improve. You want to reduce calorie intake in order to lose weight. I'll have a video on this soon

@AlmaHernandez-dy9wh 3 года назад

Hello ! I want to ask . Can you treat PCOS with metformin?

@thevoiceofdiabetes 3 года назад

Hi Alma, most definitely! Metformin is used first line for PCOS along with diet and regular exercise. I’ll have a video on this very soon and why it’s so effective.

@AlmaHernandez-dy9wh 3 года назад

Thank you ! Yes I bee looking for that video .

@benaodas 3 года назад

metformin 500 mg give me left arm numbness i quit taking it im doing good

@thevoiceofdiabetes 3 года назад

Hi Pintchou, sorry to hear that. Have you tried the extended release metformin or just regular metformin? Sometimes it makes a difference between the two. You may want to ask your provider if they feel it is appropriate to have you retry the extended release if you already haven't tried that.

@gloriahenriquez9843 2 месяца назад

Hello Doctor! I love your videos Do you know why if you are anemic, here in the USA, we do not get injections. I think injections for anemia work faster than pills and your stomach is not going to bother you.

@Shadowbannddiscourse 10 месяцев назад

Is the extended better than regular?

@thevoiceofdiabetes 5 месяцев назад

For possible side effects, extended can be easier on the gut, therefore, making it a better option for some patients.

@yajairanavarro3396 2 года назад

So if I have symptoms of pcos, Is it good to be taking metformin?

@thevoiceofdiabetes 2 года назад

Hi Yajaira, yes! Metfromin is great for PCOS as it helps reduce insulin resistance which is a problem for people with PCOS. As a result, it can help with some weight loss. Hope this helps! Best of luck

@elyssagallegos6324 9 дней назад

Im on 1500 mg on metformin i have no los weight i also have pcos

@randoff32 3 года назад

If you could watch everything that happened in your life until now, would you enjoy it?

@Oxfire95965 2 года назад

I'm currently taking metformin at glib ride and lisinopril together I have been on and off this stuff for too many years account I really think I'm in trouble with this new clinic I'm going to with these doctors either some scary times take this pill come see this other doctor come back in 4 weeks to a month repeat I've gone from 5:12 to 3:20 with no help from the drugs I actually stopped going to the doctor for 2 years I don't know why I started up going again I think it was just severe pain all the time headaches wearing some bad times

@thevoiceofdiabetes 2 года назад

Hi Rudy, I am sorry to hear that. You should be followed closely by your doctor especially if you are having symptoms. High Blood sugars can cause a numerous of symptoms including headaches.

@bishopirenenyambura7123 3 года назад

Woo

@thevoiceofdiabetes 5 месяцев назад

@robertmayott5835 Месяц назад

How much vitamin B12 should we take daily?

@demonincabare4337 17 дней назад

Metilcobalamina 1000mcg sublingual 1 per day.

@allenbrininstool7558 Год назад

I get constipation

@SebiSzabi 3 года назад

Im prediabetic. First I started with a 160ch diet. Two weeks later I was prescribed 500ml, two month later 1000. Two weeks after my dose was increased, I started having higher reads on my glucometer. How can that be? When I was on diet only, my readings were better.

@thevoiceofdiabetes 2 года назад

Hi Anibassb, hmm, are you testing at the same time of the day? Different foods have different impact on your blood sugars. Also, stress level impacts your sugar readings. Therefore, try to keep your day to day very similar and see how the readings are...

@SebiSzabi 2 года назад

@@thevoiceofdiabetes No, the problem was, that two tablets (1000mg) lowered my blood sugar too much, and the liver started randomly releasing glucose.

@thevoiceofdiabetes 2 года назад

@@SebiSzabi hmm, haven’t heard of that. Normally, metformin “blocks” the release of sugar from the liver and improves insulin sensitivity to the cells… I’ll have to look it up to see how that’s possible. Haven’t heard or come across such. I hope things are better now.

@SebiSzabi 2 года назад

@@thevoiceofdiabetes Thank you for asking, yes much better. Actually My doctor took me off metformin by now, and Im regulating sugar levels with exercise and diet only. 💪🏻🥑🥇Im doing really well with it, and lost 7kg-s already (through 5month in total). And yes, metformin does block some of the glucose being released back in from the liver, but apparently not all. Im not sure of the chemistry here, but thats what my doctor told me. And when I was cutting back to one 500 mg tablet a day, the sugar was better so it worked. And thats the main thing. 🌷

@thevoiceofdiabetes 2 года назад

@@SebiSzabi that’s awesome! Keep up the great work with diet and exercise! 👏

@vivekatibblin8359 3 года назад

Do the side effects fade with time?

@thevoiceofdiabetes 3 года назад

Hi Viveka, it depends. Sometimes patient's can have some mild side effects for a week or so which get better over time. However, if the patient is having moderate/severe symptoms, I normally discontinue it. We don't want the patient to become dehydrated which can lead to more serious issues. It all depends on the severity of the symptoms. Most patients, fortunately, tolerate it well when given in this manner.... Extended release and increasing slowly.

@vivekatibblin8359 3 года назад

@@thevoiceofdiabetes thank you for your reply! Is there anything else one can do to decrease side effects (except taking it during meals and potentially taking extended release)?

@thevoiceofdiabetes 3 года назад

@@vivekatibblin8359 honestly, not that I am aware of. Usually, I have switch to extended release and take it with meals. I have them try the 500mg first. If they can’t tolerate that then metformin is probably not the med for them and I discontinue it. Please reach out to your provider for more answers. This is how I treat my patients but I can’t give you medical advice or replace what your provider suggests as I don’t know your medical background and specific needs.

@robertstancliffsr9575 Год назад

Sometimes the side effects fade and sometimes, I believe, they never happen....that was my case at least. The more they are expected to happen, the more likely they will.......

@jrowlove7328 3 года назад

Can you ever get off Metformin?

@thevoiceofdiabetes 3 года назад

Hi Jrow, yes, of course. I have many patients who I eventually reduce or discontinue the dose because they’ve made a lot of lifestyle modifications and no longer needed it. That’s something that you can discuss with your provider and always consult with them. I don’t recommend making any changes without speaking to your provider first. Hope that helps. Good luck!

@jrowlove7328 3 года назад

@@thevoiceofdiabetes Thank you for your response.

@robertstancliffsr9575 Год назад

You sure you want to? It may extend your life.......

@alexbojsza734 2 года назад

Why don't you find a cure for the problem of diabetes not the symptoms only

@thevoiceofdiabetes 2 года назад

Hi Alex, I wish we can find a cure one day. However, treatment for diabetes has come a long way... We used to have patient's test their ketones to see if they're under "good" control to having continuous glucose monitors that don't require a single fingerstick. It's amazing. So much more to come...

@jerbear7952 10 месяцев назад

Oh is that all. Lol

@brendenmurphy6136 9 месяцев назад

Cuz big pharma would lose money

@MattC2388 Год назад

I'm literally sitting here with a box of Metformin in front of me about to take my first one. And I'm not gonna lie I'm afraid 😂

@thevoiceofdiabetes Год назад

I totally understand. It can be scary. Keep us posted. Good luck 🍀

@udaybehara9269 3 года назад

Is it so harmful to take metmorfin? If so why don't you suggest alternate drug.which is better - extended release tablets or normal tablets? Iam taking metmorfin 500 mg one in the morning and another in the night since about 15 years. No serious side effects till now.

@thevoiceofdiabetes 3 года назад

Hi Uday. Thank you for watching the video. Metformin has been around for a long time and has a lot of safety data. I have patients on either metformin or metformin ER. If you are tolerating it, that’s perfect. I wouldn’t suggest changing to extended release form unless you were having an upset GI, etc then it would be worth it. Otherwise, I keep patients on the regular metformin and they do well. I will talk about different medications as well, as I continue to build content on my channel. Please remember, this is meant to be educational/ and informative. Never meant to be used as medical advice. You should continue to see your doctor on a regular basis. I do have a video also on “Why are you taking metformin” which talks about how metformin works and why endocrine providers really like it. You may find it helpful.

@udaybehara9269 3 года назад

@@thevoiceofdiabetes thank you for your response.

@robertstancliffsr9575 Год назад

Because it is not "so harmful" to take metformin and for 99% of people who can benefit from metformin it is a proven safe, effective and inexpensive drug. I say this as someone who has been taking metformin for about 30 years, It was called "Glucophage" before it became available in generic form..........I'll be 79 in about a week and, who knows, maybe that life-extension possibility of taking metformin is true?

@heatherclarke2361 Год назад

I WOULD WANT TO TRUST YOU..YOUR VIDEO MAKE SENSE BECAUSE I REALLY DONT TRUST 80%OF DOCTORS...JUST TIRED

@thevoiceofdiabetes Год назад

I’m sorry you feel that way Heather. Anything I can do to help, let me know. I only create content that is 💯 science based and proven. Hoping it will help people worldwide to get the right info. Keep us posted

@anandgupta2021 3 года назад

Speaking very fast. No use.

@thevoiceofdiabetes 3 года назад

I appreciate the feedback. Will have to be more mindful as I continue to build more content. Thank you

@jmacgregor1773 Год назад

what are your credentials? you have a lab coat on are you a doctor?

@thevoiceofdiabetes Год назад

Hello, I am an endocrine specialist APRN in the USA 🇺🇸. Thank you for asking 😀

@robertbastien228 3 года назад

THE MISTAKES YOU HAVE BEEN MAKING? - my advise, kick out stupid doctors. Naturlich, I preferred competitions with real professionalism - NOT SOLIDARITY!