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Question:

From Tucson, Arizona, USA:

I have a fasting sugar between 120-130 mg/dl [6.7-7.2 mmol/L]. I want to get it down to 90-110 mg/dl [5.0-6.1 mmol/L]. I take metformin twice a day and Glucophage once a day. I exercise in the morning, normally. My sugar at night before bedtime has been 90 mg/dl [5.0 mmol/L]. How can I get the levels to drop to the range I want? Will more exercise help?

Answer:

Please note that Glucophage is a form of metformin. In other words, they are the same drug. I would suggest the drug dose should be adjusted to reflect the result of the hemoglobin A1c, which is the most important overall number for therapy. Clearly, having a lower number on an everyday basis will get the A1c down. Increasing the dose may help. However, if the A1c is good, it may not be as big a deal. Exercise and maintenance of appropriate weight are still important issues.

JTL

DTQ-20040604023402
Original posting 14 Jun 2004
Posted to Type 2 and Pills for Diabetes

  
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Last Updated: Sun Jan 15 12:10:10 2006
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