Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
June 5, 2001
Pills for Diabetes
Question from Australia:
I was diagnosed with type 1 diabetes 11 years ago and I have always tried to have my diabetes in good control. My highest A1c level ever was 7.7%, and it is currently 6.8%. I am always looking for new ways to treat my diabetes. Recently, I have seen all these ads for Avandia, Actos, and metformin. Are they useful in type 1 diabetes? Some time ago I heard that metformin might be good at lowering fasting blood glucose.
Avandia [rosiglitazone], Actos [pioglitazone], and Glucophage [metformin] are primarily used to treat type 2 diabetes, in which insulin resistance is an issue.
Unless you have a large insulin requirement and a family history of type 2 diabetes, I would suggest these drugs offer little chance for improving your already very good results with insulin. These agents have been studied in type 1 diabetes, and they have a minor benefit of a less than 1% improvement in hemoglobin A1c.