In general, in addition to oral metformin, the western drug glentine is also a treatment for diabetes, but metformin can reduce the effects of intestinal glucose intake.
At the same time, it can also improve insulin sensitivity, enhance glucose utilization, and have a strong inhibitory effect on liver hyperglycemia. These two drugs can also be used together, and the sugar control effect is better.
I take metformin every day, why can’t my blood sugar go down? The way of taking the medicine is very important
Metformin may not lower blood sugar because it’s just taking the medicine the wrong way. Different medicines have different ways of taking them. Once you eat the wrong thing, you not only waste money, but also delay your illness.
1. Number of errors
Most patients choose to take metformin on an empty stomach when they wake up in the morning. Because they are busy during the day and need to work overtime at night, they forget to take their medicine.
For most patients taking metformin, the validity period is about 6-8 hours, but 24 hours a day, which means they need to take 3 – 4 drugs to better stabilize blood sugar levels. If they only take medicine in the morning and not at night, it is easy to cause blood sugar to rise, and it may also cause blood sugar to fluctuate too much, affecting their health. Therefore, it is recommended that we take time and quantity in our daily life Take medicine to avoid excessive blood sugar fluctuations and affect your health.
2. Insufficient dose
The hypoglycemic effect of metformin is positively correlated with its dose, that is, the higher the dose, the better the hypoglycemic effect. However, it should be noted that the maximum daily dose is 2G.
To reduce gastrointestinal irritation, prevent complications, and control a patient’s blood sugar with minimal doses of medication, physicians typically recommend an initial dose of metformin of 500mg. On this basis, if there are no obvious adverse reactions, the patient can gradually increase the dose. After 1 to 2 weeks, the dose is the optimal effective dose of 2000 mg per day or the maximum tolerated dose of the patient.
3. Not following the doctor’s advice
Many people don’t follow their doctor’s instructions, don’t pay attention to their diet, and eat foods high in sugar without moderation while taking blood sugar control medications. But diet control is the top priority for diabetes prevention and treatment. Therefore, diabetics regulate blood sugar through metformin. Even if blood sugar control is relatively stable, pay attention to dietary adjustments, and do not eat too many sugary foods that can cause blood sugar to rebound.
Compared with other antidiabetic drugs, metformin has fewer side effects besides gastrointestinal irritation, but it should also be noted in the process of taking it.
4. The wrong diet
Although metformin has a good hypoglycemic effect, it may still cause blood sugar fluctuations due to improper diet, and even affect the efficacy of the drug.
For example, after taking metformin, yogurt is not recommended. Yogurt contains lactic acid, which is metabolized by metformin all the time. With continued accumulation, lactic acidosis may result. After taking metformin for a long time, it may cause vitamin B12 deficiency, diabetic neuropathy, facial numbness, numbness of hands and feet, etc.
The doctor reminds: to drink medicine on time and according to the amount, to have regular work and rest, pay attention to diet, and exercise moderately, so that blood sugar can be stabilized.
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