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Old 06-27-2011, 11:42 AM
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mrsD mrsD is offline
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Join Date: Aug 2006
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mrsD mrsD is offline
Wisest Elder Ever
mrsD's Avatar
 
Join Date: Aug 2006
Location: Great Lakes
Posts: 33,508
15 yr Member
Lightbulb

Rather than go to more oral medications, it might be best to cut to the chase as many doctors are doing today, and get on a low dose of long acting basal insulin. You could start at a low dose and work up to where you need to be. The new dosing pens are easy to use and store. And I think you would get better results.

Since you were on metformin in high dose for a while, I'd also suggest you get evaluated for your B12 levels. They should be at 400 or above, and if below that, (US still reports low levels as "normal"), take a supplement. Metformin causes low B12 to occur in about 40% of patients. So it would be a very good idea to have this evaluated.

Once kidney functions change Metformin is not an option anymore.

What were your A1C's levels like?
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