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2021-05-26

Is there a good substitute for metformin?

Is there a good substitute for metformin?

Three new treatments for type 2 diabetes have been recommended by NICE, for patients who cannot use metformin, sulfonylurea or pioglitazone. The treatments are also suitable for patients who are not controlling their blood glucose levels with diet and exercise alone, to manage their condition.

What is the best diabetic medicine?

Metformin is a tried and tested medicine that has been used for many decades to treat type 2 diabetes, and is recommended by most experts as first-line therapy. It is affordable, safe, effective, and well tolerated by most people. When metformin does not adequately control blood sugar, another medication must be added.

Is vitamin B12 good for diabetics?

Vitamin B12 replacement has been shown to cause symptomatic improvement among patients with severe diabetic neuropathy. One meta-analysis showed that if used either alone or in combination with vitamin B complex, there was a significant improvement in the somatic symptoms like pain and paraesthesias.

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What vitamins can I take with metformin?

People taking metformin should supplement vitamin B12 and folic acid or ask their doctor to monitor folic acid and vitamin B12 levels. The interaction is supported by preliminary, weak, fragmentary, and/or contradictory scientific evidence.

What vitamin is good for diabetics?

Taking alpha lipoic acid as a supplement may help to improve insulin sensitivity and is believed to be helpful in preventing neuropathy. A number of research studies have found links between low Vitamin D levels and both type 1 and type 2 diabetes. Vitamin d could help improve insulin production and its effectiveness.

Can I take vitamin B12 with metformin?

No interactions were found between metformin and Vitamin B12. This does not necessarily mean no interactions exist. Always consult your healthcare provider.

How much B12 should a diabetic on metformin take?

A normal B12 level is considered anywhere between 190 and 900 nanograms per milliliter (ng/mL), but Messer suggests treating any level below 300 ng/mL. “Just have your levels checked every year if you take metformin,” she said. “For patients with levels over 300 mg/mL, taking a supplement isn’t necessary.”

Can I drink coffee and take metformin?

Taking metformin along with caffeine might increase the effects and side effects of caffeine. MethoxsalenInteraction Rating: Minor Be cautious with this combination. Talk with your health provider. The body breaks down caffeine to get rid of it.

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Is it OK to take vitamin C with metformin?

No interactions were found between metformin and Vitamin C. This does not necessarily mean no interactions exist. Always consult your healthcare provider.

Why will metformin kill my legs?

Metformin can cause a side-effect called lactic acidosis, a buildup of lactic acid in the blood that is fatal in half of all cases.