What To Avoid When Taking Metformin ? : Drug Interactions

Metformin is a drug used to lower or reduce blood glucose levels. Metformin is used to treat, among other illnesses, type 2 diabetes and polycystic ovarian syndrome.

Unfortunately, metformin can cause mild to severe side effects, such as lactic acidosis. Certain meals, beverages, and medications can increase the likelihood of metformin adverse effects.

Diabetes Symptoms in Women ? | Dr. Lakshmi Lavanya Alapati | Endocrinology

Diabetes Symptoms in Women? | Endocrinology | Dr. Lakshmi Lavanya Alapati When women get diabetes, they have symptoms like hand pain, Shoulder pain, Hip Pain, Back pain etc., Women who have diabetes have difficulty sleeping because they have increased urination, increased thirst, and lost weight. #healthvideos #healthcarevideo #wellnessvideos #healthtips

What is HbA1C Test? Is it an Accurate Blood Test? – Dr.Berg

In this video, we’re going to talk about HbA1C. Is the A1C test accurate?

Although the A1C test is a great test to perform as part of your review, don’t rely on it alone.

What is the A1C test?


The A1C test can determine whether you have excessive blood sugar levels that mix with red blood cells. Diabetes would be present if your A1C result was 6.5 or higher. There is apparently a link between increased retinopathy and this high A1C test result.

If you decrease this number by 1%:

• Your death rate from diabetes goes down 27%
• Microvascular complications go down 37%
• Myocardial Infarction goes down 14%

However, about 30% of the population is anemic. If you’re anemic, the A1C test will be invalid. 

Other things that could make the test invalid are:

• Sickle cell
• Iron disease 

In a diabetic person, red blood cells expire far more quickly than they do in a healthy person. It can significantly influence what appears on the A1C findings if you measure the red blood cells after a brief exposure to glucose. This is so that the test can determine the length of time that the red blood cells are exposed to glucose.

Better tests would be:

• Fasting glucose
• Post-meal glucose
• HOMA-IR

It may be related to the dawn phenomenon if you wake up with high blood sugar and ketones. You produce glucose from fat, ketones, and protein, which is what causes the dawn phenomena. You’ve had insulin resistance for a long time, which is why this is happening.

You don’t really need to be concerned about this. It’s just a part of the transition phase if you have had chronic insulin resistance.

Most doctors fail to warn diabetics that their blood sugar level could drop and be dangerous:

 Most doctors fail to warn diabetics that their blood sugar level could drop and be dangerous.

 While we frequently discuss the alarming increase in high blood sugar , low blood sugar appears to be a neglected issue.

Dangers of low sugar

 High blood sugar levels are frequently discussed because, according to what we’ve been told, they can lead to complications like kidney damage, nerve damage, eye damage, cardiac disease, stroke, neuropathy, and retinopathy.

 But the majority of us are unaware of how serious a hyperglycemia can be. Low sugar levels have the potential to be catastrophic. We don’t discuss it because the majority of us are unaware of its importance. The other problem is that we tend to believe that the lower, the better. If we keep our blood sugar levels extremely low, we may be able to avoid complications, but it’s also crucial to remember that hyperglycemia should not be disregarded.

 People with diabetes who take sulphonylureas, which increase insulin, or insulin itself frequently experience hypoglycemia. If medication, food, and exercise are not balanced in these patients, hypoglycemia may result.

 First, because most doctors don’t explain this , they are unaware that this condition even exists. The second is that if the patient’s blood sugar is consistently low, the body becomes accustomed to those low sugars and may not recognize a slight decrease in glucose levels, such as 65 or 60 mg percent, because it is accustomed to the 75s and 80s. This is known as hypoglycemia unawareness.

 Yes, certain hormones may become low with long-term diabetes. These hormones are responsible for the hypoglycemia symptoms. Therefore, if those hormones are low, hypoglycemia symptoms may not be obvious and this may occur. Therefore, there are three possible causes: the patient’s lack of education, low blood sugar, and a deficiency in hormones that cause hypoglycemia symptoms.

 All diabetic patients need to be much more vigilant about low blood sugar levels. Because low blood sugar can result in extremely dangerous circumstances, there needs to be more awareness of hypoglycemia.

 Even when blood sugar levels in type II diabetes patients are high, there is typically no immediate threat to health or life, but if hypoglycemia falls dangerously low, it can cause unconsciousness and have serious repercussions. So it seems essential to be aware of hypoglycemia.

 All diabetics should be aware that if their food is delayed or they skip a meal while receiving treatment for their diabetes with either tablets or oral hypoglycemic agents, it is quite likely that their blood sugar will drop a little.

Check your blood glucose if you have these symptoms

Abnormal Blood glucose should be checked

Are you tired and don’t feel like doing anything? These could be symptoms of pre-diabetes! Be sure to check your blood glucose levels, as long-term disturbances in blood sugar levels lead to the development of diabetes with its serious complications. Find out what symptoms may indicate the development of pre-diabetes.

What is pre-diabetes?

Pre-diabetes is a disorder that signals that the level of glucose in your blood is abnormal. If left untreated, it most often leads to the development of type 2 diabetes. Unfortunately, it is often underestimated by doctors, which contributes to the increased incidence of this disease. Pre-diabetes symptoms are alarm signals to change your lifestyle and take care of your health.

Currently, there are no clear guidelines on the precise criteria for diagnosing this disorder.  Pre-diabetes is defined as a situation where the blood glucose concentration is :

  • fasting – 100-125 mg / dl,
  • 60 minutes after oral glucose load (OGTT) – approx. 155 mg / dL,
  • 120 minutes after an oral glucose load – 140-199 mg / dL.

It is estimated that 5-10 percent. people with pre-diabetes will develop diabetes mellitus in just one year.

Long-term disturbances in blood glucose levels can significantly affect the well-being and increase the risk of developing not only diabetes, but also cardiovascular diseases, including heart attack and stroke. So it’s good to know how to recognize them.

How to detect pre-diabetes?

Pre-diabetes before the onset of “overt” diabetes may be very different for each person. Many doctors recommend the following tests to make an accurate diagnosis:

  • fasting glucose
  • OGGT, or glucose concentration 2 hours after an oral glucose load,
  • glycosylated hemoglobin , or HbA1C.

The causes of the development of pre-diabetes

The disorders that lead to the development of diabetes are mainly the result of unhealthy habits and lifestyle.

he main factors influencing the development of pre-diabetes include:

  • overweight and obesity,
  • lack of physical activity,
  • high-calorie diet rich in highly processed products,
  • abdominal obesity – waist circumference over 80 cm in women or 94 cm in men,
  • the occurrence of gestational diabetes,
  • having a child weighing more than 4 kg,
  • reduced HDL cholesterol below 40 mg / dl,
  • increased levels of triglycerides in the blood above 150 mg / dl,
  • hypertension,
  • genetic predisposition (diabetes in parents),
  • Polycystic ovary syndrome.

To reduce excess body weight, waist circumference and normalize blood sugar levels, it is recommended to change your eating behavior and introduce regular, moderate-intensity physical activity.

Pre-diabetes treatment – how to protect yourself against the development of diabetes?

Prevention of pre-diabetes is similar to type 2 diabetes. Its main elements are a balanced diet and moderate physical activity. Regular exercise helps to strengthen the body and effectively reduce body fat.

As Finnish scientists observed, weight loss by 5 percent. and moderate physical activity for 35-45 minutes a day can reduce the risk of developing type 2 diabetes by up to 75 percent.

In the prevention of diabetes, it is also necessary to change the diet. A balanced diet should provide all the necessary nutrients. In the case of obesity, it is recommended to reduce body weight gradually, by reducing the caloric value of the diet by about 500 kcal per day.

According to the Nurses’ Health Study, a weight loss of 5 kg in people with a predisposition to diabetes reduces the risk of its development by up to 50 percent.

What does the diet look like in the prevention of diabetes? First of all, it should be a balanced menu containing whole grains, which are a source of dietary fiber – incl. rye, wholemeal or graham bread, coarse grains, brown rice, wholemeal pasta. The menu must also include fruit and vegetables in the amount of at least 400 g per day, 3/4 of which should be vegetables.

However, it is worth eliminating from the diet:

  • alcohol,
  • simple carbohydrates such as sugar (sweets, confectionery, etc.),
  • fried and fast food dishes,
  • sweetened drinks
  • fried meat, especially in deep fat.
  • If lifestyle changes are not sufficient, your doctor may decide to initiate drug treatment.
  • Usually, the drug of first choice is metformin, which makes cells more sensitive to insulin and
  • lowers blood sugar.