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I would like to know why some of you feel that Metformin is the least

harmful of all the diabetic meds long term. I am not disagreeing - never

been on it but will most likely be switching meds in the next few months

(unless I am able to control with diet/exercise for a while after going off

Amaryl) - When looking at the list of meds in one of my diabetes classes,

Metformin had the longest list of side effects as well as long term problems

associated with it so I'm curious if you can point me to some literature on

this being one of the better ones? I need to find one I'm comfortable

with - doc says he would probably go with Actos or Avandia - both I have

decided I will not take (due to reading about possible vision complications)

so I need to find one I'm comfortable with. He doesn't feel I would use

insulin either.

Sandy

Date: Sun, 1 Jan 2006 20:56:24 -0500

Subject: Re: Metformin

I agree about metformin. I also agree about the yogurt. Sue

> Others might disagree, but to me metformin is the least harmful of

> the oral medications prescribed to diabetics. It can be used in

> combination

> with other orals and also with insulin.

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> I would like to know why some of you feel that Metformin is the least

> harmful of all the diabetic meds long term.

One reason is that it has been in use for 20 years or more, whereas some of

the other medications are new, and no one knows what the long-term effects

will be.

Many people feel that the sulfonylureas increase the rate of beta cell

burnout.

The glitazones tend to cause water retention, which can exacerbate heart

failure.

There is new evidence that metformin increases the level of a tumor

suppressor gene and hence may help prevent certain types of cancer.

Following is very technical. A summary is in Science magazine p 1259, Nov.

25, 2005.

http://www.sciencemag.org/cgi/content/abstract/310/5754/1642

Metformin does cause nausea in some people, and it may be hard on kidneys

and liver. But high BG also has side effects, and they're not nice.

Gretchen

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> > I would like to know why some of you feel that Metformin is the least

> > harmful of all the diabetic meds long term.

>

I don't know the science, really, but I can say that once my system got

used to the mertformin, and once my body became used to lower bg, I love

metformin. It seems to have an appetite supressant effect on me, and

after a month or two of use, really brough the numbers down!

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> > I would like to know why some of you feel that Metformin is the least

> > harmful of all the diabetic meds long term.

>

I don't know the science, really, but I can say that once my system got

used to the mertformin, and once my body became used to lower bg, I love

metformin. It seems to have an appetite supressant effect on me, and

after a month or two of use, really brough the numbers down!

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At 06:14 AM 1/2/2006, you wrote:

>I would like to know why some of you feel that Metformin is the least

>harmful of all the diabetic meds long term. I am not disagreeing - never

>been on it but will most likely be switching meds in the next few months

>(unless I am able to control with diet/exercise for a while after going off

>Amaryl) - When looking at the list of meds in one of my diabetes classes,

>Metformin had the longest list of side effects as well as long term problems

>associated with it so I'm curious if you can point me to some literature on

>this being one of the better ones? I need to find one I'm comfortable

>with - doc says he would probably go with Actos or Avandia - both I have

>decided I will not take (due to reading about possible vision complications)

>so I need to find one I'm comfortable with. He doesn't feel I would use

>insulin either.

>

>Sandy

Hi Sandy,

This is going to be my very subjective, highly personal experience,

with Metformin, Actos, Avandia & Insulin.

When I first went to meds, the doc put me on Metformin. I eventually

worked my way up to 2500 mg a day. As long as I took it with a meal I

did not have any 'gastric' problems with it. I eventually stopped

taking it because it was making a very minimal difference for me.

Next went to Actos. This med seemed to make a some of difference for

me, but still not enough. The only side effect I can recall is some

extra edema in my ankles, but not an excessive amount. My doc later

switched me to Avandia - same basic results.

Next, the doc suggested insulin which I agreed to try. This really

made a difference. I was finally able to get my numbers down where

they belonged and keep them there. At 1st I continued to use the

Avandia along with the insulin, but eventually dropped the Avandia

and stayed on insulin alone.

For myself, the insulin has been the best choice.

Since we are all individuals, our responses to different meds, both

good responses and side effects, are going to be somewhat different.

I believe that the best way to find out if any particular control

method is going to work is to try it for yourself and test a lot while you do.

Just my 2 cents! :)

Rick

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At 06:14 AM 1/2/2006, you wrote:

>I would like to know why some of you feel that Metformin is the least

>harmful of all the diabetic meds long term. I am not disagreeing - never

>been on it but will most likely be switching meds in the next few months

>(unless I am able to control with diet/exercise for a while after going off

>Amaryl) - When looking at the list of meds in one of my diabetes classes,

>Metformin had the longest list of side effects as well as long term problems

>associated with it so I'm curious if you can point me to some literature on

>this being one of the better ones? I need to find one I'm comfortable

>with - doc says he would probably go with Actos or Avandia - both I have

>decided I will not take (due to reading about possible vision complications)

>so I need to find one I'm comfortable with. He doesn't feel I would use

>insulin either.

>

>Sandy

Hi Sandy,

This is going to be my very subjective, highly personal experience,

with Metformin, Actos, Avandia & Insulin.

When I first went to meds, the doc put me on Metformin. I eventually

worked my way up to 2500 mg a day. As long as I took it with a meal I

did not have any 'gastric' problems with it. I eventually stopped

taking it because it was making a very minimal difference for me.

Next went to Actos. This med seemed to make a some of difference for

me, but still not enough. The only side effect I can recall is some

extra edema in my ankles, but not an excessive amount. My doc later

switched me to Avandia - same basic results.

Next, the doc suggested insulin which I agreed to try. This really

made a difference. I was finally able to get my numbers down where

they belonged and keep them there. At 1st I continued to use the

Avandia along with the insulin, but eventually dropped the Avandia

and stayed on insulin alone.

For myself, the insulin has been the best choice.

Since we are all individuals, our responses to different meds, both

good responses and side effects, are going to be somewhat different.

I believe that the best way to find out if any particular control

method is going to work is to try it for yourself and test a lot while you do.

Just my 2 cents! :)

Rick

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> Since we are all individuals, our responses to different meds, both

> good responses and side effects, are going to be somewhat different.

I agree. I have a friend who went through about 3 or 4 arthritis drugs that

didn't work for her or that had bad side effects. Then she tried another

one, and it was the answer for her.

The same is true of diets. Low carb works for many but low fat works for

others. Try everything and stick with what works.

Gretchen

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Just google metformin +benefits, and you'll get a lot of hits.

Sue

> I would like to know why some of you feel that Metformin is the least

> harmful of all the diabetic meds long term. I am not disagreeing -

> never

> been on it but will most likely be switching meds in the next few

> months

> (unless I am able to control with diet/exercise for a while after

> going off

> Amaryl) - When looking at the list of meds in one of my diabetes

> classes,

> Metformin had the longest list of side effects as well as long term

> problems

> associated with it so I'm curious if you can point me to some

> literature on

> this being one of the better ones? I need to find one I'm comfortable

> with - doc says he would probably go with Actos or Avandia - both I

> have

> decided I will not take (due to reading about possible vision

> complications)

> so I need to find one I'm comfortable with. He doesn't feel I would

> use

> insulin either.

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There is a group of serious minded non-diabetic investigators who take

metformin off label because they believe that it will extend their lives. They

believe that a major cause of aging is glycosylation and metformin slows this

mechanism down even in people without diabetes.

tf

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