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Anyone Take 4 Medfomin A Day

A DiabetesTeam Member asked a question 💭
Ottawa, ON
September 1, 2021
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A DiabetesTeam Member

@A DiabetesTeam Member how effective was that on improving your A1C.

I read a study done by Johns Hopkins and they found a maximum dose (4 tablets or 2000 mg daily) showed an average reduction of 1.5%.

Was wondering if you saw better results or it the Doc also adjusted/added other meds.

September 10, 2021
A DiabetesTeam Member

So you are probably close to a maximum dose.

Most doctors consider 2000 mgs (4 x 500 mg tablets) to be "the maximum" but some will treat up 2550 mgs because there is 850 mg tablets with 3 being the max dose according to the mfg.

Unfortunately when a max dose of Metformin is still not achieving "fasting target" (because that's what metformin treats, not after meal numbers) then the next step is almost always a Basil (long acting) Insulin.

September 1, 2021
A DiabetesTeam Member

I started out with 4 metformin a day but issues with my balance caused me to cut back to 3 a day,thinking about going back to 4 a day.

November 7, 2021
A DiabetesTeam Member

I take 4 tablets of metformin a day. Had a 5.7 a1c a month ago. I also take 2.5 mg of glipizide at night

November 6, 2021
A DiabetesTeam Member

That's excellent @A DiabetesTeam Member

That means you are "clinically" pre-diabetic.

You want to watch that - it could turn into Diabetes some day 😂

More seriously, doesn't it feel just great - a mental victory - when you work hard and get your A1C out of the Diabetes range.

You really kicked the "complications can" pretty far down the road with that number - well done.

October 10, 2021

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