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The Question
Sun Sep 02 15:33:14 UTC 2012

I am using metformin 1000mg twice a day. I have NASH with cirrhosis stage 4. Metformin is not good with this, what should I take?
Asked By: obiesmommy  
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Background Info Hide
I just had a liver byopsy and it says I have NASH with stage 4 cirrhosis. I am over weight and have heart problems. I'm trying to lose weight but it gets stuck and does not move. My last fasting glucose was 267.
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Expert Answers (1)
2012-09-05 21:56:51.0

Hello,

Thanks for asking dLife.

Cirrhosis causes the liver not to function properly. Unfortunately most of the oral diabetes medicines are processed by the liver.

People with advanced liver disease are often placed on insulin. They often are taking several other medications. Insulin appears to work better in controlling blood glucose for people with liver disease.

Weight loss plateau can be very frustrating. I recommend that you work with a registered dietitian in establishing an individualized meal and exercise plan to improve blood glucose control as well as promote weight loss. It is important that weight loss occur safely. With a little guidance, you may be able to get unstuck.

Read about NASH!

Take care.

Answered By: Liz Quintana
Accreditations: EdD, RD, LD, CDE
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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