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The Question
Fri Apr 25 11:10:18 EDT 2014

Why is my fasting BS high (110 - 120) since my dr d/cd my HS metformin 500mg and kept me just on Januvia 100mg? What can I do to lower the FBS?
Asked By: chattycathyga  

Background Info Hide
Type 2 DM for 4 yrs. Was on Januvia 100mg in AM and Metformin 500mg at HS. My A1C was controlled at 5.5. - 5.6. He took me off the metformin and I am only taking Januvia now. I have tried taking Januvia at HS instead of AM. No differnence in fasting BS. I have tried eating protein at HS, carbs at HS. Nothing I am doing is helping my fasting. I miss my fasting of 80 - 90. I am concerned with higher fastings. I would like to keep my A1C at 5.5 - 5.6.
Diabetes Profile Hide
n/a
Expert Answers (1)
2014-05-08 14:13:09.0

Hello,

Thanks for asking dLife.

Metformin helps lower blood glucose by making sure your liver does not make too much glucose. It is the only diabetes medicine in the classification of biguanide.

Although ADA Standards of Medical Care in Diabetes recommends metformin (along with diet and exercise) in initial diabetes treatment, it is not approved for persons with liver or kidney problems, lung or heart disease, or conditions that cause low blood oxygen levels.

Talk with your doctor about your concerns. Be sure to share the results of your finger sticks. He or she can evaluate your treatment plan and may be able to offer other options to reduce your .fasting blood glucose level.

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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