Type 1 Medications
Most people with type 1 diabetes do not take oral antidiabetic medications, and the FDA has not approved any currently available diabetes medications for use in type 1 diabetes. However, some clinical studies have indicated that the type 2 diabetes drug metformin may be an effective adjunct, or complementary, therapy in some patients with type 1 diabetes who have also developed insulin resistance. The use of metformin for the treatment of type 1 is considered "off label." It has not been approved for use in people with type 1 diabetes.
Gomez R, Mokhashi MH, Rao J, Vargas A, Compton T, McCarter R, Chalew SA. "Metformin adjunctive therapy with insulin improves glycemic control in patients with type 1 diabetes mellitus: a pilot study." J Pediatr Endocrinol Metab. 2002 Sep-Oct;15(8):1147-51.
Reviewed by Francine Kaufman, MD. 4/08
Turkey Tortilla Soup Red Pepper Coulis Southern Style Collard Greens Mixed Fruit Smoothie Spicy Beef Casserole Cherry Berry Pie Cups Tahini Yogurt Dressing Fresh Strawberry Almond Tart (Gluten Free) Toasted Garlic Chips Southwestern Tortellini Salad
Occasionally my mailbox or follow-the-link browsing will come up with something discussing whether (and if so, when) to ease the restrictions on treatment goals when the patient is elderly, arguing either to favor a higher quality of remaining life (lifestyle choices less limited by chronic illness) or to take into consideration geriatric cognitive decline (aka "senility") and simplify, as much as possible, the regimen. While the goal of medicine is, obviously, not to...