Quote:
Originally Posted by GuitarManDave  ... - Is there a legitimate reason to stay on Metformin? I asked the doc and he brushed it off saying "it's probably helping you a little". Is there a good argument for going off it?
- Are there any advantages at this early stage of switching right to bolus insulin? My fasting glucose is fine - my entire problem is post-meal spikes which is typical for Mody3.
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If your FBGs are fine and you are not insulin resistant, I can't see the benefit of taking metformin. The best way to find out if it is helping is to stop taking it. If your BG levels, especially FBG, increase sharply start taking it gain. The problem with Prandin is that it stimulates your Pancreas to produce more insulin regardless of what you may have eaten. Januvia would be more appropriate in that its action is linked to blood glucose. But from what you have said, injecting insulin at mealtimes sounds like the most suitable treatment. It is easy, targeted and very effective.
