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Re: Metformin and hypoglycemia

From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Tue, 4 Mar 2003 17:42:53 +0100


Hi,

I would suggest a glucose tolerance test, possibly with insulin levels. Also, why don't you reduce metformin to 500 mg.

Sam

> I have been on Metformin for 3 years - and until recently, it has been a
> Godsend for me. Luckily, I'm not trying to get pregnant - conceived
> twins after 2+ years of fertility treatments over 9 years ago. The
> Metformin helped dramatically with the side effects like weight gain and
> also brought my testos. levels back in check. However, I've started to
> gain weight for no really good reason and am constantly tired - plus
> I've started having episodes of what my doctor thinks are hypoglycemic
> reactions. I get very shaky, nauseaous, sweaty, confused and drowsy
> until I get some type of sugar in me then I start to feel better. This
> has happened about 6 times over recent months, most recently last week.
> I took my morning dose of Metformin (1000 mg) in the morning as usual
> and within 1 hour felt horrible - a bad episode this time.
>
> I drank some apple juice and ate a muffin - but it took almost an hour
> before I started feeling 90% - and then the weakness and drowsiness just
> wouldn't go away entirely. Has anyone who has been on Metformin for
> awhile experienced hypoglycemic reactions? Has anyone with PCOS ever
> been diagosed with an Insulinoma - a cancer of the islet cell(s) of the
> Pancreas? My glucose has always been normal when checked (has not been
> checked during a hypoglycemic 'attack' yet) but my insulin has always
> been elevated prior to Metformin - my doctor is running a battery of
> tests from my episode last week to determine what may be going on, but
> in the meantime I'm truly scared that perhaps I have developed Type II
> diabetes or an Insulinoma (that while rare, seems to be exactly the
> symptoms I have been experiencing). HELP!
>




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