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Re: Metformin and hypoglycemia

From: anonymous@obgyn.net
Thu, 6 Mar 2003 19:09:50 -0600 (CST)


At Thu, 6 Mar 2003, =?iso-8859-2?q?Zalányi wrote: >
>Hi there -

I got my results today - the doctor had run some normal blood chemestries and an A1C test (checks glucose levels over the last couple of months) - he said my glucose was 86 which he said was normal and none of the blood work indicates any diagnosis of diabetes. However, I have been suffering from chronic anemia for over a year and he checked my serum ferretin levels and my count was a 2!! And I have been taking a daily iron supplement already! My Doctor said the minimum count should be a 10.

He said the fatigue and other symptoms appear to be caused from my anemia, which he has increased my ferrous sulfate to 325 mg. 3 times daily. He wants to check my insulin and testosterone levels in 90 days when he rechecks my iron, unless I have more 'episodes' that appear to be hypoglycemic in nature occur before then. He did say that Metformin usually does NOT cause hypoglycemic reactions. We will see how the increase in iron goes. To date, NO ONE has been able to indicate why I suffer from the iron-deficiency (which, by the way, just popped up about 2 years ago for no reason) other than they have ruled out intestinal bleeding (upper GI, colonoscopy, occult blood test) and they have ruled out my diet (I eat rather healthy). I guess I have to just play the waiting game for now......

Hi, >
>I would be interested to see the lab results
>
>Sam
>
>> Thanks for the response. I think I am going to ask for a glucose
>> tolerance test. My current Metformin doseage is 2000 mg daily - 1000 in
>> AM and 1000 in PM. I had started back in '99 on 500 and it had to
>> continually be 'upped' until my insulin levels reduced, which wound up
>> being at 2000 mg. They were fine for almost 3 years and now this. I
>> really, really suspect that they are not in the normal range any longer.
>> Anyway - thanks for the input and for listening. I am waiting for my
>> blood work drawn last Friday to come back this week....maybe there will
>> be an answer there.
>>
>> >Hi,
>> >
>> >I would suggest a glucose tolerance test, possibly with insulin levels.
>> >Also, why don't you reduce metformin to 500 mg.
>> >
>> >Sam
>> >




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