Re: Metformin and hypoglycemia
From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Fri, 7 Mar 2003 03:18:21 +0100
Hi,
Some update for your dr: serum ferritin goes DOWN when you take iron therapy, so nothing to wonder about. Increasing your iron supplementation will do nothing, as the absorption is the limiting factor in the iron balance.
How long have you been on metformin?
Fatigue has several other causes, which should be investigated.
Further info coming...
Sam
> >
> >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......
>
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