PCOS Messages for January, 2002: Re: How much Metformin?

Re: How much Metformin?

From: Sonnet (anonymous@obgyn.net)
Sun, 6 Jan 2002 19:22:55 -0600 (CST)

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In reply to: TJ: "How much Metformin?"

Hi TJ!

The prescribing info on Metformin says to slowly raise the dosage until the symptoms are resolved, or you reach 2550mg, whichever comes first. For some people the "symptoms" are obvious - either the ravages of PCOS or the blood sugar control problems with diabetes (depending on what you're taking it for.) If your only symptoms are in your blood work, it's harder to figure out! I would say take as much as is needed to get everything in your blodowork to a normal level and a level of medicine that YOU feel good on. That might be 1000mg, it might be 2550mg. You'll find out!

I have previously heard a few times that 1500mg is the lowest effective dose in treating PCOS (higher than to treat diabetes.) But if your symptoms are already mild, 1000 might work for you.

I can't remember the letters of that test either, is it HbAC1? Something like that! What that will tell you is an average of your blood suagrs over the past few months. If you are a diabetic, it tells your doctor how well your blood sugars have been controlled. It doesn't tell you anything about PCOS though.

At Sun, 6 Jan 2002, TJ wrote: >
>Hi guys,
>
>I don't really know if I'm suffering "tangible" symptoms of IR. I have
>started Metformin (500 mg) and my doc told me to take them for a week or
>two at 500 then increase to 1000. My question is, how do I know when my
>dosage is high enough? I really don't want to go through another IGTT -
>the first one really (pardon the French) SUCKED. She is sending me for
>a HBA1C or whatever the letters are (the hemoglobin one that checks how
>well your blood glucose has been controlled) in mid-late February; will
>that provide enough information as to whether or not I should increase?
>By next week I will be increasing to 1000 mg - should I just leave it at
>that until I get the bloodwork done and increase it only based on what
>the test shows? Last time my results were 4.9% (before meds). I know
>this is a normal result so I am curious to see if it will change at all
>this time, and that is also why I'm figuring I might not need my dosage
>to be that high. Or maybe I will just know if it's too high because
>I'll feel like crap? Any thoughts?
>
>Thanks, hope everyone is doing well.

--
Sonnet Fitzgerald, PCOS Association, Online Community Liaison. Email: sonnet@pcosupport.org

Next message: Sally: "Re: Any success on low carb diets?"
Previous message: Sonnet: "Re: Any success on low carb diets?"
In reply to: TJ: "How much Metformin?"

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