Hi! So for all of you who have posted with answers to all my questions lately thank you! I finally seemed to have found the correct basal again and am back to my normal diabetes routines
I do have a question though. Today I had a check up to discuss my numbers with the new basal rate from my doctor and he brought up metaformin to help increase insulin sensitivity. I asked about pros and cons and he said he’s had it work well for some type 1s but not others and it really depends on your body. I told him no for the time being as I’m purposely on a weight loss program and as I’m losing weight my insulin sensitivity is improving so I want to try doing it naturally first but said I’d reconsider in the next 6 months. He said the only reason he really wants me to consider it is I do have a higher basal rate and IC ratio and that when I’m older he doesn’t want me on more insulin than I am on right now.
Any thoughts about this or does anyone have any experience they can share if they were put on it at all?
I don’t exactly get why anyone would say that. Anyway, IMO, the “end game” for t2’s not performing on met is to add insulin. 1) Metformin comes with a unique set of adverse reactions. 2) You are already on insulin which is a closer match to what your body used to make… in summary you have to weigh the risks of insulin plus metformin over the risks of insulin… I’m not a doctor but the met+insulin appears to have more adverse reactions… not a doctor… not advice. cheers good luck
See and that’s what I’ve heard too. I fully admit that I’m overweight which obviously causes less insulin sensitivity but am taking control of that by cleaning up my diet and exercising more. I’ve lost 12 pounds already and I’m seeing my insulin needs decrease along with this so I feel as if I continue to do what I’m doing I’m naturally going to reduce my insulin needs and not have all the stomach side effects that go along with it. I was also curious to know why it would matter if my insulin needs are higher when I’m older? I’m currently in my late 20s so have a while before I’ll hit the over 60 threshold like he’s concerned about so curious to see. I also hope that there’s even more advancements to diabetes management within the next 30 years as well.
@Tee25, I got nothing. I can’t see any reason to say that. If the doc thinks some magic amount of insulin is too much, well then you can add metformin later. My only wild guess is if the doctor’s opinion might be based on t2 and that”if you ask too much of beta cells they can reduce or stop working “. They add met to reduce demand and prolong diminishing insulin production. My problem with the logic is that you are making none, so who cares. Anyway by all means ask but I still say keep doing what you are doing.
Hi @Tee25 . The pancreas wants what the pancreas wants (replace “wants” with “needs” if you wish but it’s not quite as poetic😊) and the body’s needs change over time. Using basal IQ with my pump has resulted in my using less insulin than I did 6 months or a year ago, and who knows if you may not need less yourself later in life due to weight loss, activity or other factors. Having said that you could need more down the road - it remains to be seen.
You sound committed to maintaining a healthy lifestyle, and it may be best to work on one thing at a time. Adding Metformin in while you’re losing weight could muddle things so you don’t know which is helping you if you achieve better numbers. I’m not a medical professional so I’ll just share what I think I would do - which is hold off on the Metformin and revisit it later.
Wishing you all the best.
Okay thanks! Thinking the same thing. I just got my labs done and my A1C is 6.7 so there’s still some room for improvement but overall a great A1C and good diabetes management. I guess I just don’t really see the need for it at this point either unless something changes drastically.
I was diagnosed in 1945. I was very slender and used animal insulin for many years. In the mid 1990s I started using a fast acting insulin, Humalog. I gained a lot of weight and I was diagnosed with insulin resistance (IR). I had reduced my carb intake to 130 carbs per day, and was getting a lot of exercise. There was less weight, and I lost about 15 pounds while using Avandia. I saw an endocrinologist in 2010 . She prescribed Metformin ER. I adjusted ti Metformin in about 3 weeks. I started losing weight. In one year on Met I lost all the weight I had gained. I felt much better!! stopped using Met for several months, but I started gaining again. I resumed Met and am averaging 140 carbs per day. I am not overweight . I feel good after 75 years of T1D.
There are many T1D’s with IR, and many of them use Met ER. I know some of them in other support groups. I have/had four relatives with T2.D. I think I may have inherited a gene that caused my weight gain and IR.
Thanks for your input. That’s super interesting! Have you had any long term effects from using it? I’ve been researching and overall it seems fairly safe and it’s been out for awhile. But I also am still nervous to add yet another med to the rotation as I feel like I’m so young. At the same time though, I might consider it if it made me healthier long term.
I suggest that you research Metformin online. There are some side effects that are usually temporary. The extended release form is less likely to cause a problem. Just ask for Metformin ER when you see your doctor.
I tried it a long time ago and went to 150% of what the FDA recommended. It did absolutely nothing. My doctor back then did not know anything about diabetes. I then went to an endo doctor and he was alarmed as to why the previous doctor even prescribed it for Type 1.