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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by Lamdage22 on March 21, 2014, at 13:54:16
My doctor said that if i lower my Seroquel dose i have to test blood glucose because overnight i could get too low glucose and die?
I dont think he is very competent at all. Thats why i am asking.
But is he right?
Posted by phidippus on March 21, 2014, at 14:45:28
In reply to Is metformin dangerous?, posted by Lamdage22 on March 21, 2014, at 13:54:16
I have no idea what your doctor is saying. If you take Seroquel, no matter the dose, your blood sugar may run high. You will not be at risk for hypoglycemia at night.
Eric
Posted by Phillipa on March 21, 2014, at 15:12:17
In reply to Re: Is metformin dangerous? » Lamdage22, posted by phidippus on March 21, 2014, at 14:45:28
I don't think so but don't know. Did you google it also? Phillipa
Posted by ed_uk2010 on March 21, 2014, at 15:36:21
In reply to Is metformin dangerous?, posted by Lamdage22 on March 21, 2014, at 13:54:16
> My doctor said that if i lower my Seroquel dose i have to test blood glucose because overnight i could get too low glucose and die?
> But is he right?
No, he's not right. Metformin does not ordinarily cause hypoglycaemia (abnormally low blood glucose), and you will certainly not die. Metformin is unusual in being one of the few anti-diabetics not to cause low blood sugar episodes.
Metformin is quite a safe medication. When prescribed and monitored appropriately, serious side effects are very uncommon. It does cause frequent gastro-intestinal disturbances however eg. stomach cramps, especially when it's first started. Also, metformin is not recommended in patients with impaired kidney function. A routine blood test for kidney function (BUN, creatinine, electrolytes) should be performed before starting treatment, especially in anyone at risk of kidney impairment eg. the elderly. Fasting glucose, a complete blood count and other standard blood tests can be performed at the same time, if necessary. Kidney function tests should be repeated every 3-6 months in the elderly, and yearly in younger patients.
Posted by Phil on March 21, 2014, at 20:10:41
In reply to Is metformin dangerous?, posted by Lamdage22 on March 21, 2014, at 13:54:16
the biggest side effect of Metformin is cr*pp*ng in your pants. go to any diabetes forum you'll see. it's known as the diarrhea drug or having explosive diarrhea.
Do not trust your instincts in that area. what you think is safe can be a rude awakening may turn into a nightmare. hard to go to the opera with a load in your pants.
i didn't have any other issues with it and lost 30 pounds. i just don't know where they went.
Posted by Phillipa on March 21, 2014, at 22:08:11
In reply to Re: Is metformin dangerous?, posted by Phil on March 21, 2014, at 20:10:41
Down into the sewer hopefully. Phillipa
Posted by Lamdage22 on March 22, 2014, at 9:02:07
In reply to Re: Is metformin dangerous? » Lamdage22, posted by ed_uk2010 on March 21, 2014, at 15:36:21
Ed, thats exactly what i heard.
But if thats true i should be able to pass that blood test for low glucose. I do not want to confront the doctor that he is stupid, lol!
What you think? Blood sugar should be alright?
Im guessing what he means is that when Seroquel doesnt raise blood sugar anymore it could be too low because of that. But since Metformin doesnt lower blood sugar below normal, it should be oK?
> > My doctor said that if i lower my Seroquel dose i have to test blood glucose because overnight i could get too low glucose and die?
>
> > But is he right?
>
> No, he's not right. Metformin does not ordinarily cause hypoglycaemia (abnormally low blood glucose), and you will certainly not die. Metformin is unusual in being one of the few anti-diabetics not to cause low blood sugar episodes.
>
> Metformin is quite a safe medication. When prescribed and monitored appropriately, serious side effects are very uncommon. It does cause frequent gastro-intestinal disturbances however eg. stomach cramps, especially when it's first started. Also, metformin is not recommended in patients with impaired kidney function. A routine blood test for kidney function (BUN, creatinine, electrolytes) should be performed before starting treatment, especially in anyone at risk of kidney impairment eg. the elderly. Fasting glucose, a complete blood count and other standard blood tests can be performed at the same time, if necessary. Kidney function tests should be repeated every 3-6 months in the elderly, and yearly in younger patients.
Posted by ed_uk2010 on March 22, 2014, at 13:43:54
In reply to Re: Is metformin dangerous?, posted by Lamdage22 on March 22, 2014, at 9:02:07
Hi,
Yes, I expect your blood glucose will be normal.
> Ed, thats exactly what i heard.
>
> But if thats true i should be able to pass that blood test for low glucose. I do not want to confront the doctor that he is stupid, lol!
>
> What you think? Blood sugar should be alright?
>
> Im guessing what he means is that when Seroquel doesnt raise blood sugar anymore it could be too low because of that. But since Metformin doesnt lower blood sugar below normal, it should be oK?
>
>
> > > My doctor said that if i lower my Seroquel dose i have to test blood glucose because overnight i could get too low glucose and die?
> >
> > > But is he right?
> >
> > No, he's not right. Metformin does not ordinarily cause hypoglycaemia (abnormally low blood glucose), and you will certainly not die. Metformin is unusual in being one of the few anti-diabetics not to cause low blood sugar episodes.
> >
> > Metformin is quite a safe medication. When prescribed and monitored appropriately, serious side effects are very uncommon. It does cause frequent gastro-intestinal disturbances however eg. stomach cramps, especially when it's first started. Also, metformin is not recommended in patients with impaired kidney function. A routine blood test for kidney function (BUN, creatinine, electrolytes) should be performed before starting treatment, especially in anyone at risk of kidney impairment eg. the elderly. Fasting glucose, a complete blood count and other standard blood tests can be performed at the same time, if necessary. Kidney function tests should be repeated every 3-6 months in the elderly, and yearly in younger patients.
>
>
Posted by Lamdage22 on March 23, 2014, at 11:48:56
In reply to Re: Is metformin dangerous? » Lamdage22, posted by ed_uk2010 on March 22, 2014, at 13:43:54
Cool, thanks!
This is the end of the thread.
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