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Is it OK to discontinue Metformin if the sugar levels are normal?
Question
My fasting blood sugar ranges between 120 to 144 mg% but PPBS has not increased beyond 170 mg% for the past one year. I have been prescribed Metformin 500. I discontinued it due to uneasiness and mild headache. I feel fine without medication and I am on Aspirin 150mg for the past 8 years. I go for a walk everyday for one hour. I don't follow a strict diet. Please advise about the discontinuation of Metformin and continuation of Aspirin. I was prescribed Tenormin 25mgs and Amlodopine 2.5, eight years back. I discontinued these and my blood pressure is normal for the past 5 years.
Expert Answer
D
Prof Dinesh DhanwalAug 13, 2005
Prof of Medicine and Head of Endocrinology,
Maulana Azad Medical College,
New Delhi
Maulana Azad Medical College,
New Delhi
For diabetes mellitus, American Diabetes Association has put up some targets. The most important issue is to keep the levels under target with medications or without medications. Metformin is a very good medicine as it takes care of the underlying problem of insulin resistance and in the long term seems to be very useful. The targets are as follows- 1. FBG 80-120 mg/dl 2. PPBG <180 mg/dl 3. Hb1ac or Glycosylated Hb <7%, this test tells about the average control of blood glucose in last three months and should be done every three months. 4. BP <139/80 4. LDL- Cholesterol <100 mg/dl You can decide about Metformin after getting HbA1c level if <7% then no need for metformin. Continue with aspirin as it protects the heart.
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