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Better medicine for type 2 diabetes
Hi doctor my mom 48 years old have been diagnosed with diabetes two months ago.
Doctor suggested metformin 500 mg.
But she's been facing gastritis with metformin
My doubt is that she can continue metformin or any other medicine can be taken????
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Kindly discuss for your concern
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Metformin 500 mg is known to cause bloated abdomen , diarrhea,gastritis rarely in the initial stages of treatment, the body usually gets used to metformin in couple of weeks time.
If you still have issues with it after a few weeks ,you can opt for newer drugs like SGLT2 inhibitors like canagliflozin, dapagliflozin, and empagliflozin. They are given alone or in combination with metformin
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Once gastritis developed, better change the drug.
Kindly consult online with Dr Pandian
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Hello
Metformin is priliminary medication used in treating Type 2 Dm ..if only gastritis is then take along with Pantoprazole-D or Rabeprazole- D
If not relived get baseline blood investigation like serum creatinine and Hba1c and can plan to switch over to other medications .
Next Steps
kindly consult
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Need to know history in detail
Kindly consult for better discussion
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Good evening
How much is her hba1c that will decide what medication is recommended
Thanks
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Can help you with the next course of action and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult.
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Metformin is basic and very 1st drug to be used. Use cap Omeprazole 20 mg or pantoprazole 40 mg 30 min before meals in morning to avoid gastritis
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Kindly consult
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Hii.. metformin 500 is a very good medication and therefore it is always given first. Even if she doesn’t tolerate it after pantop tablet ,than we should change to other drug.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly provide me detailed history for proper diagnosis and further management
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Dr. Bijli Nanda
General Practitioner
7 yrs exp
Noida
Metformin is a very good drug,hence recommended as the 1st choice.it is common to have gastric issues with it.pantoperazole 40mg can be taken 20 mibutes before metformin,to avoid gastric issues.If,in a few days,the symptoms do not get better ,a different medication can be tried.
Meanwhile please encourage her to modify her lifestyle as if tried early, and done properly,it can work even better than drugs,in some cases even reversing diabetes.
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Dr. Raveendran S R
Diabetologist
17 yrs exp
Chennai
Hi., I can understand your concern.
Metformin is the first line medicine for sugar.
Your mother can take metformin with that, she can take pan 40 as gastro protective before food twice a day.
If still, she's facing gastric problem, we can change the med based on sugar levels.
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