Daily Column

DEAR DR. GOTT:
I am a 74-year-old female diabetic and take 1000 mg of metformin twice a day. My morning blood sugars are around 160 and they drop to the 129-140 range at night. A snack of graham crackers and peanut butter doesn’t help. I’ve started 1000 mg of cinnamon daily, but haven’t noticed any change yet.

My feet are now showing some nerve damage. Any help would be appreciated.

DEAR READER:
Metformin is an oral medication prescribed for people with type II (non-insulin dependent) diabetes. The normal dosing for oral medication is 500 mg taken twice daily, while the extended release form is taken once daily in a 500 mg tablet. Therefore, I am rather surprised you are on 2000 mg daily. This appears to be a hefty dose with less than perfect results. Normal blood sugars run in the [Read more...]