To guarantee a better quality of life, some supplements are needed for some patients that improve their prognosis after changing habits.
Dr. Leticia Hernandez, Elected President of the Puerto Rican Society of Endocrinology and Diabetology. Photo: Journal of Medicine and Public Health. Fabiola Plaza.
Treatments for some chronic conditions are administered individually, as it depends on how the patient is progressing in relation to the disease. When a person is diagnosed with diabetes, the attending physician usually recommends changing certain eating habits and selecting certain nutrients that help this person control glucose.
When in some cases there is no improvement in the patient compared to some basic recommendations such as: food, supplements or medications, focused treatment is started and in this case with metformin, a drug specialized in the management of diabetes whose function is centralized in regulation. There is insulin which is often affected by the condition.
In an interview with the journal Medicine and Public Health (MSP), Dr. Leticia Hernández, elected president of the Puerto Rican Society of Endocrinology and Diabetology, explains the functions, types of administration and benefits of metformin for patients diagnosed with diabetes. Give diabetes
“Metformin helps control one of the main drawbacks of type 2 diabetes, which is insulin resistance, which means it helps our tissues use insulin better and allows us to release glucose through the liver. It makes our glucose levels rise more in the body”, explained the elected director.
Thanks to early studies of metformin, there is a predisposition to prevent diabetes from manifesting, where patients who have already been diagnosed or have risk factors can form an “immunity” against the pathology, as well as administration required to ensure proper quantity. drug work.
“Metformin is used from the pre-diabetes stage, because there is a study called Diabetes Prevention, where it was found that metformin reduced the chance of developing diabetes in patients with pre-diabetes by 31% over 10 years. In patients with pre-diabetes, a dose of 150 mg twice daily has been used, which is the dose provided by studies that found this beneficial metabolism in preventing the development of diabetes in patients with pre-diabetes. The effect was there. Patients who have diabetes should use a dosage of 1,000 mg twice a day, which is the appropriate dosage,” says Dr. Hernandez.
diabetes and kidney failure
When diabetes has already progressed significantly, as explained by the doctor, metformin can cause some side effects if it is not consumed in smaller amounts and rations than initially.
“Patients with advanced renal failure who have a kidney filtration ratio of less than 45 with the metformin dose halved may develop a complication known as lactic acidosis related to kidney failure, when The drug is used, the chances of this happening may be higher,” he indicated.
The drug is recommended as a first-line therapy for patients who develop diabetes, as well as for advanced diagnosis; However, the amount administered varies according to the progress of the individual and the possible complications that may occur during the course of the disease.
“It is recommended as the first line of treatment in most cases, but if a patient is with advanced renal failure, this treatment is normally not started from the beginning and if the patient is already using it. So it is terminated and another medicine is considered so that they do not have any problem”, said the doctor.
On the other hand, he indicated that it is a drug that can be used from the beginning, because it is a cheap drug, it does not lead to weight gain and most of the research of new drugs is added to metformin and moreover it is useful to use. Safe enough for