At what A1C level should metformin be started?

The ADA also said that health-care professionals could consider metformin for anyone with prediabetes or an HbA1c level (a measure of long-term blood glucose control) between 5.7% and 6.4%.

diabetesselfmanagement.com - Metformin for Prediabetes - DSM - Diabetes Self-Management

Does the egg fast diet really work?

There are lots of guides to the egg fast, or boiled egg diet, on the internet. However, there is no scientific evidence to support the egg fast as...

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What day is the hardest when dieting?

The first three days are always the hardest. This is because the body is still craving what it is used to having. That daily donut, big bottle of...

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Prediabetes is, for many people, a confusing condition. It’s not quite Type 2 diabetes — but it’s not quite nothing, either. So how concerned should you be about it?

For years, the jargon-filled names given to this condition — impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) — may have made the task of taking it seriously more difficult. But in 2002, the American Diabetes Association (ADA), along with the U.S. Department of Health and Human Services, inaugurated the term “prediabetes” to convey the likely result of not making diet or lifestyle changes in response to this diagnosis. In 2003, the threshold for prediabetes was lowered from a fasting glucose level of 110 mg/dl to one of 100 mg/dl. Then, in 2008, the American Diabetes Association (ADA) began recommending the drug metformin for some cases of prediabetes — specifically, for people under age 60 with a very high risk of developing diabetes, for people who are very obese (with a body-mass index, or BMI, of 35 or higher), and for women with a history of gestational diabetes. The ADA also said that health-care professionals could consider metformin for anyone with prediabetes or an HbA1c level (a measure of long-term blood glucose control) between 5.7% and 6.4%. But according to a recent study, metformin is still rarely prescribed for prediabetes. The study, published in April in the journal Annals of Internal Medicine, found that only 3.7% of people with prediabetes were prescribed metformin over a three-year period, based on data from a large national sample of adults ages 19 to 58. According to a Medscape article on the study, 7.8% of people with prediabetes with a BMI of 35 or higher or a history of gestational diabetes were prescribed metformin — still a very low rate for the highest-risk groups, in which evidence for the benefits of metformin is strongest. It appears that most doctors simply aren’t following the ADA’s guidelines or aren’t aware of them, as they relate to prediabetes. As we noted here at Diabetes Flashpoints in a 2011 post, both metformin and lifestyle intervention programs have been found to be effective at slowing the progression of prediabetes to Type 2 diabetes — with lifestyle intervention found to be more effective but more expensive. While there is debate about when and whether it’s best to prescribe metformin or a lifestyle program for prediabetes, it’s unlikely that more than a handful of the participants in the recent study were participating in lifestyle programs, instead of or in addition to taking metformin. Want to learn more about this popular diabetes drug? Read “Diabetes Medicine: Metformin,” “Metformin: The Unauthorized Biography,” and “Metformin Smelling Fishy? What You Can Do,” then take our quiz, “How Much Do You Know About Metformin?”

Is coffee keto friendly?

Coffee is another nearly calorie- and carb-free favorite that's safe for the keto diet. Like tea, it can be consumed hot or iced ( 5 ). Coffee...

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How many eggs a week should a senior eat?

The American Heart Association recommends up to one egg a day for most people, fewer for people with high blood cholesterol, especially those with...

Last updated Aug 23, 2021

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Is cucumber A inflammatory food?

Cucumbers are anti-inflammatory 'When it comes to the anti-inflammatory properties of cucumbers, most of these come from the phytonutrients that...

Last updated Jun 18, 2022

What drinks won't break my fast?

What drinks will not break your fast? Purified Water. Purified water is produced by processing tap or groundwater. ... Spring/Mineral Water....

Last updated Mar 23, 2021

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What can I have on toast instead of butter?

5 healthy toast toppings Avocado. Give cheese on toast a miss and instead use sliced or mashed avocado to top toast or crumpets. ... Mashed or...

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Should I fast the day after a cheat day?

One of the most effective tools for this is to utilize Intermittent Fasting and fast for 12-16 hours after your "cheat" meal. Intermittent Fasting...

Last updated May 24, 2019