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Metformin: Before or After Meals? A 65-Year-Old Diabetic's Question

Dr Karthiyayini Mahadevan | Answer |Ask -Follow

General Physician - Answered on Jun 27, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more

Question by Vikas on Mar 19, 2024Hindi

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My HbA1C report(dated 17-03-2024) is 7.5. A.B.G(dated 17-03-2024) is 169. My doctor suggested Metformine 500mg twice a day. My question is it should be taken before meal or after meal? please guide. My fasting sugar is 104.8 and PP is 90.9(dated 04-03-2024). I'm 65 years, non-smoker, 175cms height, weight 92kgs. daily 2 kms brisk walk.

Ans: Antidiabetic oral medications can be taken with meal
Preferably 10mts before meal

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Hi Mam, This is Shankar and 39 years old 69Kg weight and 5.10 height. I have fasting level around 180 and after food 250. Hba1c around 11. Taking metformin 500mg morning and night after food. Doing walking around 3km on morning. Please advise to reduce Hba1c.

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I have prediabetic stage at current age 47 years with 85 kg weight. My doctor has given prescription of metformin 500g daily one. Should I continue to take or to stop and after 3 month should done FP HBa1c test.

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Question by Vikas - Mar 19, 2024Hindi

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Hi. I'm 65 years young, non-smoker,weighing 92 kgs, height 175 cms, My HbA1c report dated 17/03/2024 is 7.5. ABG is 169. I'm advised by my physician to take Metformin IP 500mg twice a day for fifteen days. My Fasting Plasma Glucose 104.8 and PP is 90.9 (report dated 04/03/2024). Please comment.

Ans: You are overweight for your height. Ideal weight shoukd be in the range 75 kg. So please consider reducing your weight with certain dietary discipline. One most important one is early dinner by6pm

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My HBA1C is 5.5 ,fasting sugar is 91 and PP is 110 taking Metformin 500 twice a day .I was told earlier that I have pre diabetes,fasting was 115 and HBA1C was 6.4 . Should Metformin 500 be reduced to once in a day?

Ans: Please consult your Physician who started it

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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