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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Taking Morning Dosage Of Metformin In The Afternoon Harmful?

10 hrs after high-carb Italian lunch at restaurant, one meter 198 mg/dL and other meter 278 mg/dL (80 mg/dL difference in meters). It must have been over 300 earlier. I am on 10 mg Glipizide & 1,000 Metformin breakfast & same for dinner but none at lunch. Should I have taken an extra 1/2 Metformin (500mg) before a carb-laden Italian Restaurant lunch or would that have been harmful? It was a group luncheon with set menu-prepaid & no individual choices. Why does food take so long to get through my system?
Wed, 15 Apr 2020
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General Surgeon,  's  Response
Hello,

* It is not recommended to consume an extra dose of anti diabetic medication before particular high carb diet.

My guidelines at present

- burn more calories when you have to consume such diet without any other choice
- regular aerobics, walk, swimming or other exercises
- control body weight and cholesterol levels
- regular dose of anti diabetic of Metformin and Glipizide will take care of extra sugar intake by italian diet.

* Remain in regular follow up with your diabetologist and get updates
of therapy adjustment according to HBA1c report.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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Is Taking Morning Dosage Of Metformin In The Afternoon Harmful?

Hello, * It is not recommended to consume an extra dose of anti diabetic medication before particular high carb diet. My guidelines at present - burn more calories when you have to consume such diet without any other choice - regular aerobics, walk, swimming or other exercises - control body weight and cholesterol levels - regular dose of anti diabetic of Metformin and Glipizide will take care of extra sugar intake by italian diet. * Remain in regular follow up with your diabetologist and get updates of therapy adjustment according to HBA1c report. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel