Do Diabetics Have To Take Metformin For Life?
I want to ask, my eyes feel itchy and blurred vision .. and I check the doctor who took blood sugar .. and the results of blood sugar during fasting 8 hours the results of blood sugar 183 ..? And the results of blood sugar after 2 hours the results of 266. And I was told by the doctor that I was convicted affected by diabetes ?? I asked, was it true that I was affected by diabetes and had to take Metformin type wells, living well, please explain?
Good evening, thanks for the question
Diabetes mellitus (DM) is a collection of symptoms characterized by high blood sugar levels due to impaired insulin action and insulin secretion or both.
Below is a typical complaint in DM where if found in one individual, it is strongly suspected of being DM disease, namely:
1. Polyphagia or eat a lot
2. Polyuri or BAK often
3. Polidipsi or often thirsty
4. Weight loss is not clear why
Other additional complaints such as:
1. Easily tired
2. Tingling at the extremities
4. Eyes blurred
5. Erectile dysfunction in men
6. Itching on the pubic lips in women
7. Wounds that are difficult to heal
Risk factors for DM events include:
1. More weight and obese
2. Family history of DM disease
3. Have hypertension
4. Physical activity is lacking
If you find the typical symptoms and some of the risk factors above, your doctor will recommend blood sugar tests including fasting blood sugar and blood sugar 2 hours after eating.
DM diagnostic criteria based on blood sugar values, namely:
1. Classic symptoms of DM + blood glucose at ≥ 200 mg / dL, OR
2. Classic symptoms of DM + fasting blood glucose levels ≥ 126 mg / dl, OR
3. 2-hour plasma glucose levels on an oral glucose tolerance test> 200 mg / dL.
In your case, it is classified as the third point, where you get blood sugar test results 2 hours after eating that is 266 mg / dl (> 200 mg / dl), so it can be concluded having diabetes mellitus.
If the diagnosis of DM has been established then further treatment is carried out to control blood sugar levels. Therapy for DM includes lifestyle modifications in the form of physical exercise and dietary changes. Besides doing long-term treatment. Treatment of diabetes, one of which with metformin, starts with small doses and is gradually increased according to the response of blood glucose levels, can be given until the optimal dose. Perform routine blood sugar control to assess the response to treatment, adjust drug dosages, and to assess the likelihood of complications.
So, hopefully it can be useful
Wassalam, Dr. Farah