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Monday, February 20, 2012

Guideline: Metformin Preferred To Best Control HbA1c In Type 2 Diabetes.

MedPage Today Share to FacebookShare to Twitter (2/7, Fiore) reports, "Metformin should be the first drug of choice in oral therapy for type 2 diabetics who don't respond to diet and lifestyle changes, according to a new guideline Share to FacebookShare to Twitter " published Feb. 7 in the Annals of Internal Medicine. "A second agent can be added if metformin monotherapy fails to control hyperglycemia, but there's insufficient evidence to recommend one secondary agent over another," the guideline from the American College of Physicians (ACP) explains.
        However, even though "metformin is more effective with fewer side effects" and costs less, "the ACP is recommending that metformin only be prescribed after someone has tried to change his or her lifestyle," HealthDay Share to FacebookShare to Twitter (2/7, Gordon) reports. HealthDay adds, "There are currently 11 different classes of medications approved by the US Food and Drug Administration for the treatment of type 2 diabetes, according to the guidelines." 

Reminder that one MUST HAVE Reasonably intact renal function to get metformin

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