Diabetes is a progressive disease.Medical treatment at the time of diagnosis depends on many factors.In a newly diagnosed overweight diabetic the usual drug of choice in normal circumstances would be Metformin.You start with a low dose and gradually increase to acheive optimum results.The rule in PHARMACOTHERAPY is to start with a low dose and go up to as high an amount as safely possible,assess and then add a second drug.
In Jano's case too, similar should have been the circumstances because SHE HAS BEEN A DIABETIC ONLY SINCE 3 MONTHS AND WARREN ALREADY WANTS TO ADD A SECOND DRUG. THEORETICAL RHETORIC AND TRYING TO PROVE A POINT ARE FAR DIFFERENT FROM REALITY CHECK .The endo has to factor in so many things,most importantly her apprehensions,anxities and the stress of being told that she is a diabetic,self-monitoring her blood glucose and the amount of time taken by her to come to grips with the fact"YES!IAM A DIABETIC AND I HAVE TO MAKE SACRIFICES EVERY STEP OF THE WAY IN MY LIFE FROM NOW ON"
It takes time for proper counselling,diet adjustments,exercise and medications to exert their influence on Jano,and i would surely would'nt mind 3 months of slightly higher fasting values.She's touching 120's now and that's only 10 to 20 mgs away from control IN A NEWLY DIAGNOSED DIABETIC!Have a heart,man!Give her some breathing space!
Warren has neatly side-tracked me into the above when my simple contention was that 1500 mgs of metformin is a perfectly safe and therapeutically acceptable dose.
Post Edited (spooky) : 7/28/2006 6:33:58 AM (GMT-6)