MONITOR METFORMIN & CREATININE BLOODLEVEL: NEW DIABETES REVIEWS SHOW METFORMIN IS STILL THE ONLY FIRST CHOICE.

A new   review of Treating Type 2 Diabetes by authors from Switzerland and France again confirms that metformin increased gradually to tolerance remains the first and bedrock drug, because of it’s lower all-cause morbidity and mortality and total lack of significant adverse effects compared to all hypoglycemic drugs.

This is born out in a new Cleveland Clinic observational study, and even in type 1  diabetes..

And this review does not  mention metformin’s even more important prediabetic role, in reversing the ignored iceberg epidemic of  overweight, obesity, PCOS polycystic ovary syndrome and common lipidemia, and halving the incidence of new type 2 diabetes.

METFORMIN BLOODLEVEL  AND RENAL FUNCTION MONITORING:  Since metformin is apparently solely excreted by the kidneys, metformin dose must obviously  (like eg aminoglycoside and lithium dosing) be mandatorily based on initial and interval monitoring of serum creatinine and metformin levels, estimated creatinine clearance

BUT metformin (a prescription plant extract) ) is only one of a thousand non-prescription  food insulin sensitizers. So using a mix of a few dozen (including the metformin parent herb galega) can do the necessary better.

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