retrospective cohort study published earlier this month in Annals of Internal Medicine , in which the authors concluded that use of sulfonylureas to lower blood sugar in diabetics was associated with an increase risk of heart disease deaths compared to use of metformin. I'll be the first to admit that given a choice, I like to use metformin if intense lifestyle modifications aren't enough to deal with one's diabetes, mainly because the biguanide doesn't cause hypoglycemia, which can be a real problem in the elderly. And now a study suggests this same drug is less likely to cause heart disease death. Woo hoo!With that in mind, I thought I'd point out a
So go talk to your family doc or endocrinologist and see if metformin is right for you. And do you really need a sulfonylurea? Just know that if you have kidney problems, you probably shouldn't be using the biguanide, metformin, as it can cause lactic acidosis. But aside from that point, it's a very safe & easy to use medication. And do remember that what you eat and your level of physical activity are paramount in controlling your sugars.