QUESTION: Dear Sir,
My name is Husain, male, 50, married 07 years ago, don't have children.
Eight months ago, doctor diagnose me as type 2 diabetic. Diet control, brisk walk and medication recomended.
Metformin-500-1 TABLET DAILY AFTER LUNCH, gliciazige(DIAMICRON MR-30)-1 TABLET DAILY AFTER MORNING BREAK FAST. So far, diabetes under control.
But there are some side effects listed below:
1. Ulcer in mouth, throat.
2. Weight loss-11KG lost in last 8 months.
3. Constipation.
4. Sexual problem (erection problem, not lasting long time).
Please advise me to avoid those side effects. I am frustrated now.
Regards
Husain
ANSWER: Hi Husain,
First, do not become frustrated. Relax. Nothing good comes out from stress and frustration; stress will worsen your diabetes and other problems you might have.
Next, although the complications you are experiencing are common for diabetics, however, there is still a solution for your worries as the following:
1. For the ulcer in your mouth and throat, please perform an analysis of mouth for Candidosis (mouth swab). Actually, yeast infections are very common for diabetics.
Once identified with candidosis, antifungal susceptibility should be perform to know which antimycotic drug is most suitable for you.
2. Weight loss is one of the good effects of Metformin. I would say it is great that you are losing weight because it will also help you beat diabetes. Just go ahead and lose more weight if you have extra:)))
3. Constipation is another problem related to Metformin usage and candidosis of gastro intestinal tract. You can perform a fecal examination for yeasts to find out.
If you do have candidosis of intestines, you should be treated correctly by your doctor. Actually, mouth thrush is also related to candida of feces; therefore, once you treat mouth rush, you would automatically treat the yeast infection of your intestines.
If you do not have candida, tell your doctor your problem, and ask him/her to change Metformin treatment to any other drug therapy.
You can also use Senna tea or pills to get a natural relief from constipation.
4. Sexual problems could also be related to diabetes. Lack of energy and hormonal changes, blood vessels and neurological damages can lead to such problems.
In order to correctly identify your problem, you can talk to your husband and ask him/her if you need to take an appointment with any other specialist other than endocrinologist.
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