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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic, Significant Improvement With Gemer1, Bitter Gourd Juice, Exercise. Can I Stop Gemer1?

I am diabetec and taking Gemer 1 since last four year but recently I feel that Gemer 1 is not sufficient for me . Now I m taking jouce of brittle gourd in the morning before taking breakfast and also I run 5km daily to reduce my glucose leve and after 1 weak I found that my sugar level come down 142/252 and stop using gemer1. Please help should I continue the physical exercise and use bitter gourd and stop to use gemer -1 and also let me knwo if I take neem leaves jouce daily, what side effect
Wed, 26 Dec 2012
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General & Family Physician,  's  Response
Hi there,
Thank you for your question.
There are a few things that are not right in the management of your diabetes here.
The first thing is that I have almost all of my diabetic patients who have type II diabetes on metformin. I would also strongly suggest that you should be on metformin along with Gemer 1.
The main contraindication to not using metformin would be a reduced kidney function or a blood creatinine (which is used to assess kidney function) of more than 1.6.
The other main contraindication for not using metformin would be heart failure.
So if your kidney are heart are fine I would almost always use metformin.
The other thing that you need to keep in mind is that once you start on medications for diabetes you almost never stop them.
I would only ever stop medications for diabetes if the blood glucose level came down to a very low level like say to a level of 60 or 70.
Therefore I would strongly recommend that you should follow the above recommendations and keep your blood glucose levels in as normal a limit as you possibly can so that you can avoid possible longterm complications of diabetes as diabetes can affect virtually any organ system of the body.
Regards
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Diabetic, Significant Improvement With Gemer1, Bitter Gourd Juice, Exercise. Can I Stop Gemer1?

Hi there, Thank you for your question. There are a few things that are not right in the management of your diabetes here. The first thing is that I have almost all of my diabetic patients who have type II diabetes on metformin. I would also strongly suggest that you should be on metformin along with Gemer 1. The main contraindication to not using metformin would be a reduced kidney function or a blood creatinine (which is used to assess kidney function) of more than 1.6. The other main contraindication for not using metformin would be heart failure. So if your kidney are heart are fine I would almost always use metformin. The other thing that you need to keep in mind is that once you start on medications for diabetes you almost never stop them. I would only ever stop medications for diabetes if the blood glucose level came down to a very low level like say to a level of 60 or 70. Therefore I would strongly recommend that you should follow the above recommendations and keep your blood glucose levels in as normal a limit as you possibly can so that you can avoid possible longterm complications of diabetes as diabetes can affect virtually any organ system of the body. Regards