#Health news relevant to me.

> Diabetes drug metformin affects the brain, study finds: Here’s how. https://thehill.com/policy/healthcare/5803682-diabetes-drug-metformin-brain-study/

So, yeah, it works in the liver. But now they know it also works in the brain and from that they may be able to derive new treatment protocols than the standard high-dose oral medication.

In related news I went to the doctor yesterday for a regular checkup and they just called me with the test results: everything looks good and my A1C is down nearly to pre-diabetes levels and well under the 'concerning' 7% number.

#health #MountainLiving

@jackwilliambell I'm bemused that you in the US use different units and measurements, but FWIW I now have my long-term HbA1c level at 44 mmol/mol (aka ~6%), well into the good range

@bellinghman

At one point my doctor asked if I wanted to try one of the newer diabetes drugs. I declined, saying, "Metformin is one of the most studied drugs in the world including long-term cohort studies. If it works for me I'm staying on it and avoiding finding out a drug makes you grow a third hand out of your forehead after using it for ten years."

My doctor laughed and agreed with me.

@jackwilliambell I'm on Metformin, Gliclazide and Dapaglifozin. My recent tweak was dropping the Gliclazide from 3 tablets a day down to 2. I'm trying to gauge what effect it's having on my blood glucose levels, but the first week was when we were away in Croatia

@bellinghman

Good luck. I'm leery about using more than 1 drug at a time because of something that happened to my grandfather nearly 50 years ago:

He was doing really badly and we were worried he'd entered his final decline. He was also taking something like 20 pills a day with more than 5 different drugs and the doctor wanted to prescribe more.

Then he was hospitalized and the attending physician reduced it to 3 drugs. At which point his health came roaring back!

Drug interactions are bad…

@bellinghman

Note that I got the lucky DNA on the blood pressure front. I naturally have more good cholesterol and less of the bad and the nurses always make approving noises when taking my blood pressure.