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Author: ipes2

[ILMU MUDAH]: METFORMIN, UBAT MUJARAB UTK DIABETES & PCOS

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 Author| Post time 1-12-2019 03:10 PM | Show all posts
little_sis replied at 27-11-2019 07:41 PM
thank you doc..

metformin bukan PRN, adakah bermaksud saya tak boleh langsung untuk hentikan pe ...

ya, bukan PRN
dgn itu jika tak larat, ambil aje at lower doses
metformin ini adalah antara ubat2 yg ramai docs consider utk ambil biarpun depa tak la ada sakit sgt
some other meds are aspirin low dose, vitamin D3 low dose especially in winters (takde matahari), metformin low dose, multivitamins,  cod liver oil capsules
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 Author| Post time 1-12-2019 03:11 PM | Show all posts
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 Author| Post time 1-12-2019 03:11 PM | Show all posts
kak_sall replied at 28-11-2019 03:38 PM
oops.. saya pun kadang2 miss juga ... tak boleh ye....

ni pehal akak miss miss ubat ni?
sebok nak main air banjir kah?
ada lintah tau kak

ha jgn lah miss miss metformin nih
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Post time 5-12-2019 02:15 PM | Show all posts
ipes2 replied at 1-12-2019 03:11 PM
ni pehal akak miss miss ubat ni?
sebok nak main air banjir kah?
ada lintah tau kak

sorry la doc.. akak silap faham juga... dok ingat ubat2 ni kalau sekali sekala tak makan ok je...
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 Author| Post time 6-12-2019 02:14 AM | Show all posts
kak_sall replied at 5-12-2019 02:15 PM
sorry la doc.. akak silap faham juga... dok ingat ubat2 ni kalau sekali sekala tak makan ok je...
...

sesetenagh ubat boleh la amik bila perlu
tapi metformin ni tak leh
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Post time 9-12-2019 11:42 AM | Show all posts
ipes2 replied at 6-12-2019 02:14 AM
sesetenagh ubat boleh la amik bila perlu
tapi metformin ni tak leh

ok.. baik doc.. nanti ksall tak malas2 dah makan ubat...
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 Author| Post time 10-12-2019 08:06 PM | Show all posts
kak_sall replied at 9-12-2019 11:42 AM
ok.. baik doc.. nanti ksall tak malas2 dah makan ubat...

ye, makan aje
jika sy tau akak miss miss tablets, sy pulas2 pehe tu biar birat
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Post time 24-12-2019 01:50 PM | Show all posts
salam doc @ipes2

nk tnya...kalo kita yg xde diabetics ni kalo nk amek ubt org yg diabetic bleh ke...utk kurangkan berat tp atas pemantauan doc...tq doc
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 Author| Post time 25-12-2019 06:11 AM | Show all posts
yoshimitsu replied at 24-12-2019 01:50 PM
salam doc @ipes2

nk tnya...kalo kita yg xde diabetics ni kalo nk amek ubt org yg diabetic bleh ke ...

waalaikumussalam yes boleh especially jika metformin kerana ianya murah, tidak byk isu2 serious (unless u ada kidney failure maka takleh amik lah if eGFR terlalu rendah). tetapi elok if your doctor setuju.negotiate with him/her
jika nak ambil, start slowly.

jika seseorang itu dapat bad infection ke atau kean heart attack ke dan kebetulan org itu on metformin, kami biasanya stop metformin itu sampailah org tu baik balik baru kami re-start.

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Post time 26-12-2019 08:14 AM | Show all posts
ipes2 replied at 25-12-2019 06:11 AM
waalaikumussalam yes boleh especially jika metformin kerana ianya murah, tidak byk isu2 serious (u ...

tq [email protected] nk rujuk dgn doc endo sy psl metformin ni...bty doc...pesakit doc bila on ubat ni penurunan berat dia laju ke slow or tiap2 bulan atleast ada turun berat or bila dh lama consume ubat ni adakah berat tuh jd statik...

bila on ubat ni kita mmg kena exercise+jg mkn jugak x...tq doc@ipes2  

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 Author| Post time 26-12-2019 10:54 PM | Show all posts
yoshimitsu replied at 26-12-2019 08:14 AM
tq  nk rujuk dgn doc endo sy psl metformin ni...bty doc...pesakit doc bila on ubat ni penurunan be ...

metformin nyer impact ke atas weight biasanya taklah terlalu besar, tetapi ia boleh membuat seseorang tu tak lagi gain weight, dan dalam kebanyakan pesakit, mereka turun few kgs dan dapat maintain new weight. ie penurunannya berkesan (bukan penurunan seperti yg berlaku semasa diet ie turun kgs tapi naik balik after).

biasanya ia mula turun after few weeks dan jika kita usaha utk lose more, usaha itu menjadi lebih mudah, dan mana2 weight yg hilang itu menjadi lebih mudah utk dimaintain.

ye tetap kena jaga makan jika on metformin; jika dah dapat RYGB pun masih kena jaga makan tu.. pesakit kami hilang dekat 90kg selepas RYBG pun, 2thn lebih lepas tu dapat balik 90kg tu sebab dia tak ubah sikap dia

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Post time 27-12-2019 08:03 AM | Show all posts
ipes2 replied at 26-12-2019 10:54 PM
metformin nyer impact ke atas weight biasanya taklah terlalu besar, tetapi ia boleh membuat seseor ...

tq doc ats pencerahan...its a 'new hope' for me sbb doc endo asek nk suruh bt bariatic surgery je ...sy xnk

mmg sometimes xdpt nk kawal napsu mkn tu but sy cpat2 track blk...umo dh nk msk 40 lg 2 years...lg risau
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Post time 27-12-2019 12:38 PM From the mobile phone | Show all posts
Tq doc atas info ni.my mom br mkn ubt ni dlm 2 mnggu.dia ilang selera mkn,loya n muntah2.igtkan sbb dia x mkn.Bila Dah tau effects ubt br x risau sgt.
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 Author| Post time 4-1-2020 08:01 AM | Show all posts
yoshimitsu replied at 27-12-2019 08:03 AM
tq doc ats pencerahan...its a 'new hope' for me sbb doc endo asek nk suruh bt bariatic surgery je  ...

ye lah, nafsu makan tu lah yg menjadi isu terbesar
di weight management service kami, department yg spend alot of time dgn pesakit yg ada obesity ialah Psycology Dept nyer
psychologists ini semuanya subspecialized in obesity
aim mereka ialah utk ubah mindset
you can psych yourself too as step permulaan dgn tidak menerima bentuk badan you
your rejection will bring you towards doing something positive about the extra weight tu

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 Author| Post time 4-1-2020 08:04 AM | Show all posts
Intanterpilih09 replied at 27-12-2019 12:38 PM
Tq doc atas info ni.my mom br mkn ubt ni dlm 2 mnggu.dia ilang selera mkn,loya n muntah2.igtkan sbb  ...

start slow slow; 500mg dua kali sehari over few weeks
then 500mg tiga kali sehari over few weeks
then 850, 500, 850 over few weeks etc
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Post time 4-1-2020 08:07 AM From the mobile phone | Show all posts
ipes2 replied at 4-1-2020 08:04 AM
start slow slow; 500mg dua kali sehari over few weeks
then 500mg tiga kali sehari over few weeks
...

Doc memang bg 2x sehari.sekarang Mak Intan Dah ok.
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 Author| Post time 4-1-2020 09:28 AM | Show all posts
Intanterpilih09 replied at 4-1-2020 08:07 AM
Doc memang bg 2x sehari.sekarang Mak Intan Dah ok.

excellent
naik kan slow slow
docs kita selalu start ubat2 dgn doses penuh
patut build up la agar side effects tak become overwhelming
agar kita tidak menolak ubat2 ini

if dm tu tak teruk, 500mg twice a day dan maintain the dose pon ok jugak
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Post time 11-2-2020 02:49 PM | Show all posts
dr. betul ke metformin ni boleh pecahkan lemak?? i amek ni sbb my dr. suggest n dia mmg ada tergkan ubt ni utk diebetic tp boleh mkn jugak utk pecahkan lemak... so dlm tempoh berpa lama sy perlu amek??
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Post time 3-3-2020 01:42 PM From the mobile phone | Show all posts
Doc.. utk yg dah insulin ni boleh makan metformin ke?
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 Author| Post time 6-3-2020 04:02 AM | Show all posts
nancyjay replied at 11-2-2020 02:49 PM
dr. betul ke metformin ni boleh pecahkan lemak?? i amek ni sbb my dr. suggest n dia mmg ada tergkan  ...

Bukan pecahkan lemak, cuma side effects dia sgt elok utk otg yg diabetes dia adalah kerana gemok, ie type 2 diabetes mellitus ie t2dm.
Dan ye, mmg byk org hilang some weight kerana metformin.. juga lebih mudah utk hilang weight bg org yg berdiet berzumba berjogging etc. Tapi metformin ni hanya utk t2dm dan pcos je
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