In diabetic patients, the insulin diet should include a base insulin(e.g NPH or Lantus) and a short or fast insulin(e.g Apidra). But sometimes metformin is prescribed instead of fast-acting insulin. what is the reason?
Metformin is usually the first medicine used to treat type 2 diabetes.
It decreases sugar production in the liver and decreases blood sugar levels by increasing muscle and organ sensitivity to insulin.
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It enables utilization of the insulin
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