Hi all. Just wanted to remind you of a side effect of long term metformin use: vitamin B12 uptake causing a deficiency. After 13 years of taking metformin, a B12 test showed I had a deficiency. The effects of a B12 deficiency is actually to mimic worsening T2D symptoms. It causes a drop in red blood cell count which in turn causes the HbA1c test to give a false high value. Low red blood cell counts also causes the blood test meter to indicate a false high value. Another side effect is to cause lower limb numbness!! Strongly recommend to have a B12 check once a year. Note, the deficiency occurs over a period of years.
Interesting reading...
Factors Affecting Blood Glucose Monitoring: Sources of Errors in Measurement
Drugs affecting HbA1c levels
A low red blood cell count will also cause fatigue.
Interesting reading...
Factors Affecting Blood Glucose Monitoring: Sources of Errors in Measurement
Drugs affecting HbA1c levels
A low red blood cell count will also cause fatigue.
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