Metformin Assignment: Diagnosis, Treatment, Side Effects, and Policies

This report provides a detailed analysis of Metformin, a medication used in the treatment of type 2 diabetes. The report begins by outlining the diagnostic methods used to identify diabetes, including oral glucose tolerance tests, random blood sugar tests, and fasting blood sugar tests. It then explores various treatment strategies, such as blood sugar medication, regular exercise, and a healthy diet, emphasizing the importance of lifestyle modifications. The report also discusses potential side effects associated with Metformin and other diabetes medications. Finally, it outlines proposed health policies aimed at improving diabetes management, including the establishment of a governance council, focusing on the social factors of health, and the implementation of national workforce development plans. The report references several studies and publications to support its findings.

METFORMIN
Name of Student
Subject Name
Date

2
Metformin
Section A: Diagnosis
 Oral glucose tolerance test
In this test a person is asked not to take anything for the entire evening or night and the
blood glucose/sugar is measured. Afterwards, they will recommend you to take sugary fluids and
then after that, they take a sample of the person blood and test for some several hours (8). If the
level of the blood sugar is below 139 mg/dl (7.7 mmol/L) is considered to average. If the
measurement comes beyond 141 and 198 mg/dl (7.9 mmol/L and 11.1 mmol/L) shows that there
is a sign of prediabetes and if it measurement is seen to gone beyond 201 mg/dl (11.2 mmol/L)
or after three hours it shows that the person has diabetes (4).
 Random blood sugar test
In this, the blood will be taken randomly during any time of day. Even if the person took
his or her last food or drink the blood sugar if it reads beyond 201mg/dl (11.2 mmol/L) it clearly
show that the individual has diabetes and if the person has been claiming that he or she are
always thirsted and urinating often than usual it a clear signs of diabetes (1).
 Fasting blood sugar test
The medical personnel will acquire some amount of the person’s blood and test it after
the person was recommended to not take any meal or drinks over the evening (2). If the result
shows the person blood sugar reads below the 101 mg/dl (5.7mmol/L) is steady or ok. If it
measures between 101 to 126mg/dl (5.7 to 7.0 mmol/L) is show signs of the person getting
diabetes but if it reads at 127 mg/dl (7.1mmol/L) or even beyond on two different tests it shows
that the person has diabetes (7).

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Section B: Treatment
Controlling of diabetes type two
• Blood sugar medication
• Often exercise
• Eating healthy
The following methods keep the person blood glucose or sugar high closer to that of a
normal person (3).
 Eating healthy
It is very important for the person to focus their diet and to consume foods that are not
starch (low fat) and instead on food with fiber e.g. vegetables and fruits (5).
 Frequent exercise/Often exercise
Practical everyone is required to exercise at least every day and the people with diabetes
type two have no choice but to do so for their own benefit but before you get to exercise
consult the doctor for yes if it fine for you to do so.
 Monitoring of blood sugar (sulfonylurea or meglitinides drugs)
It is important for the person to watch his or her blood sugars state quite often and if the
person is recommended to take insulin at least three times a day and get information from the
doctor on how often it should be observed (6).
Side Effects
The side effects usually occur when the person is introduced to metformin and with time it goes
away.
 Alpha-glucosidase inhibitors:- bloating, gas and excessive diarrhea
 Meglitinides:- the person gain’s weight and his or her blood glucose will be low

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 Sulfonylureas:-the person will have stomach pains, gaining of weight and he/she will be
scratching
Section C: Policies
1. To come up with health agency and assign a person with diabetes as a proposed
governance council
2. To ensure that the basic effectual hindrance of diabetes type two is concentrated on the
social facts of health.
3. To have a national plan for diabetes type two workforce developments to be improve
and to implement the medication.

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References
1. Adlina, J. (2009). A randomized controlled trial comparing the effective dose of
metformin in the treatment of anovulation in polycystic ovarian syndrome: A comparison
between metformin 500 mg TDS and Metformin SR 850 mg BD.
2. Acton, Q. A. (2012). Type 2 diabetes: New insights for the healthcare professional: 2011
edition.
3. Bernstein, R. K. (2005). The diabetes diet: Dr. Bernstein's low-carbohydrate solution.
4. Codario, R. A. (2011). Type 2 Diabetes, Pre-Diabetes, and the Metabolic Syndrome
[recurso electrónico]. Estados Unidos: Humana Press.
5. Edelman, S. V., & Henry, R. R. (2011). Diagnosis and management of type 2 diabetes.
West Islip, N.Y: Professional Communications.
6. Flaws, B., Kuchinski, L. M., & Casañas, R. (2002). The treatment of diabetes mellitus
with Chinese medicine: A textbook & clinical manual. Boulder, CO: Blue Poppy Press
7. Gerstein, H. C., & Haynes, R. B. (2001). Evidence-based diabetes care. Hamilton, Ont:
BC Decker.
8. Watson, R. R., & Preedy, V. R. (2013). Bioactive food as dietary interventions for
diabetes.