When it comes to managing diabetes, biguanides like metformin are often the first line of treatment. These medications help control blood sugar levels, but how exactly do they work? And what are the benefits and considerations for their use in diabetes treatment? Let's dive into these questions.

Mechanism of Action of Biguanides

Biguanides, primarily metformin, play several crucial roles in controlling blood glucose levels:

• Decrease in Liver Glucose Production: Biguanides inhibit the process where the liver converts fats and amino acids into glucose thereby reducing blood sugar.
• Enhancement of Insulin Sensitivity: By activating an important enzyme (AMPK), biguanides increase the body’s responsiveness to insulin thus improving glucose usage.
• Reduction in Intestinal Glucose Absorption: They decrease glucose absorption from food during digestion which aids in lowering blood glucose Glucose levels.

Benefits of Using Biguanides

Biguanides, particularly metformin, have several advantages:

• Aid in Weight Management: Unlike other diabetes medications, they do not typically lead to weight gain and may even assist in weight loss.
• Low Risk of Hypoglycaemia: They have a low instance of causing low blood sugar when used alone.

Dosages and Prescription Considerations

The typical starting dose of metformin is 500 mg, taken with meals. The dose can be gradually increased based on patient tolerance and glycaemic control. It is important to note that this is based on general guidelines. Your doctor will determine the appropriate dosage for you based on your individual medical history, current health status, and other factors. Always follow your doctors' specific instructions regarding medication and dosage.

Further, considerations like renal function and potential side effects need to be taken into account when prescribing these medications.

In the quest for better diabetes management, understanding your medication is essential. But remember, medication alone isn't enough - lifestyle changes play an equally important role. Regular exercise, a nutritious diet, and stress management can make a world of difference.

Through programmes like the Apollo Super 6, you can get personalised support to make these changes easier and more manageable. Developed by the doctors at Apollo, this programme focuses on lifestyle changes and provides ongoing support to manage type 2 diabetes effectively.