Diabetes Type 2 - Oral medications for diabetes and the link to vitamin B12 deficiency

B12 is important for the production of red blood cells . Without enough vitamin may develop megaloblastic anemia, a type of anemia in which red blood cells are too large. People diagnosed with megaloblastic anemia may ...
• feel too tired or dizzy , increasing your heart rate and breathing.
• Your skin may be too light .
• They may complain of a sore tongue .
• be Bruising or bleeding gums .
 
Some patients suffer from stomach , diarrhea or constipation, or weight loss . The vitamin is also necessary for normal function of the nerves and metabolise some amino acids.
In October 2013, the Pan African Medical Journal reported the results of a study on the shortcomings of metformin and vitamin B12. Metformin is a first line drug for the treatment of type 2 diabetes. The study, conducted in conjunction with Kharian , Pakistan, including military hospital ...
• Type 2 diabetes taking metformin 114 and
• 105 participants without diabetes.
Thirty-five type 2 diabetic patients , or 31 percent , were found to have low levels of vitamin B12 , compared with only 9 , or 8.6 percent among non-diabetics. Those taking higher doses of metformin had lower levels of vitamin B12.
 
From this information, it was suggested that type 2 diabetics who take metformin will be screened for vitamin B12 deficiency .
Blood levels of vitamin B12 can be measured by a blood test . Normal values ​​range from 200 to 900 pg / ml ( picograms per milliliter ) . Another blood test called a complete blood count or CBC , can determine if megaloblastic anemia is present.
 
The National Institutes of Health in Washington, DC in the United States recommend 2.4 mcg per day of vitamin B12 for people over 14 . Vegan sources of this vitamin are nutritional yeast , and fortified cereals . This yeast is often supplemented with B12 produced by harmless bacteria that grow along yeast.
• a cup of Cheerios, with 103 calories, contains 1.7 micrograms of vitamin B12, with 11 percent of the recommended fiber , 49 percent iron , 11 percent of calcium, vitamin A, vitamin daily intake C , and b .
Many other cereals are also fortified , as a look at the packages tell the reader ...
• Soy milk is often sold vegans, B12 is often added as meat analogs , veggie burgers and soy or other vegetable protein.
• Vitamin supplements may also contain B12, and are labeled accordingly.
Take care of your health, consult your doctor about your vitamin B12 levels if you take metformin.

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