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Prediabetes and a Higher Metformin Dose

Hello, I've been on 500 mg of metformin for 2 years. My a1c stays around 5.9
Last week I had a fibroscan and found that I have severe fatty liver but no fibrosis.
If I go up on the metformin to 1000 mg will that help the fatty liver more? I don't mean burn fat off the liver because that happens best with diet, exercise and weight loss but by making the liver produce less glucose and not be stored as fat?

  1. Hi . I wish we had answers, but we're not medical experts, so it wouldn't be safe for us to weigh in. Have you asked your doctor about it? Here is an article that discusses treatments for nonalcoholic fatty liver disease: https://type2diabetes.com/clinical/non-alcoholic-fatty-liver-disease. Maybe the article can help you start a discussion with your doctor about treatments that better address the liver issues. I wish I could be of more help. Keep us updated if you don't mind. Warmly, Lori (Team Member)

  2. Thank you for the link. GI did a fibroscan and came back with severe fatty but no scarring. The fib4 was normal.
    I've lost weight since the diagnosis a few weeks ago.
    My pcp ended up bumping the metformin to 1000 mg daily.
    Likely won't touch the liver fat but if I am less insulin resistant that helps overall including the livers glucose production becomes less.

    1. That sounds like a great strategy. I'm glad to hear there is no scarring and I hope all the steps you're taking will help prevent it in the future. Best wishes. - Lori (Team Member)

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