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1st question..

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RoyCalver

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Relationship to Diabetes
Type 2
Hi all, OK I'm very new to this so her goes with my 1st post... I've just been told I have diabetes a few weeks ago, I'v been given metformin and was told to take 1 per day in the evening with my meal, I've changed my diet to low gi food, my readings have been around 14 before breakfast, went to see the doc on Thursday and hes now told be to take 1/2 in the morning, 1/2 midday and 1 in the evening as before, my readings are still at 14 ish in the morning, after lunch my readings are around 16 so I'm a little concerned that these tablets are not doing very much.. any help with this would be much appreciated...
Cheers
Roy
 
Hi Roy 🙂

They may well put you on something like gliclazide if your blood sugar remains that high.
I was at about those levels at diagnosis too and was given 2 metformin morning and evening as well as 1 gliclazide twice a day. Did the trick for a while but now I think i need a little extra boost 🙂 so I'm going back again
 
Hi Roy, your doctor will probably be working you up to the maximum dose of metformin and seeing how that goes before introducing any other meds. It may take a few weeks before you start to see the benefit, both of the medication and your dietary changes. Are you managing to get much exercise? That will really help enormously by improving your insulin sensitivity.
 
cheers Northerner, no not done anything regarding exercise I must admit, I was thinking rowing machine...
 
What a brilliant story, makes ya feel all warm inside... funny enough the gym idea had crossed my mind to. Ive shed a little bit of weight in the last few weeks but am putting that down to cutting out sugar and just eating more healthy.. or could it be the metformin which reading on here may have an effect?
 
Hiya

Metformin doesn't actually work on your blood glucose Roy - neither does it increase however much insulin your pancreas is putting out. What it does is work in the inner recesses of your body to help reduce your resistance to the insulin etc. So it needs YOUR further input to help it work!

M takes around 3 weeks to 'ramp up' in your system do that your body gets max benefit of that dose. Every increase in dose can take the same length of time.

There are 3 things that 'work' for all types of diabetes - they are Diet, Exercise and Medication. Not everybody requires the latter, but every man Jack (or woman Jill!) of us, needs the first two.

Low GI carbs should certainly assist a Type 2, but that's not the end of it. In fact - it's ALL about carbohydrates. Each of us can only eat .... however much we can eat ..... without sending our blood glucose too high! - and that applies as much to us simple Type 1's as it does to T2's on whatever regime they are on. There is a myth that Type 1's can eat whatever they want whenever they want and just 'match' it with insulin. And like - I wouldn't be like the side of a house if I tried doing that except VERY occasionally? Well I did it once, and I was like the side of a very large detached house - put on nearly an extra 40% of my normal weight. Took me a lot longer to get it off again than it did to put on ......

You should test before and two hours after meals, to see what effect that amount of whatever you ate, has on your BG. And you know what? you may have to reduce the amount of whatever it is, no matter whether it's low GI, high GI or anything else.

What you are looking for is an increase of not more than 2.0 ish on your meter before and after. If it's 14 before breakfast, after brekkie you want it to be no more than 16.5 ish. etc. Don't worry for the moment that it's 14, as you carry on reducing or eliminating foods that skyrocket you, that 14 will also reduce. What I mean is eg 14 before , 20 after - Noooooooooo ! LOL

Here's some information on what you are aiming for at the moment from Diabetes UK

http://www.diabetes.org.uk/Guide-to-diabetes/Monitoring/Blood_glucose/Blood_glucose_targets/

As time goes on and you gain more control, you will probably be able to get below those figures.

Good luck !
 
Taking 2 metformin a day will probably not make a lot of difference. After the initial dose you will probably be asked to take 3 a day and eventually 4 a day. I would recommend that if you are able to tolerate the metformin(famous for raising the wind) you take them morning and evening with food. Some people seem to require some carbohydrates for M to work properly with out windy effects.

I would suggest that you start off testing first thing in the morning and cutting out bread entirely and halving your normal intake of potatoes/rice/pasta and anything else made from flour. By only being on Metformin it will take some time before you get lower readings. 30 mins walk every day is a good idea and is cheaper than an exercise machine/gym. I think it's perhaps a bit early to test after every meal.

Your GP will probably be relying on your HBa1c test (taking a blood sample) before adjusting your diet. The test measures you average blood glucose over the last 2-3 months, so isn't worth taking too often and they will probably adjust the dose at month intervals or so.
 
Hi all, OK I'm very new to this so her goes with my 1st post... I've just been told I have diabetes a few weeks ago, I'v been given metformin and was told to take 1 per day in the evening with my meal, I've changed my diet to low gi food, my readings have been around 14 before breakfast, went to see the doc on Thursday and hes now told be to take 1/2 in the morning, 1/2 midday and 1 in the evening as before, my readings are still at 14 ish in the morning, after lunch my readings are around 16 so I'm a little concerned that these tablets are not doing very much.. any help with this would be much appreciated...
Cheers
Roy

Your high numbers are not much to do with Metformin ; its almost certainly your diet / portion sizes plus lack of exercise causing those kind of figures.

Have you read these essential T2 texts yet ....
Jennifer's Smart Advice
http://www.phlaunt.com/diabetes/14045524.php

Maggie Davey's letter
http://www.sequin.pwp.blueyonder.co.uk/Downloads/openlet.pdf

Test,Review, Adjust by Alan S
http://loraldiabetes.blogspot.co.uk/2006/10/test-review-adjust.html
 
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