GP was one on day 1 last Friday who told me to take both Gliclazide and Metformin with food however I since understand it is the DN that is the one who will look at it in detail
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Day 5 since diagnosed and Gliclazide
- Thread starter Zaraah
- Start date
When my hubby was taking it he was told to take it before his evening meal.
- Relationship to Diabetes
- Type 1
- Pronouns
- He/Him
Hope the appointment went well @Zaraah
Gliclazide works by encouraging the pancreas to release more insulin than it naturally would, so it does assume there will be some carbs to ‘work on’. However the numbers you’ve been seeing (while close to the edge) are actually pretty healthy long-term, as long as you can reduce the risk of dropping below 4.0.
Let us know what your nurse suggested 🙂
Hello all,
So recap I am day 8 today since diagnosis with 129 last Friday.
Started with 1 x Gliclazide 40mg with breakfast, 1 x Metformin with lunch and 1 x Gliclazide 40mg with dinner.
Had first telephone appointment this afternoon. Initially DN was still thinking of keeping medications as above and adding Metformin however, when we went through readings as they were single figures since Tuesday (day 5 of medications) and as I am low carb, lots of veg and protein reconsidered medication so now as follows:-
From tomorrow next 7 Days:-
Breakfast 1 x Metformin
Lunch Nothing
Dinner 1 x Metformin & 1 Gliclazide
Next Friday add 1 x Metformin to Lunch meal so for now gone from 2 to 1 Gliclazide daily. Because I am doing low carbs hopefully will not feel “odd” when readings drop low (although so far I have never gone under 4).
DN said she aiming for daily average of 8.0 before Gliclazide removed completely.
I have follow up in couple of weeks and this time in person where DN will check weight and feet etc.
DN said going forward she would rather than waking up fasting, before and after food, she would like me to only do following readings:-
1) When wake up
2) 2 hours after lunch
3) 2 hours after dinner
4) Other testing only if feel dizzy etc
Will see how next week goes as see DN week after next.
Thank you again everyone for advice and support. I am really grateful as found diagnosis overwhelming and little lost however, each day a learning curve!
So recap I am day 8 today since diagnosis with 129 last Friday.
Started with 1 x Gliclazide 40mg with breakfast, 1 x Metformin with lunch and 1 x Gliclazide 40mg with dinner.
Had first telephone appointment this afternoon. Initially DN was still thinking of keeping medications as above and adding Metformin however, when we went through readings as they were single figures since Tuesday (day 5 of medications) and as I am low carb, lots of veg and protein reconsidered medication so now as follows:-
From tomorrow next 7 Days:-
Breakfast 1 x Metformin
Lunch Nothing
Dinner 1 x Metformin & 1 Gliclazide
Next Friday add 1 x Metformin to Lunch meal so for now gone from 2 to 1 Gliclazide daily. Because I am doing low carbs hopefully will not feel “odd” when readings drop low (although so far I have never gone under 4).
DN said she aiming for daily average of 8.0 before Gliclazide removed completely.
I have follow up in couple of weeks and this time in person where DN will check weight and feet etc.
DN said going forward she would rather than waking up fasting, before and after food, she would like me to only do following readings:-
1) When wake up
2) 2 hours after lunch
3) 2 hours after dinner
4) Other testing only if feel dizzy etc
Will see how next week goes as see DN week after next.
Thank you again everyone for advice and support. I am really grateful as found diagnosis overwhelming and little lost however, each day a learning curve!
Newbie777
Well-Known Member
- Relationship to Diabetes
- Type 2
I personally wouldn't be worried about I caressing Metformin to 1000mg, but with your excellent step routine not sure if yiu need to go higher to 1500mg, maybe an idea to see the DN or GP and ask them to slow doe a bit until your BG stabilise.
I went to tye gym this morning and my reads were7.6 and now about 10.00, but it will come down and am am not worried at all, we all have good days and bad days, but as I realised Diabetes management is a marathon and not a sprint.
Keep up the good work, you are doing well and like me don't be afraid to ask questions they are a good helpful bunch of people on here.
Thanks @Newbie777. So yesterday was first day tweaked medications as per DN telephone appointment above and just before dinner was 4.4 so think you right about not adding 3rd Metformin next Friday.
My average reading past 7 days is currently 7.9 so will give it couple more days and if still less than 8 I will stop the evening Gliclazide as DN said if average is 8 then I can stop evening Gliclazide too. Will take it until next Friday unless average numbers are continuously less than 8.
From next Friday to the Tuesday I will stick to 2 Metformin daily and see how with my diet and steps if that works as see DN in person on that Tuesday so can let her now as like you may not need the 3rd.
I do think from next Friday though if had 3 daily metformin and the 1 evening Gliclazide I will still get those lose 4-5 readings because I really have ditched my car and walking everywhere
Still early days and my husband keeps saying learning curve and I will find what works for me in coming days so fingers crossed
Agree this forum has been amazing and so glad I joined!
Newbie777
Well-Known Member
- Relationship to Diabetes
- Type 2
Really well done, looks like you are making good progress.
It s fine about metformin and if you have to take 1 Glicizide, best to take it in the morning.
Once you have your BG in control for a few months you never you may get off Glicizide and less Metformin, but that will be decided by your DN and GP.
My plan to reduce Glicizlide from 80mg to 40mg once a day has backfired, although I don't go low BG now, my reads are higher than I want now, but I tried and know there is a limit what my body can and can't do.
Walking is brilliant, but don't skimp on the meals. Also a few of us on here stop eating after 7pm to allow 12 hours of fasting, but like all the advice on these forums, it what works best for you and we are all different.
It s fine about metformin and if you have to take 1 Glicizide, best to take it in the morning.
Once you have your BG in control for a few months you never you may get off Glicizide and less Metformin, but that will be decided by your DN and GP.
My plan to reduce Glicizlide from 80mg to 40mg once a day has backfired, although I don't go low BG now, my reads are higher than I want now, but I tried and know there is a limit what my body can and can't do.
Walking is brilliant, but don't skimp on the meals. Also a few of us on here stop eating after 7pm to allow 12 hours of fasting, but like all the advice on these forums, it what works best for you and we are all different.
Thank you whole numbers are stable in single figures still little confusing. For example before lunch today I was 7.8 at 2pm (had breakfast this morning and then mid morning protein yougurt whilst doing my walk - 16k steps). Then had lunch plate of roasted vegetables with pomegranate dressing, chicken and cream cheese. 2 hours later at 4pm and my reading is 6.3 so it went down. No medications with lunch just my 1 Metformin this morning with breakfast. I thought readings were suppose to go 2 hours after lunch and I am going down?! ♀️♀️
With the 1 daily Gliclazide I have to take DN said to take it in the evening as DN said that’s when most people have main largest meal so means reading reduces with the Gliclazide overnight. Be glad when off it to be honest and still worry about my readings going low like the 4.4 yesterday evening.
I am eating my 3 meals and from today now regularly adding mid morning and late afternoon snack - doing protein yougurts as keeps protein up with all the walking and also the yougurts are a small healthy sweet fix.
I hoping readings stabilise for me however just confused at moment as above.
Sorry to read you plan backfired. Hopefully you will find a way that works for you!
- Relationship to Diabetes
- Type 1
- Pronouns
- He/Him
I would follow your DN’s suggestion @Zaraah, as they know your results and history.
Hope the adjusted meds go well this week 🙂
Thank you @everydayupsanddowns I will do. I the DN in person week after next so hopefully in the meantime readings stabilise bit more before then
Newbie777
Well-Known Member
- Relationship to Diabetes
- Type 2
I think your reads are a bit up and down and also you are trying different things and food, as well as medicine, so so don't worry when goes up a but when you think it should go down and vice versa.
Like they say it will all come out in the wash and you feel better once you get steady results.
I think you are fortunate that you have access to DN they have a lot of experience and knowledge and will guide you.
Me, never give up, I have other options, but am happy thank God that I have reached a good stage in Diabetes Management, it only took me 20 years. Lol
Thanks @Newbie777.
Must admit the telephone appointment on Friday was very rushed and did not have time to ask any questions.
Hoping the face to face in a couple of weeks will be better.
I know NHS is stretched so they have to get through so many people. Having spoken to others once have a plan in place an steady then you left to it until next blood test.
Am grateful for this forum as been so useful in the past week.
20 years! I cannot really moan then when I only day 10 since being diagnosed!!
Hopefully one above has a plan for all of us!!
Newbie777
Well-Known Member
- Relationship to Diabetes
- Type 2
Thank you @Zaraah
Face to face is better as your DN will see how anxious you are and hopefully will answer all your questions and agree on a plan going forward.
Unfortunately, I did not take Diabetes serious and as a consequence my eyes suffered, but the main thing is we learn, focus and plan ahead with the knowledge gained.
Yes always grateful to God, many many people in a lot worse position, so very fortunate indeed.
Face to face is better as your DN will see how anxious you are and hopefully will answer all your questions and agree on a plan going forward.
Unfortunately, I did not take Diabetes serious and as a consequence my eyes suffered, but the main thing is we learn, focus and plan ahead with the knowledge gained.
Yes always grateful to God, many many people in a lot worse position, so very fortunate indeed.
Yes hope face to face appointment goes well. I think while I am still on the 1 daily Gliclazide am worried will hypo as my readings still go low
Definitely agree