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Hello, advice welcome

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Emmaevans71

New Member
Relationship to Diabetes
Type 2
Hi, I am a 50 yr old type 2 diabetic my GP has told me to watch my diet and prescribed me metformin, (1 or 2 tablets a day) he’s told me to urine test and adjust the metformin dependent on the results. How reliable is this how often should I test and when should I adjust my dose of metformin, should I take 2 together or at separate times.I’ve seen many people finger prick test. Is one better than the other? I did finger prick test with gestational diabetes but that was 17 years ago. Trying hard to loose weight in the hope I can stop the medication.
 
Welcome @Emmaevans71 🙂 I don’t remember hearing about anyone urine testing for glucose here. I’m not Type 2 but that does sound strange. I think you’d be better off with a meter and finger-pricking. It’s more accurate and will allow you to adjust your meals as needed.
 
Welcome to the forum
I'm not sure what planet your GP is on but that is a new one, adjusting the metformin depending on a urine test????
Metformin is a medication which in conjunction with diet and exercise will help reduce blood glucose by helping the body use the insulin it produces more effectively. It is not like a paracetamol which you take if you have a headache but don't take if you haven't.
Urine testing is not good for assessing good blood glucose management as glucose will only spill into urine when levels are excessively high.
Finger prick testing is what people use and your diagnosis should have been from an HbA1C test which would have been from ablood sample taken from the arm and sent to the lab.
Knowing what that is will indicate how much work you need to do to get your levels down.

Somebody has beaten me to it in posting a reply.
 
Yep - you are generally aiming for your blood glucose to be between 4.0 and 7.0 when measured on on blood glucose monitor, via a fingerprick to produce the little drop of blood needed to do so. However, glucose in the bloodstream does not even spill over into urine at all until it reaches at least 11.0 - and is therefore a lousy way of trying to get any decent control.

Do yourself a real favour, invest in a proper blood glucose meter, test strips and some lancets (with which to bodge your fingers to get the drops of blood) and get testing!
 
Welcome to the forum @Emmaevans71

It is unusual advice to have been given for sure!

Metformin generally builds up in the system over a number of weeks, and like @Leadinglights says only helps in the background by increasing insulin sensitivity and reducing glucose output from the liver.

If you need to self fund your BG meter, the most affordable meters members here have found are the SD Gluco Navii or the Spirit Tee2 - which both have test strips at around £8 for 50. It is the strips which will really determine how expensive BG monitoring is, especially while you are learning how your body reacts to different foods. Some brands cost £25 or more for a pot of strips 😱

You can use a BG meter, taking a reading before and again 2hrs after eating, to see what the differences are, to identify any carbs that seem to be spiking BG (initially in a way the numbers themselves matter less than the differences between them). Ideally you would be looking for a ‘meal rise’ of 2-3mmol/L or less, and ultimately you would want your levels to mostly be in the range 4-8.5, including after meal peaks.

Once you can see how you respond to different meals and sources of carbs you can begin experimenting with reducing portion sizes and trying different types, swaps and substitutions (sometimes just having things at a different time of day makes a difference). Gradually tweaking and tailoring your menu to find one that suits your tastebuds, your waistline and your BG levels 🙂
 
Hank you all for your help, I will look into a meter
The dipstick… the test not your doctor, will give you limited information and not necessary what’s happening right now more like what happened several hours ago. Yes it will show if there is glucose in your piddle but you could have +++ glucose and that could equate to any number on your meter. These test are more often used as a on the spot test by medics to alert to a possible problem. Not for management going forward. A meter is a much better option and if we can help in any way be sure to let us know xx
 
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