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Hello all, 6 years of Metformin hasnt worked

SimonV

New Member
Relationship to Diabetes
Type 2
Afternoon all, was diagnosed as T2 many years ago, taking Metformin was an easy option, losing weight has been slow and steady, however.......

I've got tingly feet now, for the last 2 months its been bugging me and keeping me awake at night. Has anyone else had this ?, did you treat it or has it now gone too far for me ?

Also got slight retinopathy which has caused a couple of annoying floaters in my eyes. My eyesight is good due to lens replacements in 2023. Whats the likely treatment to get rid of floaters ?

I'm worried I've not done enough and let the condition get ahead of me. At 58 can I do much about it or am I going to be written off ?. Its all getting a bit distressing

I havent seen the diabetic nurse or had a bloodtest for 3 years so totally my fault I'm in this position
 
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Afternoon all, was diagnosed as T2 many years ago, taking Metformin was an easy option, losing weight has been slow and steady, however.......

I've got tingly feet now, for the last 2 months its been bugging me and keeping me awake at night. Has anyone else had this ?, did you treat it or has it now gone too far for me ?

Also got slight retinopathy which has caused a couple of annoying floaters in my eyes. My eyesight is good due to lens replacements in 2023. Whats the likely treatment to get rid of floaters ?

I'm worried I've not done enough and let the condition get ahead of me. At 58 can I do much about it or am I going to be written off ?. Its all getting a bit distressing
Welcome to the forum
People often have the mistaken impression that metformin is enough to reduce blood glucose but without dietary changes to reduce carbohydrate intake it is fighting a loosing battle.
Floaters are very common and although annoying the brain learns to ignore them. Even after cataract ops other half has a few floaters.
Tingly sensation should be checked out by your GP as it could be early signs of neuropathy or if long term metformin can cause vitamin B12 deficiency.
Keeping your blood glucose well managed will reduce the risk of further deterioration.
Many find a low carb approach is successful at reducing blood glucose and losing weight if you need to, this link will point you in the right direction and you can compare with your current diet. https://lowcarbfreshwell.com/
What is your HbA1C as that will indicate how much you are going to need to do to improve things.
 
Thanks for the reply, got my blood test in two weeks, fully expecting it to be terrible and to be told I'm a lost cause.

Who needs feet anyway?
 
Thanks for the reply, got my blood test in two weeks, fully expecting it to be terrible and to be told I'm a lost cause.

Who needs feet anyway?
I hope you are joking as otherwise it would be very unprofessional.
They should support you if you can show you are determined to get a grip on your situation and take action, it is never too late.
 
Who needs feet anyway?
Not the sort of comment I expect to see on a diabetes site, considering there are some people on here who have severe mobility issues due to problems with their feet, including amputees.
 
Thanks for the reply, got my blood test in two weeks, fully expecting it to be terrible and to be told I'm a lost cause.

Who needs feet anyway?
I know it was a flippant comment, but it is not a joking matter and if you start to manage your diabetes better now, it should reduce the risk of things progressing and they could even possibly improve a bit.

As far as I am aware, floaters are not connected to retinopathy. They are just minor ingrained debris/damage to the surface of the eye. The retina is the bit at the very back of the eye which catches and responds to the images coming through your eyes. I think most if not all of us more mature adults have floaters and they don't cause any issues and as said, your brain learns to ignore them. If it is background retinopathy that you have then some of us have had that and then got the all clear a year or two after. The key thing is to manage your diabetes as well as you possibly can to reduce the risk of it getting worse and possibly achieve some improvement.

The tingling in your feet sounds pretty minor at the moment, so again, definitely not too late to take action, to reduce the risk of it becoming agony which is what some people suffer and even the strongest painkillers struggle to take the edge off that sort of pain and many find it worse at night, so it isn't like you get a break from it even when you sleep. Even if it gets so bad that you finally need them amputated, the pain doesn't always stop there, as people still get phantom pain, which is equally agonising.

It sounds like you are a long way off any of that, so use these relatively minor signs as a warning that you need to take this seriously. The medication alone will unfortunately not fix it and you need to make lifestyle changes. We can help and support you with that.

Many of us here can now look back after a few years and see that we are now fitter and healthier and feel younger as a result of making those lifestyle changes. They were not easy at first, but they do get easier and can actually become enjoyable. I love walking and I really enjoy a meal of rib-eye steak with mushrooms, salad and a big dollop of coleslaw and if I can be bothered, I will also make some chips from celeriac, which is lower carb than potatoes. So you see, it doesn't have to be all sack cloth and ashes. We can help you change your diet if you give us an idea of what you currently typically eat for breakfast lunch and evening meal, as we can suggest lower carb alternatives.

Another option is to follow the Path to Remission program which some NHS areas can refer you onto, which is a 12 week very low (800) calorie soup and shake diet to help you lose visceral fat from your liver and pancreas and then support over the following months during the reintroduction of real food to maintain the weight loss.

We have many, many members here who have followed one of those approaches or even a combination of both to push their diabetes into remission and many of them hang around on the forum to support people like yourself who need encouragement.

Your nurses attitude is not good by the sound of it but your fate is in your own hands and if you want help, we will be more than happy to offer you it, but please don't think you are powerless here. Only you can want to change and want to be healthier. You are getting warning signs. They are very minimal at the moment so please heed them and let us help you change.
 
Sorry to hear you sounding so down @SimonV

I smiled wryly at your ‘feet’ comment (my wife developed a very dark sense of humour when living with terminal cancer), but I feel for you with your comments about feeling like a lost cause, and your worries about quite what reaction you might get at your appointment.

Sometimes life gets in the way, and diabetes can slip in the background. It sounds like after the pandemic, when the healthcare system was so overrun, you’ve let things slip a bit rather than battling to jump through the appointment hoops.

Please don’t give yourself too hard a time. You aren’t the first person on the forum to have let things drift a bit with their diabetes management - and you certainly won’t be the last. You can’t change the past, but what really matters is what you do going forwards. Diabetes is serious, but it’s also something you can actively manage, with a few tweaks and changes, and taking whatever meds are appropriate.

Do get your tingling legs/feet looked into. It could well just be a vitamin deficiency (B12 or an imbalance of Omega 3/6). If you have the beginnings of changes to nerve endings, the sooner you can try to gently pull your BG levels back on track the better.

Good luck, and let us know how the appointment goes.
 
Thanks for the reply, got my blood test in two weeks, fully expecting it to be terrible and to be told I'm a lost cause.

Who needs feet anyway?

regarding feet
I’m sure if you were to actually ask anybody who may have actually needed to have any limb amputated you would appreciate how valuable your limbs and other organs are,
my late father actually due to a gangrenous leg had a above the knee amputation as a life saver, no lower limb no gangrene, unfortunately he never fully recovered and eventually lost his life to failure of multiple organs (not all Diabetics related I accept)

I hope whatever medication needed to help you get a better control of your Blood Sugar levels will be available to you once your Hba1c result is in

as for the floaters
I’m not sure I wish I knew I have many following retinal damage, I kind of live with them and try to focus my vision in a different direction when they appear
 
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