Hi all,
Well, Type 2, diagnosed in 2018, with a HBA1c of 6.4%. GP prescribed metformin & atorvastatin. Since then, regular tests went well (5.3-6.2% A1c)..until this year. I really didn't followed a diet all these years, and this January the tests worsened (A1c 7.2%, fasting glucose at 139 mg/dl).
My GP directly prescribed Synjardy (Jardiance), 5mg empaglifozin/1000 metformin (I was on two daily 850 mg metformin pills plus 1 daily atorvastatin 40mg). Well, after seeing the side efects on the prospect, I thought to said no to Synjardy. I asked my GP for some more time on the regular metformin instead - and tasking myself on changing the diet. He said no! "only by diet and metformin you won't lower your blood sugar levels". Honestly, I can't understand his reasoning.
Well, I went to a private GP who agreed to first try on changing diet (with certain changes, like avoiding drinking water at the meals, drinking it at least 30 minutes before the meals, and taking the metformin shortly before launch & dinner - not at breakfast & dinner). He also advised against Synjardy, not at the moment at least.
So I started a low carbo diet, on March 18. I've read some trials that suggest better results if one eats first the protein/fat serving, then wait some 15 minutes or so to go for the carbohydrate serving, so I followed that. I erradicated any type of bread; cakes, rices, pasta, going instead for mushrooms, broad white beans, turnip greens, spinach, tomatoes & lettuces, for the carbo servings. For protein/fat I switch between fish (sardin, hake, tuna, salmon) and chicken (grillen breast) or turkey breast. Also purchased a glucometer, starting measuring my fasting & post-meals 2h glucose.
I'm frankly surprised that it seems to work (the diet)..my fasting glucose the second week lowered to a 78-90 mg/dl range (previously was on the 110+ range, 115-130 sometimes), and the postmeals-2h glucose lowered to 92-111 (it was in the 130-170, sometimes reaching 200). In these few weeks I lost 3 kg of weight.
Tomorrow I have appointment with my GP (the first one), and I'll ask him to get back the treatment for the 850mg metformin (which he insisted to stop, replacing it with Synjardy). I'll go with my glucometer - I hope now he will listen (and of course, including the discounts for the strips and needles on the prescription!!)
Well, Type 2, diagnosed in 2018, with a HBA1c of 6.4%. GP prescribed metformin & atorvastatin. Since then, regular tests went well (5.3-6.2% A1c)..until this year. I really didn't followed a diet all these years, and this January the tests worsened (A1c 7.2%, fasting glucose at 139 mg/dl).
My GP directly prescribed Synjardy (Jardiance), 5mg empaglifozin/1000 metformin (I was on two daily 850 mg metformin pills plus 1 daily atorvastatin 40mg). Well, after seeing the side efects on the prospect, I thought to said no to Synjardy. I asked my GP for some more time on the regular metformin instead - and tasking myself on changing the diet. He said no! "only by diet and metformin you won't lower your blood sugar levels". Honestly, I can't understand his reasoning.
Well, I went to a private GP who agreed to first try on changing diet (with certain changes, like avoiding drinking water at the meals, drinking it at least 30 minutes before the meals, and taking the metformin shortly before launch & dinner - not at breakfast & dinner). He also advised against Synjardy, not at the moment at least.
So I started a low carbo diet, on March 18. I've read some trials that suggest better results if one eats first the protein/fat serving, then wait some 15 minutes or so to go for the carbohydrate serving, so I followed that. I erradicated any type of bread; cakes, rices, pasta, going instead for mushrooms, broad white beans, turnip greens, spinach, tomatoes & lettuces, for the carbo servings. For protein/fat I switch between fish (sardin, hake, tuna, salmon) and chicken (grillen breast) or turkey breast. Also purchased a glucometer, starting measuring my fasting & post-meals 2h glucose.
I'm frankly surprised that it seems to work (the diet)..my fasting glucose the second week lowered to a 78-90 mg/dl range (previously was on the 110+ range, 115-130 sometimes), and the postmeals-2h glucose lowered to 92-111 (it was in the 130-170, sometimes reaching 200). In these few weeks I lost 3 kg of weight.
Tomorrow I have appointment with my GP (the first one), and I'll ask him to get back the treatment for the 850mg metformin (which he insisted to stop, replacing it with Synjardy). I'll go with my glucometer - I hope now he will listen (and of course, including the discounts for the strips and needles on the prescription!!)
