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Levels now at 4.1- 4.4 should I worry about hypos?

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Largesse1!

Active Member
Relationship to Diabetes
Type 2
Dear lovely forumers.

So, I'm a newbie. Testing testing testing, walking, walking, walking and have gone keto. Have to lose a MASSIVE 10 stone. BG has been coming down. Went on a 7-mile hike and tested BG along the way and it was 4.1. Have been noticing a few in the low 4s which pleases me greatly - but should I worry about hypos. I'm on Metformin and gliclazide. My HbA1c was 138 on diagnosis but I hope will be much lower at next text on 18th. Have cut out carbs. Not drinking. Lost a couple of lbs which is a little bit encouraging.

Levels advise would be much appreciated.
 
If you are taking gliclazide then you should heed the warning on the information and not cut out all carbs.
When free of medication as I am, then your body compensates automatically, but with medication which removes or supresses blood glucose you are not as free to eat and exercise.
I suggest contacting whoever is monitoring your medication for advice on how to proceed.
 
Gliclazide can cause hypos. Make sure you always carry something like jelly babies or fruit pastilles with you at all times, just in case.
 
I agree. Those levels are getting very near the edge, and it seems likely that your weight loss and changes to your diet mean thatbyour glic needs to be reviewed.

Could you arrange a phone appointment with your GP before 18th?

I also second the suggestion to always make sure you have a hypo treatment with you. The rule of thumb is to treat with 15g of fast acting carbs, then recheck after 15 minutes.

This page will tell you what signs and symptoms to look out for

What is a hypo (hypoglycaemia)?

A hypo is when your blood sugar level, also called blood glucose level, drops too low. This is usually below 4mmol/l. A hypo, also called hypoglycaemia, can happen quickly. So it’s important to always have hypo treatments with you. It's also important to know what the signs are and how to treat...
www.diabetes.org.uk www.diabetes.org.uk
 
Hi. You are doing the right thing so well done. Yes, be careful with the Gliclazide. Typically a T2 should not need it long-term if having a low-carb diet and good BMI with Metformin. Talk to the GP about reducing the Glic dose and I suspect you may be able to stop it when your BMI is in a good range. Long-term don't have more carbs than needed just to match the Glic
 
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