Thank you for you comment. The reactions to the metaformin were as listed as the possible reactions in the guidance included with the tablets. It was severe loss of appetite because of nausea that led to eating almost nothing and then low blood sugar.
Exercise is difficult because my husband also has heart failure and vertigo - so we need to build that up carefully. I have been using recipes from the Hairy Bikers diabetic meals to help lose weight - (tho lots of home cooking through the first lock down seemed to have started that already - ) and that has already reduced our carbohydrate intake. BG measurements were taken daily to report to the diabetic nurse, but on alternate days now, both fasting and 2 hours after lunch - and also if my husband feels giddy, which has happened a couple of times, when the BG had spiked, which we linked to something eaten. The target given by the nurse for the end of the year is fasting between 4 and 7 and two hours after lunch between 7 and 9. We are achieving that most of the time, but with slippage occasionally.
We have cut out sweets (except very occasional ones sweetened with stevia), cakes and sweet biscuits, and fruit juice, and try to eat fruit with something like no fat yoghurt, and eat very little cheese. I have reduced the portions of carbohydrate in our meals - and rice, pasta, bread are whole meal/ whole grain wherever possible (and always have been)
I asked about the bitter melon as " friends of a friend" said it had worked for them in lieu of metaformin, which they had reacted to. But I also wondered about asking for slow release metaformin.
I am very new to this and floundering a bit, tho the weight loss for both of us has been successful - a couple of stone in the last 10 months, a bit more rapidly when doing the diabetic menus.
I think I need to keep a food diary so I am absolutely clear about what may keep BG higher than desirable or cause spikes.
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