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Liz1960

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Hi everyone. I was diagnosed as Type 2 just over 2 years ago and am looking forward to gleaning a lot more information from here as I have struggled immensely since diagnosis. I'm on Sukkarto SR 500mg and supposed to take 2 morning and 2 night but they make me so ill with dreadful stomach upsets that can last for days. I can only tolerate 1 tablet twice a day. I've even got to a point where I've stopped taking them altogether to get some relief from the awful stomach upsets. My diabetic nurse just said to keep trying. This just feels such a minefield to navigate.
 
Welcome @Liz1960 🙂 What’s your HbA1C? Is there a possibility you could drop the tablets and manage by diet only?
 
I'm not sure what my HbA1C is I'm afraid but I'm going to ask at my next review. I'd love to be able to control this by diet alone and when I was first diagnosed I tried for around 3 months to no avail. I know its the Sukkarto causing the problems as when I left them off within a few days I was absolutely fine. I'm sorry to say but my Drs surgery is dreadful to get hold of at the best of times and appointments are non existent. My readings just lately have jumped to between 9 and 14 at various times during the day, obviously increasing to the higher level around an hour after food. I know I have to get this under control so thankfully I came across this forum.
 
The HbA1C is the blood test that diagnosed you and the one they do regularly to check your control. It shows how far into the diabetes zone you are.

What do you eat in an average day?
 
There may be alternative oral medications that you could try as there are many who do not tolerate even the slow release version. If your HbA1C is not desperately high then it might be very possible to manage with dietary changes. One of the reasons many do not succeed is because the dietary advice they have been given is unsuitable and fails to recognise the value of a low carb approach.
Have a look at this link as it may give you some ideas for making some beneficial changes to your diet.
I'm afraid you have to be pushy at getting appointments but there is no way you should have to suffer the digestive issues.
Dropping down to a lower dose and making some substantial dietary changes may work for you.
 
Hi everyone. I was diagnosed as Type 2 just over 2 years ago and am looking forward to gleaning a lot more information from here as I have struggled immensely since diagnosis. I'm on Sukkarto SR 500mg and supposed to take 2 morning and 2 night but they make me so ill with dreadful stomach upsets that can last for days. I can only tolerate 1 tablet twice a day. I've even got to a point where I've stopped taking them altogether to get some relief from the awful stomach upsets. My diabetic nurse just said to keep trying. This just feels such a minefield to navigate.
I was the same at first, I was taking Atorvastatin as well, and was suicidal - so I stopped taking the tablets and just relied on eating low carb. That fixed it.
The time to test and asses the meal and your situation is two hours after starting to eat.
Eating low carb should be fairly simple for an ordinary type 2. We don't need the high carb foods anyway. Protein and fats are fine, so having low carb veges, a stirfry or salad with a meal is find. I eat no more than 40 gm of carbs a day and can have a dessert with berries if I want.
The effects of the tablets were so bad that I'd do anything to avoid needing to take them - your nurse seems to think that your violent reaction to them will subside - she obviously has not had many patients with that problem. I don't know why she isn't helping you with dietary options, as surely it must be becoming well known to HCPs that low carb is very effective.
I am sure you can get lots of help if you want to try low carbing again - it can be difficult at first as there ae so many assumptions - such as it has to be low calorie as well, which seems not to be the case.
 
Welcome to the forum @Liz1960

Sorry that you’ve had such a difficult time with Metformin. The slow release version is often kinder on the tum, and many find things settle in time - but we do have other members who have found that their stomach upsets don’t ease on Metformin no matter what they try :(

When ot comes to managing Type 2 diabetes, there are two main approaches that are popular on the forum (with many variants among them). One is to focus on weight loss, particularly weight around the abdomen which can indicate visceral fat built up around organs like the liver and pancreas, stopping them working properly. Many members using this approach find that glucose levels improve naturally as their weight reduces - particularly if using a short term intervention such as the Newcastle Diet.

The other approach is to focus on blood glucose management with a lower carbohydrate way of eating (typically less than 130g of carbohydrates a day). Reducing portions of all carbohydrates, not just the obvious sweet and sugary things, but bread, pasta, potatoes, grains, rice, and many fruits. Many members using this approach find that weight reduces naturally as their glucose levels improve.

Of course there are some that use a combination approach too!

One of the things about diabetes is that it can be very individual. And the same approach may not appeal, or work as successfully for two different people - so it’s really a question of experimentation, and developing a ‘diabetes toolkit’ of strategies and approaches that work for you, and which you can sustain long-term 🙂

Hope you are able to find an approach that helps you reach your goals, and maybe do so without medication if your surgery is happy for you to try that?
 
Thanks for all these suggestions. Just reading these has made me more positive about my diabetes control. Thanks everyone and I'll let you know how I'm getting on x
 
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