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To eat more

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Yes it was Libre and thanks I didn't know. I dont I need one now though
 
I cannot read the leaflet, the leaflet even trying to enlarge.
Sorry, I could not find the information in this leaflet,I took the photo of the leaflet and enlraged them but still could not find the information.
 
Well I have started on only 1 Glicizide today and decided not to take this in the morning with the Metformin and Canagflorizi, but take it at lunchtime, leaving the remaining Metformin to be taken at Tea time.

Although, I have already had a total of 3 pieces of Burgen Bread today, I think getting to my target of 70g carb may take more time and a bit more effort.

I think the key indicator is my BG read tonight before I go sleep and the read first thing in the morning and seeing if there is drop in BG and if so by how much.

Last night my BG was high (that was aim) as I ate anextra piece of Burgen Bread with Peanut Butter at Tea time, the BG was 10.3, 2 hours after meal at 8.00pm.I was hoping to last till the morning.

Nope, at midnight it had fallen to 4.7 before I had a snack. It was a healthy it was a healthy 5.1 this morning, so no coincidence that BG is an issue after my evening meal and during the night and the big drop in BG level.

Will now see how I get on, another 3 weeks and I can start walking and then hopefully can look at light jogging, so hoping will be good with BG by then and ready for my next battle with getting rid of the remaining Glicizide.
 
Well I have started on only 1 Glicizide today and decided not to take this in the morning with the Metformin and Canagflorizi, but take it at lunchtime, leaving the remaining Metformin to be taken at Tea time.

Although, I have already had a total of 3 pieces of Burgen Bread today, I think getting to my target of 70g carb may take more time and a bit more effort.

I think the key indicator is my BG read tonight before I go sleep and the read first thing in the morning and seeing if there is drop in BG and if so by how much.

Last night my BG was high (that was aim) as I ate anextra piece of Burgen Bread with Peanut Butter at Tea time, the BG was 10.3, 2 hours after meal at 8.00pm.I was hoping to last till the morning.

Nope, at midnight it had fallen to 4.7 before I had a snack. It was a healthy it was a healthy 5.1 this morning, so no coincidence that BG is an issue after my evening meal and during the night and the big drop in BG level.

Will now see how I get on, another 3 weeks and I can start walking and then hopefully can look at light jogging, so hoping will be good with BG by then and ready for my next battle with getting rid of the remaining Glicizide.
Since you are a Type 2 you still produce Insulin. So its possible that in loading up with some carbs before bed time you may be making things worse (regarding low BG) overnight.

I call it the carb rollercoaster. For somebody who is not taking any hypo inducing medication it goes like this:-
Eat too many carbs -> BG quickly rises high -> pancreas produced lots of Insulin to counteract high BG _. Pancreas overshoots in production of Insulin -> BG low (too low for comfort) -> if it is healthy the Liver will then help out to raise your BG (assuming they don't over-react by eating more carbs/sugars).
 
Thank you that's interesting, catch 22!

My evening meal is usually the least with carb intake. Grilled fish or chicken with a salad, so very little in carbs.

I have only recently added the carbs in the evening meal, as I am getting low BG reads of 4.5 before going to bed and have now experienced getting hypo.

The only option is to reduce my medicine or increase my carb intake and you and everyone else have correctly stated not to go for the latter.

It is all evident that I have been given medicine correct at the time due to my poor diet and high BG reflected in HbA1c levels. However, my massive daily carb reduction has provided me options/way forward, so I need to address the excessive medicine asap.
 
Just checked my reads and it is 6.6 2 hours after my Tea.

Morning was 5.1, after lunch was 7.1, so only took one Glicizide.

Test now is what will be the read at midnight, above 5, then I take the chance and no snack or carbs. Below 5, I will take the snack.Its a bit of an experiment as I am now looking how 1 Glicizide taken at lunchtime is working, not sure if that is correct or makes sense?
 
I think that makes a lot of sense and you are thinking logically and doing brilliantly with managing things and working out the best way forward both with safety but also what is best for your body.
I look forward to reading how your experiment has progressed tomorrow morning.
Good luck!
 
I understand a lot more now and thanks for your help and encouragement

At the moment my BG has dropped to 5.4, 3 hours after eating food, so not looking as good as I wanted, I may need a snack if dips below 5.0, in an hours time.

The good news is that my BG reads are not reaching very high levels like they did in the past.
 
I have decided not to take the Glicizide tablets from today, relying solely on Metformin and Canagflorizin and low carb intake. I realise my BG may go up, but hoping by not too much and within guidelines.

Last night my BG dropped to 4.7 (they would have continued to drop) after a snack it went up to only 4.8, so had a bit of chocolate before it went up to 5.8.

It was slightly higher than usual at 6.4 this morning. After breakfast it was 8.2, so still fine.

The main thing... there will be no hypo or panic before going bed or getting up to check BG at 3.00am
 
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I think that is wise. You can always reintroduce the Gliclazide if your levels start to go up too much but I think you will manage fine without. It may take a few days for it's response to be completely gone from your system so do keep an eye on those bedtime levels for a few more nights, just to be safe.
You really are doing fantastically well!
 
I have decided to try out removing both Glicizide tablets and rely on my controlled diet and Metformin.

My BG dropped to 4.7 and would carry on dropping, tried some tried chicken ( with batter) and a small picevif chocolate, only went up 4.8, had a bit more chocolate before it went up to
 
I think that is wise. You can always reintroduce the Gliclazide if your levels start to go up too much but I think you will manage fine without. It may take a few days for it's response to be completely gone from your system so do keep an eye on those bedtime levels for a few more nights, just to be safe.
You really are doing fantastically well!
Thank you. I didn't think of that.

I don't think my GP will be happy, but if my HbA1c are reduced in 3 months time then that should be good.
 
They can be as unhappy as they like but it isn't them having to deal with hypos in the middle of the night or even worrying that you might have to deal with hypos and if your HbA1c is improved then they won't be able to argue against your decision. It sounds like you did try to discuss it with them, but they must know access to them is limited at the moment to discuss such matters. You have to do what you feel is right for you and they should be there to support you with that decision, particularly if your HbA1c proves it is the right one..
Good luck and keep us posted, but it is all looking extremely promising at the moment!
 
Oh thats so nice of you, thank you for being so supportive.

Yes, the GPs are mega busy, but I keep having hypos, the effect given me stress.

I will start with the carbs below 70g and then slowly look at increasing these by small amounts, I think 100g is manageable long term.

Also, my GP could not believe I never experienced hypo! i told him I lived alone away from home when I work, so couldnt take that risk.

Thanks again to you and all the lovely people for helping out, there is always light at the end if the tunnel
 
I felt the difference when I came off Gliclazide about a week later, though I had been on them for a couple of years.
 
Thank you,

Thats very reassuring!
 
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