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saffron15

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Hi
I have high blood pressure and am reviewed approx every 14 months. I used to give a pee sample but this stopped years ago sometimes I'm weighed but always give blood. Last April I was phoned and told Dr said blip on my test possible kidney prob. Give another blood sample. Heard no more. Went for blood test June but told cholesterol high wanted to see me. The pharmacist who worked in practice saw me spoke statins and I said had been eating processed meat at new deli and would cut that out. I asked if I was having diabetes tests and he said no. Last October I started to have numb toes at night. I was brought up not to bother Doctors ( this will change) Google said red flag for diabetes but believing I was being tested I ignored it. I told him this and asked to be tested. Phoned end of June and told result 69. This was a huge shock. Not that I had diabetes but it was so high. The pharmacist emailed me some links including this site at my request starting off ' you seemed shocked at the reading ...' He said I needed another test four weeks later but given I had a symptom and high reading this seemed pointless to me. Second reading reception told me was 64. I have made with a few blips efforts to move more and I have cut out sweets pastry and meat except for occasional chicken and turkey so far two lots of turkey and two chicken. I should be growing gills very soon as I am eating loads of fish. As a teenager eons ago I cut sugar in drinks and cereal and generally dislike fizzy drinks. I was disappointed in my second test but was it a reasonable drop? Saw diabetes nurse on 13th. I had booked to see a chiropodist the day after and told her. She did not weigh me, or examine me including my feet. She mentioned Metformin then suggested the pharmacist who had seen me had mentioned another drug. She said would clarify over lunch. Phoned and told Metformin and prescription would be there. I walked to chemist next day. It hadn't been done. Walked to surgery to sort then went and ate. I had light snack for supper and forgot breakfast was feeling almost drunk. Had foot appointment and ate a piece of cake and later other items. Will ignore yesterday. Got prescription today and see need to take drug with supper. Only bright spot they have prescribed slow release. When may I see side effects? It looks like I have a week with one 500 then 2 X then three then four. I have another blood test in September and appointment with pharmacist. My Doctor retired a few years ago but haven't met new one yet. Noone in family has diabetes so it is a bit of a minefield. I am keeping a food diary but wasn't asked about what I was eating.
 
Got prescription today and see need to take drug with supper. Only bright spot they have prescribed slow release. When may I see side effects? It looks like I have a week with one 500 then 2 X then three then four.
Hey @saffron15, welcome to the forum and thanks for sharing your experiences so far. When I started on Metformin I was very focused on taking it with my meals to lessen any side effects. This seemed to work for me. I only experienced some stomach cramps - a bit like someone was scratching my insides with a rake. This didn't last long and I'm on the standard Metformin, not the slow-release. Given that you're on slow-release, you may not experience much or any. Fingers crossed. Definitely take with your meals.
 
Welcome to the forum
Last April I was phoned and told Dr said blip on my test possible kidney prob. Give another blood sample. Heard no more. Went for blood test June but told cholesterol high wanted to see me.
Is Metformin the only med you have been given?
Folks who are on medication for diabetes can answer any queries you may have regarding diet while taking metformin.

Last October I started to have numb toes at night.
You have said that the nurse did not examine your feet. This is something else which may be advisable to chase up with your surgery.
The chiropodist you had previously arranged to see - did he have any comment? It may not be something he has the training for.

If this was me I would chase up the doctor and ask about the kidney blip - they should be able to tell you what your eFGR was. This can tell you how much your kidneys may be impacted.
Also you can ask them for your cholesterol results so you know how much too high your cholesterol is. If no statins are given for high cholesterol then it would be advisable to look at adjusting your diet.
 
Your storey about your diagnosis sounds fairly typical, high HbA1C, take this medication but little or no mention about how dietary changes can be just as powerful and therefore people make little change and see not much improvement.
Have a look at this link or some ideas for modifying your diet, there really is no need not to have meat, fish, eggs. dairy, cheese with lots of veg and salads, just go easy on too much fruit. https://lowcarbfreshwell.com/
The increase in metformin dose over a few weeks is quite normal but some people do find that dietary changes are sufficient.
 
I have been reading threads here for several weeks. I initially was looking at saturated fat as I didn't know I was diabetic. When I got the first result I was told my cholesterol has come down. I then decided to more or less go pescatarian until I could speak more clearly to a professional. I like meat but would usually eat it once or twice a week. I am eating some bread usually robust rye lovely with smoked salmon. I also am eating cheese in moderation. I live 15 miles from the sea and there is lots of good fish and shellfish.
I am overweight but this week have shifted from obese to overweight so my approach vaguely low carb is leading to weight loss. I was going to have smoked haddock swiss chard and carrots tonight but think stress of a new med meant I couldn't be bothered. I found a tin of vegetarian hotpot and had that. I knew it said two servings but I ate it all then realised it 50 carbs! Reading labels can be a pain. They had 100 gm and 200 gms. I then realised it was a 400 gm tin so I had double the 200 gms listed.
 
Hello and welcome
As your HbA1c was above 60 Metformin is the standard initial medication, and is best taken in the middle of a meal - a sort of pill sandwich. You might experience some bowel issues but these often settle after a few weeks. Good that you are on the slow release version. If Metformin does not suit, there are other medications. I only tolerate one tablet, and have other medications in support. Incidentally although 60 is quite high, there are many members of this Forum who started with readings over 100 and have successfully made reductions.
What you do not seem to have been advised, is that Metformin is not a stand-alone treatment - it works in conjunction with dietary changes. It's not just sweets, cakes, pastries, sugar etc that affects blood glucose, but all carbs, such as bread, potatoes, rice, pasta, cereals, processed food and certain fruits, as they turn to glucose in the body. May I suggest you work your way through the Learning Zone, one module a day, starting with food, then exercise, then the rest. That way you can educate yourself at your own pace.
I'm glad you are keeping a food diary and you might like to consider getting an app, like NutraCheck to help you keep your food diary, learn about portion control and carb values in food. This is what I did. Meat (unprocessed) and fish are pure protein and have no carbs. Every person's body is different, so it may take some time for you to work out what suits you best. I personally chose to adopt a lower carb diet, by that I mean less than 130gm a day (including all drinks and snacks). It meant reducing the portion sizes of my carbs, and increasing the protein and vegetable content of my meals. I made some swaps to replace carbs - for example cauliflower has become my new best friend. Others have tried the soups and shakes approach. Whatever you choose to do, it has to be sustainable.
You should have your eyes and feet tested annually. The annual feet test consists of checking the pulses and pricking the feet to test for sensation. I see a podiatrist every 3 months to keep my feet in condition, and massage them with E45 cream.
Please feel free to ask any questions. Nothing is silly, we have all been where you are now, and probably asked the same questions.
 
One poor decision will do no harm but allow yourself time to adjust to what needs to be a new way of eating for life. Your smoked haddock, chard and carrots sound delicious and very suitable. Meat is a very good low carb option as are eggs.
I like smoked salmon or smoked haddock in omelette with some veg like courgette or broccoli.
 
When I got the first result I was told my cholesterol has come down
That's good news, and it sounds that you are taking positive steps with your diet.
If you haven't been given the all clear on your kidneys then please consider chasing that test result. People who have kidney issues should avoid Ibuprofen and aspirin (the small dose aspirin that is sometimes prescribed daily is ok, eg a prescription for people with heart/circulatory problems). So your kidney test could potentially impact the choice of any painkiller you may take.
 
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