metformin dose goes up A1C stays the same

Go Back   The Diabetes Forum Support Community For Diabetics Online > Diabetes Forum Community > Diabetes Treatment

Diabetes Treatment As there is currently no cure for the chronic, Diabetes mellitus – the emphasis must be on treatment and management to avoid complications. Please use this section to discuss how you carefully control and manage your Diabetes. Please let us know what is and isn’t working for you. Feel free to discuss all areas of treatment and management of Diabetes including diet, exercise, weight loss, insulin usage, oral drugs and more.


Like Tree66Likes

metformin dose goes up A1C stays the same


Closed Thread
 
Shared Thread Thread Tools
Old 08-30-2013, 19:42   #1
Active Member
 
Join Date: Aug 2012
Location: United States
Posts: 14

Member Type
Type 2
Diagnosed in 2012

2 likes received
Default metformin dose goes up A1C stays the same

I have gone from an A1C of 7.2 to an A1C of 7.3 after my doc changed my Metformin from 500x2 to 1000x2. Nothing has changed in my day to day in fact I think I am getting better at managing my diet, if anything my carb servings are lower than the max per meal I was given. In that 3 months I have actually lost another 5lbs, and fit in to a 20yr old boy scout belt, I am just one notch away from when I was 16. Any ideas or experiences?

Dodie37737 likes this.
jbrown is offline  
Old 08-30-2013, 20:07   #2
Moderator
 
mbuster's Avatar
 
Join Date: Sep 2011
Location: SW Arkansas
Posts: 8,937

Member Type
Type 2
Diagnosed in Feb. 2012

10892 likes received
6005 likes given
Default

Sounds like your max number of carbs per meal is still too high. A lot of us eat less than 30 grams of carbs per day, and I'm guessing you're over that per meal. We're still looking for a T2 that can maintain their BG in a safe range (which is lower than you may have been told too) with diet and exercise, following a diet with the number of carbs recommended by the ADA.

3 Carb servings sounds so much better than 45 grams of carbs, wonder why they aren't pushing mmol/L units of testing. 10 mmol sounds better than 180 mg

Shanny, Dodie37737 and newgrange like this.
__________________
Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.4 (10/2018)
TC 206 LDL 102 HDL 85 TG 96 (10/2018)
Supplemental vitamins and electrolytes
63 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/26/18
mbuster is online now  
Old 08-30-2013, 20:17   #3
Active Member
 
Join Date: Aug 2012
Location: United States
Posts: 14

Member Type
Type 2
Diagnosed in 2012

2 likes received
Default

I was told 15g of carbs = 1 serving, and I could have 4 servings per meal, 2 per snack (2 snacks daily). I don't snack 3 times a week and that is always 1 carb max. When my wife is in crack down mode on me she measures everything on and off my dinner plate and I am lucky if I actually eat a full 3 servings. I have a few breakfast meals that I have engineered out to be 30gram breakfasts. My lunch is normally a big salad that probably in veggies alone nets out to 30 grams. I don't know how you do 30grams a day, when the hospital dieticians told me 60grams per meal. No matter what I eat, if that is constant and I double my Metformin shouldn't I see a lower A1C

Dodie37737 likes this.
jbrown is offline  
 
Old 08-30-2013, 20:31   #4
Moderator
 
mbuster's Avatar
 
Join Date: Sep 2011
Location: SW Arkansas
Posts: 8,937

Member Type
Type 2
Diagnosed in Feb. 2012

10892 likes received
6005 likes given
Default

Metformin doesn't stop or reduce the amount of glucose the carbs you eat is making. It works to reduce the amount of glucose and amina acids your liver converts to glucogen and stores to be later released as more glucose.

How do I do it? I don't listen to dietitians because they have been misinformed and teach what they've been taught. If I tell you the world is still flat and that I am a geographer, doesn't mean that I'm right.

__________________
Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.4 (10/2018)
TC 206 LDL 102 HDL 85 TG 96 (10/2018)
Supplemental vitamins and electrolytes
63 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/26/18
mbuster is online now  
Old 08-30-2013, 20:31   #5
Senior Member
 
Join Date: Jul 2010
Location: Missouri, USA
Posts: 837

Member Type
Type 2
Diagnosed in 1986

834 likes received
1807 likes given
Default

Quote:
Originally Posted by jbrown View Post
I was told 15g of carbs = 1 serving, and I could have 4 servings per meal, 2 per snack (2 snacks daily). I don't snack 3 times a week and that is always 1 carb max. When my wife is in crack down mode on me she measures everything on and off my dinner plate and I am lucky if I actually eat a full 3 servings. I have a few breakfast meals that I have engineered out to be 30gram breakfasts. My lunch is normally a big salad that probably in veggies alone nets out to 30 grams. I don't know how you do 30grams a day, when the hospital dieticians told me 60grams per meal. No matter what I eat, if that is constant and I double my Metformin shouldn't I see a lower A1C
I count 90 g of carbs per day! If I ate that much, I would have an A1C of 9 at least. The hospital dieticians are wrong! wrong! wrong! Read around this forum some more and go lower on your carbs and higher on protein and fat. Clearly the amounts you are eating now aren't lowering your blood sugar. Are you testing? And eating to your meter? Try that approach; it works. Good eating by following some of the recipes on this forum. I can't believe 60 grams a meal!

Shanny and Dodie37737 like this.
__________________
A1c 12/30/12 6.0
A1c 6/24/13 5.5 !!
A1c 6/18/15 6.0
A1C 2/25/16 5.8

Meds: Metformin 1000mm/2 times a day
71 years old
Other meds: synthroid (no thyroid due to cancer); verapamil, losartan, water pill, standard eye drops for glaucoma.
JT Reagan is offline  
Old 08-30-2013, 20:31   #6
Senior Member
 
Join Date: Dec 2009
Posts: 24,394

Member Type
Type 2
Diagnosed in 2009

23929 likes received
32255 likes given
Default

If you continue to follow your dietician's advice, your A1c will continue to rise. These people teach us what they've been taught, and what they've been taught is wrong. What they've been taught is also governed by the ADA guidelines, and the ADA is in the political and subsidizing grasp of BigAgra - the grain growers of the country.

Don't be fooled. Limit your carbs to less than 50g per day and that means stop using their 15g serving business - get a carb counter and count the actual grams of carbs you ingest. You'll see results immediately. Dozens of us here were given the same advice you were, and have discovered that it's a recipe for failure. Again - don't be fooled by what your medical team advises.




Shanny is offline  
Old 08-30-2013, 20:37   #7
Senior Member
 
Join Date: May 2013
Location: Houston, TX
Posts: 2,168

Member Type
Type 1
Diagnosed in 1974

919 likes received
3453 likes given
Default

Have you checked out Blood Sugar 101? It's very informative about getting blood sugars down, and was written by a woman who's a type 2 herself and who has done her homework.

When you want to know more about how to eat lower carb, check out LCHF for Beginners | DietDoctor.com. Many of us here have found that the only way to get blood sugars lower is to ditch the carbs, especially anything made from grains, including pasta, bread, crackers, cereal, and also legumes like beans.

Then we use our meters to test anything we eat to see what happens to our blood sugars one hour after starting to eat and again 2 hours after. It's more trustworthy than any dietician's advice.

Shanny and Dodie37737 like this.
__________________

View hitcheca's full Diabetes Forum profile here.
hitcheca is offline  
Old 08-30-2013, 20:38   #8
Senior Member
 
Join Date: Dec 2009
Posts: 24,394

Member Type
Type 2
Diagnosed in 2009

23929 likes received
32255 likes given
Default

And JB? I hope you've overcome your needle phobia and are doing a little testing now . . . you really need to know your postprandial numbers in order to get this thing under control. One hour after a meal you should register no higher than 140mg/dl or 7.8mmol/l.




Dodie37737 and newgrange like this.
Shanny is offline  
Old 08-30-2013, 20:40   #9
Moderator
 
mbuster's Avatar
 
Join Date: Sep 2011
Location: SW Arkansas
Posts: 8,937

Member Type
Type 2
Diagnosed in Feb. 2012

10892 likes received
6005 likes given
Default

Now that I think about it, I may be right!!! I've never been around the world, maybe I've been from side to side. LOL

Looks like you've been a member for a year. You must have been away from the forum a long time since you joined. Very low carb is spoken about daily. Many new people will join in soon, I'm sure, that came here looking for help because the ADA advice did not work for them.

hitcheca and Dodie37737 like this.
__________________
Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.4 (10/2018)
TC 206 LDL 102 HDL 85 TG 96 (10/2018)
Supplemental vitamins and electrolytes
63 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/26/18
mbuster is online now  
Old 08-30-2013, 20:42   #10
Active Member
 
Join Date: Aug 2012
Location: United States
Posts: 14

Member Type
Type 2
Diagnosed in 2012

2 likes received
Default

ok, so the doubling my met dose was the question and everyone has dodged that by coming up with some way low carb numbers. I count all my carbs. My big lunch salad today by weight comes up to 2 veggie servings or 30 carbs.

jbrown is offline  
Closed Thread

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Effects of Metformin Dose on Cancer Risk Reduction in Patients with Type 2 Diabetes kantim Diabetes News 0 07-24-2013 13:57
Metformin dose TTM Diabetes Treatment 15 05-30-2013 02:11
Should my Metformin dose be raised? Anna1971 Diabetes 11 05-02-2013 16:29
Increase Metformin Dosage? A1c Good But Not Good Enough wineguy Diabetes Treatment 6 07-09-2012 23:22
Fell asleep and forgot my nightly metformin dose. rudeboysti Diabetes Treatment 9 11-12-2011 23:21

LEGAL NOTICE
By using this Website, you agree to abide by our Terms and Conditions (the "Terms"). This notice does not replace our Terms, which you must read in full as they contain important information. You must not post any defamatory, unlawful or undesirable content, or any content copied from a third party, on the Website. You must not copy material from the Website except in accordance with the Terms. This Website gives users an opportunity to share information only and is not intended to contain any advice which you should rely upon. It does not replace the need to take professional or other advice. We have no liability to you or any other person in respect of any content on this Website.


All times are GMT +1. The time now is 03:56.




Powered by vBulletin®
Copyright ©2000 - 2019, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2019 DragonByte Technologies Ltd.
User Alert System provided by Advanced User Tagging v3.1.0 (Pro) - vBulletin Mods & Addons Copyright © 2019 DragonByte Technologies Ltd.