Opinions on staying on metformin or not

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Opinions on staying on metformin or not


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Old 04-16-2014, 17:09   #1
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Default Opinions on staying on metformin or not

It's too early for me to make a decision on this, but I've begun to think about it allot so figured I ask your opinions.

What I think I'm seeing is my body wanting regulate my blood sugar (homeostasis) level through liver dumping (Gluconeogenesis). Whenever my BG goes up, as with yesterday when I ate half a tin of pecans, my body seems to want to keep it there. It seems to sort of say, "this is the new normal, lets maintain it".

This only seems to work on the "increasing" side of BG. To get my BG down, I've found a total lack of snacking between meals works. It's as if my body puts in a BG floor, and I have to bust through the floor to get things lower. Easy to set the floor higher, hard to set the floor lower.

Further reading from one of kantim's posts yesterday was asserting something similar. So I plan to read more from Dr. Kruse.

Question is this: what do you think of increasing dosage of Metformin to, in theory, reduce they body's ability to hold a higher floor in place, .. vs .. get of Metformin and try to train/manage the liver without a middleman (Metformin being the middleman)?

My inclination is to drop the Medication 10 times out of 10, and go cold turkey. That's just my nature. But this one is making me pause a bit. Metformin is thought to be fairly safe. Also, having seen what type 2 can do to people, I don't want to take on too much risk managing this thing.

Wondering if anyone has thought about this, tried it either way, and results, if any?

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Old 04-16-2014, 17:47   #2
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It is my personal plan to see if I can get off the Met. However, I don't want to drop the meds until I've trimmed the fat off myself (by eating more fat ). My goal measurement is for about 38-30-38, which keeps my body fat% under control, and lowers my risk of complications.

Once my body has achieved it's desired measurements and weight, then I can start experimenting with dropping the dosage, and seeing how my numbers react. I had not intended to go cold turkey, just because ramping it back up if I need it is such a pain.

I will say that I'm expecting to need the Met, just because my fasting numbers are still disappointingly high over the past month. But I'm hoping to be able to do this experiment in the next 6 months.

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Old 04-16-2014, 20:10   #3
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I truly don't think our livers can be retrained. They're doing what they're meant to do which is keep us alive during feast OR famine. If they're getting enough carbs to maintain a full stock of glycogen, there is absolutely nothing we can do to prevent them converting it to glucose and administering (what they perceive as... ) life-saving doses of it.

I have no aversion to remaining on metformin. It's the only diabetic drug I use and if it begins to fail me I'll go straight to insulin, but in addition to increasing insulin sensitivity and curbing appetite, there is evidence that it lowers risk of cancer & heart disease. I'll take all that help I can get when it's as cheap and as risk-free as metformin.

ETA: Dr. Kruse is not my cup of tea. He is controversy personified and makes tons of money with all his little books, bootcamps, webinars, etc.




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Old 04-16-2014, 22:53   #4
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I am trying being off the metformin right now. I ran out late January / early February. I didn't change anything I was eating but my exercising is a lot lower. My fasting BG seems to be higher by 20 mg/dL but seems to be more stable. I was off met for a couple of months before I saw FBG rise, and it went to 110-115 all at once it seemed. My numbers PP are still about the same. Looks like the weather is going to allow me to start getting on my bicycle more - may have been that the colder winter was more mental that physical deterrent this year. I'm going to see if I can get back into the lower 90's / upper 80's fasting by getting back on the exercise before I try to restart the met. I haven't documented any of my numbers, maybe my USB will spit out the info next time I charge its battery.

Like Shanny says it has more benefits and you can't argue with the price of the regular met being $4/month. I'm going to get an A1c tomorrow, its only been 2 1/2 months since I quit, but I haven't had one since sometime last year.

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Old 04-16-2014, 23:00   #5
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Quote:
Originally Posted by Shanny View Post
ETA: Dr. Kruse is not my cup of tea. He is controversy personified and makes tons of money with all his little books, bootcamps, webinars, etc.
His persona doesn't appeal to me either. A bit too much emphasis on selling and some of the ideas were a bit out there. His quantum time ideas, for example, seemed shamanistic to me. Unusual for an MD.

However, some of his assertions appear to align what I'm seeing. So I figured I'd see what he has to say.

Thanks for your opinion on met. The hothead in me wants to dump it. Not sure that's a great idea though.

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Old 04-17-2014, 10:15   #6
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I dumped it in one go and (like buster said) used exercise for control on the numbers. Works well for me.

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Old 04-17-2014, 10:36   #7
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In my opinion, the important thing is if your BG is within a good range first, then experiment

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Old 04-17-2014, 13:21   #8
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After two successive bike rides, my fasting is below triple digits for the first time in a while at 97 (5.4).

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Old 04-17-2014, 13:31   #9
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Quote:
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His persona doesn't appeal to me either. A bit too much emphasis on selling and some of the ideas were a bit out there. His quantum time ideas, for example, seemed shamanistic to me. Unusual for an MD.

However, some of his assertions appear to align what I'm seeing. So I figured I'd see what he has to say.

Thanks for your opinion on met. The hothead in me wants to dump it. Not sure that's a great idea though.
The hothead in me DID dump it - on day three. I've never looked back and never regretted, now four years later. At the same time it was prescribed, my son-in-law happened to be in the diabetes unit in medical school. My A1C was 10.7. At medical school, they taught that the most improvement they hope to see from Metformin is ONE percentage point after one year! Oh, so after a year I could be "only" 9.7?

Into the trash it went. I was determined to prove my suspicion that whatever it did I could do by other means. I had no idea what those means would be and it took a few months to find them. I'm not against pharmaceuticals across the board but subject them to strict evaluation and that's ten times as strict for anything which is taken daily and ad infinitum (for life).

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Old 04-17-2014, 18:53   #10
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Testing two hours after fasting test at home, tested again at the doctors office, still fasting, when blood was drawn, I was up 21 points to a 118. Immediately upon getting into my truck, I ate a slim jim type sausage and an Oberto's jerky. The jerky said 4 grams carbs, the sausage stick didn't have nutritional table. It listed sugar as the 2nd ingredient and brown sugar as the 4th. BG when I got home was 111. Now 2 hour PP from scrambled egg and bacon breakfast and 3 hour PP on the carb laden meats, a 130. Time for a bike ride to tame the wild liver.

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a1c 8.8 (8/2011) 5.2 (02/2020)
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Supplemental vitamins and electrolytes
65 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/12/2020
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