Forgot if I took pills

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Forgot if I took pills


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Old 06-16-2008, 15:39   #1
 
Join Date: Jun 2008
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Default Forgot if I took pills

Hi all this is my first post. I believe I have type 2 diabetes. I'm on 2 glyburide (5 mg) and 2 metformin (500 mg) twice a day.

I hope I'm posting in the right section. :S My problem is that I cannot remember if I took my pills. Hehe I'm not kidding it was 5 minutes ago but I just can't remember if I took them. The problem is the task is so repetitive that when I search my mind for the memory of taking them there is a ready image there from the 100s of times I took them before and I cannot verify it.

It's happened to me now a few times. I suppose I will have to mark down when I take the pills in a little book or something and get into that habit to overcome this problem.

My question is: what to do when you can't remember if you've taken the pills?

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Old 06-16-2008, 17:36   #2
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Hey Sweety:

Welcome! Canada, eh?

That's a pain when you've forgotten if you've taken your medication. I've done it myself as have most other People.

I don't know your general blood sugars or what condition you are in. I prefer not to play Dr. in these situations, since I am not one.

A double dose of Glyburide and Metformin will in most Type 2 Diabetics lower the Person's blood sugar too much. Since this is not your first time forgetting, what did you do the other times and was your decision a successful one? I would definitely be testing more often to watch my sugars, drinking water if they are rising and eating less.

If you don't remember what you did the last times, you should phone your Dr's office, or Pharmacist and ask them. They will have the answer for your situation. If you cannot reach them then perhaps phone your hospital's Emergency. I had to phone ours once for my Daughter when she was younger and they answered my question for me.

Yes, it is a Good idea to write it down in a log or even a piece of paper on the fridge. Also, you can buy a pill container/scheduler at any Pharmacy or online. There are different types. The one I have holds a week's supply of medication. It has the days and different times when the meds are to be taken. That way, I know if I have taken them or not.

I hope that this helps some. Feel free to post back even if it is to update us.

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Old 06-16-2008, 20:02   #3
 
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Hi Terri! Thanks for the replay. A pill organizer what a good idea! Gawd my brain is so foggy at times I appreciate the help. In the past i just missed the dose. I figured a double dose would be too much as I already sometimes start to tremble on the regular doses.

I'm glad you are Canadian and I can give you my canadian blood sugar levels. I'm only on medication two months so am pretty new to all this. I've got a meter that is set at 17 because thats what the bottle of sticks says to set it at. When I started my blood sugar was at 25 before eating in the morning. I've got it down to mid 7's now after two months.

The thing is I was feeling pretty ill when I started, couldn't stay awake more than 4 hours at a time, have to use a walker to walk. Unfortunately my last doctor that I had for the last 5 years was unable to diagnose diabetes. He also was about 85 and retired which was why i got my new doctor who referred me to my current internist.

I'm feeling better now, still use the walker but can stay awake all day until the night. As you can imagine I don't want to go back to the way I was which is why I'm so concerned about missing a dose. I will get a pill organizer, thanks for the great suggestion!

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Old 06-16-2008, 20:28   #4
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Hey Again:

I'm Glad I'm Canadian also. Where abouts are you located?

Yes, if the bottle says 17, etc. then set it at that number. Whenever you change bottles of strips make sure the bottle number matches your meter. What type of meter are you using?

Holy Cow! What were you doing with an 85 yr. old Doctor? I've never had one near that age. I'm Glad that you got a newer one. (although some of the older ones are sometimes wiser than the younger ones).

Wow! You've done a Marvelous job on getting your FBS's down. Congrats.

That's a darn shame that you weren't dxd. sooner.

OOPPSS sorry..thunderstorm...gotta go. Your Welcome..no prob.


Last edited by Terrie; 06-16-2008 at 22:35.
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Old 06-17-2008, 00:31   #5
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Hi Sweety and welcome to the forum .Same problem that you have I take so many pills I use to forget sometimes .I did like Terry says I bought a pill organizer. I buy them at the Dollorama store they have 7small plastic boxes seperated in 4
Am ,noon ,Pm ,Night .easy to manage.
Bye Richard

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Type II since 1993 meds +humalog humalin n .Parkinson disease since 2005
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Old 06-17-2008, 01:00   #6
 
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Hey Terri. I live in Burnaby, BC. I use a Freestyle Freedom monitor. I went to Safeway and got a pill organizer today for 2 dollars! Such a simple solution I never would have thought of it in 100 years hehe. Thanks all!

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Old 06-17-2008, 05:05   #7
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HiYa!

Hey Great, Burnaby. You're in the middle of everything. A Beautiful Province, B.C. I've also heard of your Famous Nanimo bars.

Oh you have the newer Freestyle. I hope that it works Well for you. Looks like I'll be updating the meters here.

Are you using the walker because of Neuropathy?

Oh I'm sure that you would have thought of a pill organizer all by yourself. I have two, just in case. In case of what, I don't know. Good that you got one anyways.

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Old 06-17-2008, 10:29   #8
 
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I use a walker because of this bad joint and muscle pain that came on me when I started feeling ill. I don't know if its the neuropathy causing that, but I have it quite bad in my feet.

Also my stomach has become really distended so that puts extra strain on my back and prevents me from walking or standing unaided for very long. I believe the stomach thing is caused by neuropathy and my doctor tells me is common in diabetic patients.

I just found out about digestive enzymes and will by trying them soon, they are available over the counter and soften any undigested matter that may be in your stomach or intenstines allowing it to pass through. So that may help with my stomach I hope so.

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Old 06-17-2008, 11:46   #9
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Good Morning Sweety:

I feel ridiculous calling a grown Woman Sweety but you give me no choice. I prefer using names.

I am not saying that you do not have Neuropathy in your feet and I am not saying that you do not have GastroParesis(damage in the stomach)from Diabetes. If you went undiagnosed for 5 years you may have some of one or both problems.

Since you are on Metformin, that could also be causing your stomach problems. The common side-effects of Metformin and symptoms of GastroParesis are stupidly similar. The symptoms of Metformin can last up to 4 months or be Very mild and not be a problem.

It is highly recommended that Diabetics tell your Dr. all the medications that you are taking including over-the-counter(OTC) stuff.

Check the symptoms and side-effects and see what you think.

Metformin

HealthyOntario.com - Consumer health information and health services for Ontario, Canada ?2006 2

Is there any reason why I shouldn?t
take this drug?


You should not use this drug if you are allergic to it.
This drug should not be used and will not work if
you have type-1 diabetes. Tell your doctor if you
have or have ever had:
? Ketoacidosis or Lactic acidosis
? Problems with your kidney or liver
? Heart Failure
? Severe Lung Disease (i.e. emphysema)
? Polycystic ovary disease
? Problems with stomach cramps, diarrhea or pain
Acute problems such as severe burns,
dehydration, vomiting, diarrhea, high fever, severe
infection, severe heart failure symptoms or severe
breathing problems can make your body more
sensitive to metformin and increase your risk for
lactic acidosis.

As well, certain medical tests that involve the use of
contrast agents (a dye-like substance used to
"highlight" an organ), or x-rays, may decrease the
amount of urine that you produce which, in turn,
could lead to too-much metformin in your body.
Your doctor may want you to stop taking metformin
for at least 48 hours or until he or she knows for
certain that you have normal kidney function.

What about possible side effects?

The most common side effects to metformin are
mainly related to the stomach and typically occur in
about 30% of patients. They usually occur at the
start of therapy, with higher doses and should go
away with time. Side effects may include:
? Diarrhea, stomach cramps
? Passing of gas and feeling bloated? Not feeling hungry
? Feeling nauseous and vomiting

Talk to your doctor or pharmacist about the best
way to take this medicine to lower your risk of side
effects.

Other side effects which occur less often (in fewer
than 10% of patients) are:
? Weight loss (not all side-effects need to be bad!)
? A metallic taste in your mouth (about 3% of
people)
? Low Vitamin B12 levels in the blood (about 6-8%
of people): This may happen when taking
metformin for a long time but it does not
necessarily lead to anemia. Your doctor will likely
check your vitamin levels every 2-3 years if you
need to continue taking this medication.
? Lactic acidosis (where your body has a difficult
time balancing the amount of acid in your
blood): this is an extremely rare side effect
(about 1 in 10,000 people -0.0001%) and is only
a concern when other risk factors are present.
Talk to your doctor or pharmacist if you have any
concerns or questions

This is not a complete list of side effects. If you are
concerned about these or other unusual symptoms
while taking this medication, ask your doctor and/or
pharmacist for more information and advice.

What if I am taking other drugs?

Always provide your doctor with a list of all other
drugs you are taking (including over-the-counter
medications and herbal/natural products) as they
may interact and may change the safety or
effectiveness of either drug.
Tell your doctor
specifically if you are taking any of these drugs as
he/she may need to make changes or check you
more closely:
? Prednisone, dexamethasone, cortisone, high
dose hydrochlorothiazide (>25mg), albuterol,
pseudoephedrine, olanzapine, risperidone, niacin.
(These drugs may increase your blood sugar and
decrease the effectiveness of metformin.
? Other diabetes medications (glyburide or other
sulfonylureas, insulin, rosiglitazone, pioglitazone,
repaglinide, nateglinide, acarbose)
? Fenugreek, licorice, bitter melon, eucalyptus,
ginseng and some other herbal/natural products
? Atenolol, metoprolol, propranolol and other betablockers.
(May decrease your ability to feel the
symptoms of low blood sugar).
? Cimetidine
This is not a complete list of drug interactions. Ask
your doctor or pharmacist to review your list of
medications.

Gastroparesis:

What are the symptoms of gastroparesis?

Signs and symptoms of gastroparesis are:

heartburn
pain in the upper abdomen
nausea
vomiting of undigested food?sometimes several hours after a meal
early feeling of fullness after only a few bites of food
weight loss due to poor absorption of nutrients or low calorie intake
abdominal bloating
high and low blood glucose levels
lack of appetite
gastroesophageal reflux
spasms in the stomach area
Eating solid foods, high-fiber foods such as raw fruits and vegetables, fatty foods, or drinks high in fat or carbonation may contribute to these symptoms.

The symptoms of gastroparesis may be mild or severe, depending on the person. Symptoms can happen frequently in some people and less often in others. Many people with gastroparesis experience a wide range of symptoms, and sometimes the disorder is difficult for the physician to diagnose.

http://www.digestive.niddk.nih.gov./.../gastroparesis

Sorry this is so long. It only came in pdf from this site. You probably have seen all this already.

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Old 06-17-2008, 11:55   #10
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As far as your sore feet and joint, if you are over-weight it could be that. It could also be Rheumatoid Arthritis. It is an auto-immune disease like Type 1 Diabetes. Both Type 1 and Type 2 can get it. I have it and my Friend who has Type 2 was also dxd. It seems to be getting more common for some reason.

Ask your Internist to order tests for Rheumatoid for you. It would be Great to rule it out. But if you have it, you'll have to get on treatment immediately.

Fibromyalsia also springs to mind.

I hope that you'll feel better soon and get all your problems figured out. We'll talk again.

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