At what point should I consider metformin

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At what point should I consider metformin


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Old 05-22-2016, 19:10   #1
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Default At what point should I consider metformin

I've been intensely reading blood101 over and over. Questions I've had usually I can find the answer reading through these forum threads however just need your opinion on this one. The following is the paragraph I want to ask about

"One way of "resting" beta-cells is to use injected insulin as soon as type 2 diabetes is diagnosed, particularly if your blood sugars are very high at the time of diagnosis. If you take the burden off your beta-cells by supplementing insulin, there's some suggestion that they may recover some of their ability to produce insulin later on so that you can go off insulin and retain much better control. You'll still have to limit carbs and address any problems you have with insulin resistance through weight loss, exercise, and insulin-sensitizing drugs...."

I've been on LCHF for almost 4 weeks now. I was diagnosed at 7.5 fasting. My fasting levels now last few days 5.8. And mostly around 6 last few weeks. I've got the Ol dawn phenomenon thingy...After meals all the required numbers eg under 7.0 and 2 hours after meals good at under 6 I'm eating very strict LCHF by the way. My fasting levels still not perfect and as I am eating strict LCHF and not even game enough to venture off it should I consider Metformin? I've been hell bent on not taking any medication however what I have read about this drug, it seems to help unlike some others I've read about. In other words, Would I be giving my beta cells a rest by doing so?

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Old 05-22-2016, 19:30   #2
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Quote:
Originally Posted by kazz8888 View Post
Would I be giving my beta cells a rest by doing so?
I don't think so. Metformin does not work directly on the pancreas and insulin secretion. It works on the liver, reducing its ability to store glycogen and, thus, dump glucose in the bloodstream. It has other actions but I'm not sure of how they work, but it is often said to address insulin resistance of the cells.

From what I know from reading on the forum, it would be basal insulin that would directly affect the fasting BG level.

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Old 05-23-2016, 07:08   #3
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I am perfectly capable at this stage of keeping my BG under control with diet alone, in fact, Met doesn't seem to improve my numbers at all but I agreed with my doc that it is still better for me to take Met. I've been lucky so far with the side effects so I know that makes it easier for me.
Taking Met allows you to keep your BG in line without making your pancreas work too hard. IF you are insulin resistant, your pancreas ends up making more insulin than you need - taking MET helps you use the insulin more effectively so you don't have to make as much. I've researched this online and there is a credible study that proves that using MET early - even if it seems you don't need it - helps keep your pancreas functioning longer and the MET is effective longer.
I originally thought less drugs was a good goal, but I'm convinced that some of us need MET to make our body work more efficiently.
I also urge everyone to always talk to the doc before making changes. At least listen to their reasoning - you can always decide to go against their advice but more info from them might help you make the decision that is right for you.

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Old 05-23-2016, 11:06   #4
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Thanku VJ and Wink for your reply. It's doing my head in, this whole thing I have to say. I have 3 more weeks until I Fly back home. I will have 8 weeks or so of daily readings for my doctor when I see her so I will do more research on Met and see what she thinks.

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Old 05-23-2016, 14:39   #5
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Things to consider

You've been at the LCHF for only 4 weeks, with stellar results. You should see even more improvement months down the road.

Fasting BG is the last to improve when post meal BG has become low and stable. But it lags by months rather than weeks. So you may see improvement in this in a few months.

There's no reason you can't try metformin, and then down the road stop it. Remember that managing diabetes isn't a sprint but a marathon. You'll want to find a method that you can sustain for the rest of your life. Like the rest of us, you'll most likely be experiment and tweaking your method for some time to come.

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Old 05-23-2016, 18:33   #6
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Yes VJ that makes a lot of sense and rings true. Thanku

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Old 05-31-2016, 09:22   #7
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Thanku for your reply Wink. I'll do some more reading about it.

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Old 06-13-2016, 22:04   #8
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I personally think you should consider metformin now. It has benefits beyond just helping you keep your numbers lower. Even when I was JUST prediabetic, I had problems with knee pain and that all went away magically when I started on metformin. Whenever I go without metformin (usually due to some other med I'm taking) the knee pain returns. Doc doesn't know why. You can always drop it later on if you do reach normal numbers. You could also keep to a low dose - the biggest problems with metformin are gastrointestinal distress and diarrhea. That doesn't usually show up with an initial dosage of 500 mg.

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Old 06-13-2016, 22:52   #9
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Even though I am new to diabetes and to this forum I will put in my 2 cents for what its worth

when I heard I had diabetes and needed to go to an endocrinologist I decided right there that I wanted to do this with without medicine if at all possible.

started at 396 BG and in 10 weeks of LCHF went to 75. both my regular doctor and my endo was amazed. I also lost 36 pounds (and counting)

Even though I have heard good things about metformin I would much rather handle this without medicine if possible.

You can do it too so my suggestion would be to try to get it under control without meds and if that fails, fallback to medicine.

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Blood Sugar 101 - VERY informative and accurate
http://www.diabetesforum.com/diabete...ng-method.html a tried and true testing method
https://www.dietdoctor.com/low-carb lists foods for LCHF

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Old 07-21-2016, 10:34   #10
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Thanku hft, great results for u. Sadly my nos aren't getting any better at the moment. I'm on a VLC/HF diet, lost lots of weight too, definetly helped me and will stick to this way of life but getting really disheartened with BG fasting. I should have seen a difference in that by now but 7.4 this morning...again. Sometimes high like that through the day. Just waiting now for some blood test etc results from doctor. My first A1C reading as well, I'll make a decision when they come back. It's been around 4 months since I've been diagnosed and ridiculously haven't had time to go back to my doctor in OZ, however I have found a fantastic doc here in Oman. She seems onto everything. I'm leaning towards taking Metformin at this stage thou.

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