I am seeking your thoughts about my Metformin use

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I am seeking your thoughts about my Metformin use


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Old 05-22-2016, 22:03   #1
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Default I am seeking your thoughts about my Metformin use

I currently take 1000mg of Metformin twice daily, at breakfast and at dinner. (I also take Humalog at every meal, in variable doses, and Lantus at bedtime.) When I drink any alcoholic beverage at dinner (I drink alcohol infrequently), for more than a year I have been intentionally missing my Metformin dose. I learned very late, after having taken Metformin for years, after reading the literature that comes packaged with my Metformin, that I should not take it with alcohol. (I still chide myself for being so negligent about that!)

After I read that, I restricted myself to drinking alcoholic drinks at either of two times:
(1) exclusively at lunch, at midday or at hours clearly in the middle between breakfast and dinner (when I do not take Metformin), or
(2) at dinner, but skipping the Metformin.

I would welcome any comments from you on my practice - I welcome all advice, too!


Last edited by VeeJay; 05-22-2016 at 22:14.
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Old 05-22-2016, 22:55   #2
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Metformin is hard on your digestive system all by itself. That is why food is recommended. My suggestion is simply to have a snack later in the evening and take your metformin then.

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Old 05-23-2016, 01:56   #3
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I dont believe that is what they meen by taking met and drinking.

Met is cleared out of your system by your liver so is alcohol, but your liver can do only one at a time and since alcohol is a poison it clears that out first. If you continue to drink for days and take the met the met will build up in your system and can cause DKA.

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Old 05-23-2016, 04:22   #4
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Quote:
Originally Posted by diabetes86 View Post
I dont believe that is what they meen by taking met and drinking.

Met is cleared out of your system by your liver so is alcohol, but your liver can do only one at a time and since alcohol is a poison it clears that out first. If you continue to drink for days and take the met the met will build up in your system and can cause DKA.
I presumed that the poster just has a drink with dinner. OTOH, at my diabetes education classes, they were very specific that you can only have ONE drink - 4-6 oz. of wine, 1 12 oz. can beer, 1-2 oz. of harder stuff (such as for margaritas or dacquiries). You can have it every day, but no more than that in a day.

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Old 05-23-2016, 11:38   #5
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I took it too mean that he cant have met and alcohol in his dijestive system at the same time. Else why would a dinner drink preclude having a night dose of met.


I have dinner drink and met frequently.

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Old 05-24-2016, 01:00   #6
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It is my understanding that the warning about alcohol and metformin is not about the timing of when you drink, but the quantity. Depending on your existing liver function, combining them can do a number on your liver.

It takes days for Metformin to clear out of your system, and alcohol affects your liver for almost a day, so your current regimen of alternating booze and Met isn't working like you think it is.

Some people have healthy livers, so do just fine with a drink regularly. Others like myself have poor liver function, and even a single drink would make things much worse.

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Old 06-06-2016, 20:46   #7
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Default Many thanks!

Glad I caught up with this thread! Thanks, @VeeJay for the link in your Private Message. Thanks to everyone for commenting!

Thanks too, @Daytona for your understanding and tip about Metformin and alcohol. I had read the instructions not to take Metformin with alcohol, and had just presumed that the immediate mix of the two, at the same time, was what they were saying not to do. Now, I know better. As far as I know, my liver is healthy. My only alcoholic drink since early April has been one 12-oz bottle of beer, weekend before last. I drink alcohol infrequently - hardly ever more than two drinks in any one-month stretch, and never more than ONE drink at any one time. I will drink one bottle of beer now and then. But I also like White Russians and several other kinds of mixed drinks - ONE, only once in awhile. It does help me to know how long the Metformin persists in my system. I did not know that before.

Thanks @diabetes86; I was unfamiliar with "DKA." But then I looked it up, and it reminded me. DKA was what my primary care Dr. was in a panic about, the day I was first diagnosed Type 2. She saw me during an appointment I had requested, and listened to my complaints (about symptoms I had had in the preceding month - what I should have recognized were OBVIOUS diabetic symptoms). She tested my BG based on her suspicion (good detective!), saw my high BG reading, and just about freaked out (which I appreciated, because she was truly caring about me!). She set up to test my urine immediately, right there in the office, in that hour. She later told me she would have sent me to the hospital immediately, if the urine test had shown what she was afraid of. Fortunately, the test was negative for DKA. But I did not learn specifically about DKA until sometime later. That acronym was unfamiliar to me until just now.

This is what I found about DKA in a quick search:

DKA (Ketoacidosis) & Ketones: American Diabetes Association®

Thanks too @Bunjee - I did not know that Metformin is hard on the digestive system all by itself. So far, it has not given me digestive problems. I did find, maybe two years ago, that the 500mg pills were not being broken down. They were just passing through almost intact. The 1000mg pills seem to dissolve completely. But I will have to learn more about Metformin...

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Old 06-06-2016, 20:53   #8
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Quote:
Originally Posted by SteakSauceCharlie View Post
I did not know that Metformin is hard on the digestive system all by itself. So far, it has not given me digestive problems. I did find, maybe two years ago, that the 500mg pills were not being broken down. They were just passing through almost intact. The 1000mg pills seem to dissolve completely. But I will have to learn more about Metformin...
Just a note and this is for anybody taking REGULAR metformin. If you find pills are not being broken down and they were before, report that to the pharmacist. They actually switched companies providing the pills because I was not the only person reporting this problem.

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Old 06-06-2016, 22:27   #9
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SSC...good post! I have been on metformin for over 10 years now. I am taking 1000mgs when I get out of bed and 1000mg right before I get in bed. When I first started on metformin is gave me gas, some cramps and a little diarrhea once and a while. But after a few weeks it stopped and now all I ever have is gas, but not to much to tolerate.

I drink red wine and scotch frequently, not necessarily every day, but frequently! 2 to 3 drinks is not unusual for me, my wife usually has 1 drink and 1 glass of wine with dinner. I am now 66 and I watch my liver function closely with my doctor. Because he has said if we see any change we will need to stop the drinks. He claims the science here is not real conclusive and that everyone seems to have different tolerances.....he also say some science says drinking in moderation has many health benefits...so we each must do what suits us best.

Problem is if we all 'follow' everything the medical professionals tell us we would not be following LCHF or Eating to our meter. Most doctors 'Freak Out' when we tell them about our fat consumption and trying to get in the 5% or 4% clubs...

To me it is a bit like politics, you have to listen to what is being said, looking at all sides, then using your own knowledge, intuition from your life experience, and do what you think is best....and to 'Heck' with those who disagree!

Good luck

Last edited by div2live; 06-06-2016 at 22:34.
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