Is this dangerous?

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Is this dangerous?


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Old 06-11-2013, 13:19   #1
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Default Is this dangerous?

As many know, I was only diagnosed last week (Wed). Since then, I have gone on a very strict LCHF diet (Fri), started taking Metformin (1000mg x 2) on Sat, and started brisk walking (3.2 miles every other day, so far Sat and Mon) for exercise.

...and, all of these things have been working - maybe TOO well? My BG level has, in the last 3 days, plummeted - from 217 on Saturday morning (my first reading) to 102 this morning. I'm not necessarily complaining ...or bragging ...but I would, I think, have preferred a more gradual decrease. Now, I'm concerned (a little bit) that it's too much too fast.

To be clear, I haven't eaten much - usually one meal, snacks, water, less than 30 carbs a day - since last Fri. I never have been a 3-meals-a-day guy ...not sure I can change that habit ...but I'm not feeling hungry, either (because I drink LOTS of water - 3-5 liters a day).

Obviously, the Metformin is high dosage and is likely playing a large role in this. I'm thinking I'll see what my BG does this week and, if I continue dropping, I'll self-prescribe myself to half dosage to see what happens? ...or, should I schedule a doctor appt for him to determine that?

I'm really kind of looking to see if you long-timers think this is normal progress, abnormal progress, or even dangerous progress?

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Old 06-11-2013, 13:25   #2
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If you feel comfortable at the lower level, stay there!!! You are not below 100 yet, hang in there.

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Old 06-11-2013, 13:32   #3
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Since my diagnosis I've certainly upped the level of water that I drink - and it's never under 3 litres a day, so that's nothing to worry about.

Your figure of 102 reflects your change in habits and it is certainly a major drop but with only metformin, diet and exercise you're in no danger of going hypo. But yes, I expect you feel a bit of a strain with the change.

Over the next week or so, I suspect you'll do a bit of rollercoasting as your liver tries to protect you from these frightening lows - good lord - it's in the normal range!

On diet, try to get into a "three meals a day" mindset. The surest way of getting screwy numbers is irregular meals particularly if your one major meal has the bulk of your daily carb ration.

Your metformin dose probably isn't having much impact as yet. It normally takes a bit longer to cut in, so I'd stay with the prescribed dose for now although I suspect your doctor will be surprised that you knocked your numbers down so quickly.

Well done and stick with it!

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Old 06-11-2013, 14:13   #4
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JMO,

I would think its Ok to cut the met dose yourself if you'd like.
How are your post meal numbers?
Also JMo if you feel comfortable at 1 meal a day and not hungry I wouldn't force myself to eat, but take a look at your BG over a day. Say test every hour and see what happens.
Do that a few times maybe and see if you see any trends, spiking above 140 etc during the day. After a few weeks (maybe 6) once your body has settled to a new diet, then see if spikes continue or not.
If spikes continue I would then see if meals at times before those spikes would take care of them.

So if you always spike at 9 am, eat a meal at 8:30 am, enough to prevent the spike. Just an idea.


As far as dropping too quickly, I'm not sure if that's a problem or not. I've heard of rare cases of something called insular neuritis where diabetics first put on insulin whose numbers drop too quickly can get nerve damage. Don't know if that is possible simply on met and LCHF.

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Old 06-11-2013, 15:49   #5
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I wouldn't jump to cut that Metformin dose. As John mentioned, it takes time to build up in your system and start working. You've only been on it for a few days. I started metformin and it took a few weeks (4, actually), to really go to full impact. I think the average is 2-4 weeks for full effect. You're likely seeing drastic changes due to your diet and exercise changes, and not the impact of the Metformin. If it were me, I definitely would not decrease it after only being on it for a handful of days. Nice work so far!!

Also, as far as meals, I found the same thing John did. I really need to eat three meals a day at relatively predictable times or my numbers shoot back up into higher ranges (200+). I would try for small meals at basically consistent times in order to help maintain stable numbers.

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Old 06-11-2013, 20:39   #6
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I agree with Mary and John. You're probably not seeing a great impact from the Metformjn. Hopefully, it will get you into the 70s and 80s and keep you there all day, everyday. This is the best case scenario. I commend you on sticking to LCHF... Your body seems to be eternally grateful! Another thing that will happen is rapid weight loss until your body finds a place where it feels comfortable. Your lack of hunger is a side-effect of LCHF. Now, your body can normalize. And, as long as you stay on LCHF, it should always treat you well. Congratulations!!

I don't think you have to so much change the times that you eat so much as you need to listen to your body. It will tell you when you need to eat, either by your blood sugar numbers or sheer numbers. I do encourage you, however, to not eat all of your carbs in one sitting. Try to be consistent so that your body knows from day to day how much insulin it needs to keep in hand. We are such a work of art, aren't we... such a smart body.

Congratulations on getting your numbers into line so quickly. At this rate, you may not even need the Metformin for very long at all. I do encourage you to be patient, however. Wait until your next A1C to ensure that you have as much control while you are asleep as when you are awake. Nicely done!

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Old 06-12-2013, 12:44   #7
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Thanks all for the replies. My BS this morning is 92 (!!) ...down another 10 from yesterday. I guess this all begs the question, if the Metformin isn't really doing anything yet and I'm able to get these results with just diet and exercise, what do I need the Metformin for? lol

To be honest, I realize I will never be completely free of this and will have to stick to the diet and exercise for the rest of my life, but I'm hoping I'll be one of the lucky few (?) who can ultimately manage it without *any* drug intervention. I'm not yet sure if it is realistic, but that is my goal at this point.

"Smart" bodies ...ain't that the truth! I've abused the heck out of mine over the last 46 years (worse than some, not as bad as some others) and it's treated me pretty well so far - I've never had to go under the knife for any reason. I guess it's time for me to return the favor. :-)

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Old 06-12-2013, 13:36   #8
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Quote:
Originally Posted by Bikerbeagle View Post
if the Metformin isn't really doing anything yet and I'm able to get these results with just diet and exercise, what do I need the Metformin for? lol

:-)
That's just what I was thinking.

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Old 06-12-2013, 15:24   #9
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The Metformin keeps you more stable. You haven't been on Metformin long enough to see a stable, even, lower pattern from it. You're trying to determine its effect without it being at full effect. I have been on it for about 1 month or so, & am just now seeing how it creates a more even BS pattern. I am not getting the severe highs I was, even when I eat the same foods. If I ate cheese, eggs, and nuts with some greens, let's say, I'd go to 200-250. If I eat that now, I go to maybe 140-150 & it stops there. It's keeping it down, 99% of the time now and making it more even throughout the day & night. I noticed in a few posts that you're really wanting to dump the Met. Is something bothering you about it? Dumping the Met. when it hasn't even started working at full effect yet really isn't the best advice, IMHO. Are you having trouble with it?

On a side note, I also look forward to the day when I can manage without it, but I do realize that slow & steady wins the race, as I've learned on this forum.

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Old 06-12-2013, 16:53   #10
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JMO...

If BG is steady without MET, then its OK to drop it and see how diet and exercise work. He's only been on it a couple of days and he's only been on the LCHF WOE for a couple of days as well.
Are a couple of days enough to see some effect? Is some of the drop he is seeing due to met?

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