LCHF and Meds

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LCHF and Meds


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Old 04-06-2016, 10:23   #1
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Question LCHF and Meds

Hello Folks,

This is my 6th day on LCHF diet regimen and I have already seen improvements w.r.t. my weight and BG counts. I have already lost 2 kilos and my BG counts have really improved (they are well within the range of 140 mg/dL, yet to reach non diabetic levels).

Since last 3 days I have stopped all the meds prescribed by my physician to see the actual BG counts on LCHF without meds.

I called up my relative who happens to be an endocrinologist for a free advise (I haven't consulted my regular physician yet) and explained about my progress with LCHF and lowered BG count. Though he was happy, he advised me not to stop meds completely and start continuing on Glimepiride (3mg) and Metformin (1mg) tablet in the morning and asked me to skip Voglibose (0.3mg) during afternoon and night. He also suggested that, though my BG count have come down to range of 100 mg/dL fasting and 125-130 mg/dL post 1 hr of food consumption, I should not discontinue oral meds since, Metformin and Glimepiride stays in body for 2 days and helps regulate the blood sugar and it's effect may go off soon. I haven't noticed such thing since I have stopped taking meds.

When I asked him, if I could at least reduce the meds from 3mg Glimepiride to say 1mg and 1mg Metformin to say 0.5 mg, he advised not to do so until and unless I feel symptoms of hypoglycemia. Strange!

Questions:

I am in ambiguity now whether or not to follow his advise. Convincing doctors in India is a challenging part even though one has proof to display.

If I follow LCHF continuously I am confident that, I can achieve healthy BS levels.

Well I understand that,you good folks are not doctors (BTW, doctors are not Gods either ) however, you guys are quite knowledgeable and can give me some advise. I would like to know your personal opinions/thoughts.

Now that being said,

What should be my next course of actions?

Should I start taking the meds?

Or should I reduce the level of meds?

Should I keep a watch on my BG count for some more time without meds while continuing my diet?

Or should I completely stop taking meds?

OT: How often one should get their A1c tested?


Cheers, Santosh

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Last edited by Santosh; 04-06-2016 at 10:27. Reason: typo
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Old 04-06-2016, 12:50   #2
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If it were me, and I wasn't able to keep my BG low, I'd only take the metformin. This is really the only safe medication for diabetics, other than insulin. The side effects of Glimepiride can be devastating and I wouldn't want to risk it, myself.

A1C is approximately a 3-month average, so at the least, have it done every 3 months. Or every 6 months.

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Old 04-06-2016, 12:53   #3
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Jenny Ruhl discusses the various medications for diabetes on her Blood Sugar 101 site

Here: Drugs

A good understanding of what these drugs actually do helps one in making informed decisions.

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Old 04-06-2016, 14:53   #4
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Like VeeJay says, after getting as much information as you can about the benefits and risks of your medications, it is a personal decision to take or not take what the doctor prescribes.

For myself, Metformin and/or insulin are the only diabetes meds I will consider. The Metformin has other benefits besides helping with diabetes.

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a1c 8.8 (8/2011) 5.4 (10/2018)
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64 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/31/19
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Old 04-06-2016, 15:38   #5
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You are still fairly new to the LCHF life and you will see continued improvements as you learn better how to eat properly following the LCHF protocols. Therefore, expecting a complete turnaround to the "non diabetic" levels is somewhat unrealistic in the short time you have been on this diet.

Many of the folks I know have been able to get completely off of drugs following LCHF, but those I know took many months and or years to get that to happen.

I agree with those above, a good goal for you now is to get to where you are using the two most safe drugs for diabetics, Metformin and Insulin. That is what I take and I have been on LCHF since May of 2015. I have dropped my Insulin dosage levels substantially, but I still need some to maintain my targeted BS goals....

Go slowly and test frequently....

Good Luck

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Old 04-06-2016, 16:29   #6
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Thanks everyone for valuable suggestions. Much appreciated

Quote:
Originally Posted by div2live View Post
Go slowly and test frequently....
Noted

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Old 04-06-2016, 16:35   #7
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A question in general...

My physician has advised me to take meds before breakfast (glimepiride + metformin combo).

I have read about side effects of glimepiride and I am going to drop that.

When is the right time to take Metformin? e.g. Before or After breakfast, or before or after dinner, or any other time when sugar level spikes up?

What do you guys follow?

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Old 04-06-2016, 16:50   #8
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Metformin doesn't have immediate effect on blood sugar level. It works on the liver to reduce glycogenation, thus limiting its ability to add glucose to the bloodstream, and it helps with insulin resistance. It takes 2-4 weeks to build up in the bloodstream for maximum benefit.

When you take it is up to you, but many find that taking it with food will reduce any stomach upset it may cause.

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Old 04-06-2016, 16:51   #9
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Metformin helps with insulin resistance. It doesn't directly lower your blood sugar like insulin or one of the drugs that forces your pancreas to release insulin. It is generally recommended to take it with food in order to reduce the gastrointestinal side effects some of us get. I had to work up to my present dosage of 1000 mg twice a day. I take it after breakfast and dinner. It's really up to you when you want to take it. I think some folks have had better FBG results by taking it all at night. I haven't tried taking it any way other than the way it was prescribed.

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Old 04-06-2016, 17:57   #10
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@VeeJay, @MaJoie, Thanks a lot for the details.

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