When I was diagnosed T2 last month I was determined to use diet and exercise to keep it under 140 at all times. I was diagnosed early - my A1C was only 5.7 to start. My stated goal was to stay off all medications for as long as possible or forever whichever came first. It seemed like that was the right goal. I've cut carbs to almost none and I'm trying to get the exercise thing going (yeah, right). And it worked - I haven't been over 135 in 4 weeks and fasting is 94-110.
Then I read this: http://www.medscape.com/viewarticle/718916
Last week I had a Dr. appointment and he suggeseted starting Metformin right away. He agrees with the study that an early start extends the time the Metformin is effective. He feels that regardless of how well you can control BS making your body do it alone makes your body work too hard. And that waiting until you can't control it to start Met makes the Met work too hard but using both working together at the start gives both the chance to work their best and for a longer period of time.
So... based on the study and Doc's advice... I started 500mg Met on Sunday. At 4 days I'm doing fine with it - no digestive upset at all, but I swear it makes me incredibly sleepy in the afternoon.
Anyway, what does everyone think about this - do you think starting Met early is a good thing?
Then I read this: http://www.medscape.com/viewarticle/718916
Last week I had a Dr. appointment and he suggeseted starting Metformin right away. He agrees with the study that an early start extends the time the Metformin is effective. He feels that regardless of how well you can control BS making your body do it alone makes your body work too hard. And that waiting until you can't control it to start Met makes the Met work too hard but using both working together at the start gives both the chance to work their best and for a longer period of time.
So... based on the study and Doc's advice... I started 500mg Met on Sunday. At 4 days I'm doing fine with it - no digestive upset at all, but I swear it makes me incredibly sleepy in the afternoon.
Anyway, what does everyone think about this - do you think starting Met early is a good thing?