Question you don't take your metformin with meals. Funny what you call spikes i call control but i am only 6 months in and learning. I take 250 mg 3 times a day but usually with food. Nurse told me metformin does not work quickly in response to taking it I thought she did not know what she was talking about. Drugs usually are mostly gone in 4-6 hours after takingjwags said:Welcome to the forum. I have also had D for 4 years. It has taken me awhile but most of the time my bgs do behave. It has taken me lots of trial and error and tons of testing to find out how many carbs I can eat and at what times of the day. It seems mornings are the toughest for me, so I eat very few carbs 2-3 at the most. That will give me a 10-15 point spike. At lunch I can handle a few more 15-20 and that keeps my bg close to 100-115. Dinner is trickier. If I eat more than 10 carbs at dinner or if I eat a late night snack I am usually above 100 in the morning. So as you see it is a fine balancing act. Also I found timing of my medication helps. I use to spike around lunch time so I now take my metformin 3 times a day. When I wake up, then again around 10:30-11 pm and the last one before bed. That gives me the best coverage. But it took a lot of fiddling around with taking at different times.
I usually take my meteor in first thing in the morning and the last thing at nite, can't say it's helping to keep my numbers down but I have lost a lot of weight taking them.HardBackStrider said:Question you don't take your metformin with meals. Funny what you call spikes i call control but i am only 6 months in and learning. I take 250 mg 3 times a day but usually with food. Nurse told me metformin does not work quickly in response to taking it I thought she did not know what she was talking about. Drugs usually are mostly gone in 4-6 hours after taking
Got my test results from my dr today my a1c is '14.3' my cholesterol 245 hdl and 139 LDL, I really need some advise I take 850mg metformin x2per day and 25 units of insulin 2 x per daynewface said:thanks beefy will certainlt check the site
Hi Jen I do eat a lot of carbs and fruit I don't know what to substite for the carbs. I am takingJen said:Hi newface. Well, that A1C indicates some pretty high numbers. How are you feeling physically? I'm a little surprised that your doctor didn't recommend some fast-acting insulin to use at mealtimes. That might be an avenue to explore. Pick up one or both of these books: Think Like a Pancreas by Gary Scheiner and/or Using Insulin by John Walsh. They each give detailed information about the use of insulin therapy, and after reading them you may find it easier to broach the topic of additional insulin with your doctor.
You are right - testing twice a day doesn't give you enough information to determine what changes you need to make. Try testing before you eat, then 2 hours after to see how you are handling the carbs in your meals. If you're more than about 40 to 60 points higher than your baseline, you know you need to reduce the portion of the carb you just ate, or eliminate it from your diet. Frequent testing like this will help you develop a you-friendly list of foods that have the least impact on your blood sugar.
What's your diet like? If you are eating a lot of starchy carbs (potatoes, pasta, bread, rice, etc.) you might try cutting back. Large quantities of fruit can also lead to unwanted results. Try substituting berries for other fruits, and eliminate juice in favor of real fruit.
Best,
Jen