Another diarreaha post

SoulfulXombi

Member
Messages
16
Type of diabetes
Type 2
Sorry to start a new post I have seen various people report this however most seem to say it's when they increase the dose.

I am newly diagnosed and literally just started on 500mg Metformin (as far as I know standard type).

First morning pill was yesterday and no obvious side effects, this am however I had a normal motion lol and then shortly after diarreaha (also thigh numbness waiting to speak to my doc on that one when they open).

With regards to the stomach issue do most people experience this the whole day or just at the beginning.

Also is this normal on 500mg and if so would something like Imodium work. Will ask the Doc these questions just curious on others experiences.

Thanks

Pete
 

Guzzler

Master
Messages
10,577
Type of diabetes
Type 2
Treatment type
Diet only
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Poor grammar, bullying and drunks.
Hello and welcome to the forum. I will tag @daisy1 who will swing by with information for those newly diagnosed.

The Metformin has varying degrees of reactions. There are those who, like myself, have no adverse reaction at all, those who have very bad reactions and then anything between the two. A lot of peoples trouble settles down within a couple of weeks, then there are those put onto the slow release version which is kinder on the system and there are those for whom the drug just causes misery. There is no way of telling in advance.

May I ask if you have been prescribed other Diabetes medications? Do you have a glucometer and test your blood glucose at all? This information will help those more knowledgeable than I to best advise.
Good luck with your GP appointment.
 
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SoulfulXombi

Member
Messages
16
Type of diabetes
Type 2
Hi Guzzler, currently just prescribed Metformin 500mg at breakfast for two weeks then meant to increase to another 500mg evening after two weeks.

My doctor wasn't bothered either way about testing so I don't have anything yet but I signed up for the type2testing program as I would like to keep an eye on it. Although no idea where I am going to get rid of the lancets but that's a worry for another day.
 
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RFSMarch

Well-Known Member
Messages
676
Type of diabetes
Type 2
Treatment type
Tablets (oral)
I was fine until I went to three a day and then had the usual symptoms associated with it. I asked to be put on the slow release twice a day and if anything I have gone the OTHER way and now carry sachets of Fybogel with me when I travel!

I definitely would also consider some form of testing - I have a flash glucose monitor so I don't have to finger-prick, but I think having something that tells you which direction your BG is going is vital!

HTH.
 
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SoulfulXombi

Member
Messages
16
Type of diabetes
Type 2
Intersting I didn't know there was a non pricking type of tester I may have to look into that if I struggle with the sharps disposal.
 
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daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
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Cruelty towards animals.
@SoulfulXombi

Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope it will be useful to you. Ask as many questions as you want and someone will help you.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 250,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:
  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.

Take part in Diabetes.co.uk digital education programs and improve your understanding. They're all free.
  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why
  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 
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SoulfulXombi

Member
Messages
16
Type of diabetes
Type 2
Thank you very much for that info I spoke with a doctor about the stomach issue and thigh numbness she said to see how I am doing end of week and if I'm still having issues they will consider offering me the different release mechanism metformin
 
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berylc

Well-Known Member
Messages
781
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
When people who know nothing about the LCHF diet tell me I'm killing myself being on it. I was killing myself not being on it!
I had bowel problems with normal and slow release metformin, for over 4 yrs! I was one of the unlucky ones who couldn't take either form of metformin, although the diabetic nurse and dieticians wouldn't believe me! If you get changed to SR Metformin, don't be scared to say if it doesn't agree with you. Hopefully you will settle down with it.
 
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RFSMarch

Well-Known Member
Messages
676
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Thank you very much for that info I spoke with a doctor about the stomach issue and thigh numbness she said to see how I am doing end of week and if I'm still having issues they will consider offering me the different release mechanism metformin
Wow your doctors seem very reluctant to change you. Mine had no issues. He was more intent on lecturing me about not needed to test my blood glucose in the morning, insisting he never advises his T2 patients to have to test, while signing the certificate for me to carry Libre Freestyle spares in my hand luggage and have the scanner on the plane, as well as my free prescription form! Keep on at them.
 
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SimonCrox

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317
I think that if you are getting diarrhoea on one tablet of instant release metformin, it will always be a problem on one tablet; at end of week, I suspect that you will be asking for modified release metformin. About 1/3 people get side effects on plain metformin and of these, about half find OK on modified release metformin ie half still get bad diarrhoea on een the MR metformin
Numbness in thigh is intriguing; if it is mid outer thigh, it could be that you have pranged the lateral cutaneous nerve of thigh in the groin in a condition called meralgia paraesthetica, much like carpal tunnel at the wrist. It doesn't seem to bother folk much.
Best wishes
 
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SoulfulXombi

Member
Messages
16
Type of diabetes
Type 2
@SimonCrox, the numbness went by this morning hopefully it will stay gone. Sadly the stomach issues haven't will certainly be calling the doctors back up if I'm still suffering tomorrow.
 

SimonCrox

Well-Known Member
Messages
317
Thanks for letting us know. Sometimes folk do get symptoms from their nerves when the glucose level is high, which resolve as the levels go down, although this is usually pain.
Sorry to hear still tummy upset with metformin, but not surprised, I am afraid,
Best wishes