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Mmol rise

G

Gazzap2

Newbie
Messages
1
Type of diabetes
Type 2
Treatment type
Tablets (oral)
I went for my diabetes check and my levels were good diabetic nurse reduced my metaformin from 1000 gm twice daily to 500 mg twice daily and also took me of jardiance 25mg a day and glicazade 80mg twice day my bloods went from 5.5 mmol average morning and night to 9.5 mmol morning and night not eating anything different any help
 
Gazzap2 said:
I went for my diabetes check and my levels were good diabetic nurse reduced my metaformin from 1000 gm twice daily to 500 mg twice daily and also took me of jardiance 25mg a day and glicazade 80mg twice day my bloods went from 5.5 mmol average morning and night to 9.5 mmol morning and night not eating anything different any help
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Hello @Gazzap2 , and welcome. [You're posting this in the Type 1 section, so you might want to ask a mod to move this to the right area so you get more answers that apply to your situation.] Mod edit

The medication that was reduced/nixed, did several things... It made your liver dump out less glucose, made you a tad bit more sensitive to your own insulin, and made your pancreas pump out more insulin. All of that is practically gone now, rather than just picking one and reducing that, everything went away in one go...! Which I find odd, frankly, but I'm not your nurse, no idea what she was thinking and what her reasoning was. So if you didn't change anything else, then yes.... I'd not be entirely surprised at the rise in levels. All those things were keeping you in range, now they're not there anymore. So... What do you want to do? Cut carbs and give your pancreas less to process, which is a very viable option. Or go back to medication? Or see where this goes? What do you feel comfortable with? https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html could help some with the first option. Do keep in mind that blood glucose in the morning is influenced by Dawn Phenomenon and is the last number to come back down again, so the better gauge is what happens before and after you've eaten. (It's all in the link).

If you have any questions, throw them out there! We're here if you need us. You will be okay though, really. Don't panic.
Jo

Mod edit to reflect post move
 
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Our BG levels are affected by more than just what food we eat.
Whilst your rise may be due to the change in your medication, it could also be due to a change in your exercise or stress levels or you may be going down with a bug, for example.
 
When I dropped Gliclizide I also had to reduce my carbs accordingly, my reduction wasn’t as drastic as yours and it was done in stages. How many carbs a day are you eating? It may be worth looking to see if you can reduce them a bit. It’s a while ago now but if I recall I halved my carbs from 130g to about 70g when I went from 80ml twice a day to 40ml twice a day, when the gliclizide was stopped completely I went down to 20g carb a day which is what I do now
 
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