Hi I am pretty new to being diagnosed I have been on metaformin for awhile now and now I have been upped on my dosage to 4 per day.... the tablets seem to make you quite nauseous and making me sick but what I have just noticed is now I am bringing the tablet up.... would I then need to take another dosage as its not in my system etc or just wait again the next day..
Metaformin Dosage
- Thread starter Teapot_Tantrum2
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I wouldn’t take another one incase you’ve absorbed some of the first one before you brought it up. We can’t advise on dosages so I’d book an appt with your GP for advice. Are you addressing your diet to help lower your blood sugar levels as Metformin alone is not powerful enough to bring your blood sugar down by much. I tolerate Metformin well now after some initial stomach upset, but then I only take 3 per day.
I notice this is your first post, so I’ll tag in @daisy1 for her useful info post.
I notice this is your first post, so I’ll tag in @daisy1 for her useful info post.
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May I ask if you are taking the tablets with food as directed?
There is a slow release version of Metformin which is said to be kinder on the digestive system, I suggest you talk with your prescriber about this. There are people who just cannot tolerate Met in any form but tbh dietary changes may have a greater impact anyway.
There is a slow release version of Metformin which is said to be kinder on the digestive system, I suggest you talk with your prescriber about this. There are people who just cannot tolerate Met in any form but tbh dietary changes may have a greater impact anyway.
daisy1
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@Teapot_Tantrum2
Hello and welcome to the Forum
Here is the Basic Information we give to new members and I hope you will find it both interesting and helpful.
BASIC INFORMATION FOR NEW MEMBERS
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 235,000 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:
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 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
Access to blood glucose test strips
The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
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. Most of these are free.
Hello and welcome to the Forum
Here is the Basic Information we give to new members and I hope you will find it both interesting and helpful.BASIC INFORMATION FOR NEW MEMBERS
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 235,000 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
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 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
- Before meals: 4 to 7 mmol/l
- 2 hours after meals: under 9 mmol/l
- Before meals: 4 to 8 mmol/l
- 2 hours after meals: under 10 mmol/l
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. Most of these are 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.
Yeah Im on the slow release now i was advised 4 tablets in the morning but i seperated them coz i was feeling to ill last night i had them after dinner which was a bit of pasta.... then a couple hours the urge to be sick and they came back up whole
It is possible that fealing sick has nothing to do with the metformin and thst you just have some sort of bug.
I hope you are keaping well hybrated. Do you have a way to check your BG?
I hope you are keaping well hybrated. Do you have a way to check your BG?
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I think you did the right thing to separate them, when I was on 4 Met per day that is how it was prescribed.
It seems you have two choices, speak to your GP or nurse about the issue and giving it a little more time to settle or speak to discontinuing. Good Luck, hope you feel better soon.
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Hi Teapot, I hope you’re feeling better today. Having read that you were sick after eating pasta, I wonder if this was actually due to high blood sugar levels rather than the Metformin. Pasta is a high carbohydrate food and will raise your levels. Do you have a meter? As I asked before have you addressed your dietary intake since diagnosis?
My fasted blood sugar 7.1mmol at 2pm I’ve not eaten since 20.30 last night I had couple beers cheese fondue with bread and some white wine .I know that’s not best diet but I had played golf in fasted state not eaten since Friday night so needed some carbs also I have only taken my metoformin twice this week Monday & Thursday as it had made me feel quite ill for a few hours afterwards and this has never happened before doctor had me on 850 twice daily since December (but I’ve only been taking it once per day until this week )I was 86kg but keto diet and intermittent fasting has got me down to 80kg
Resurgam
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You need carbs?
Wouldn't it be less stressful to eat protein and fats - which you can cope with, and minimise the carbs?
Many type twos stick to low carb to get normal blood glucose levels.
I can't comment on the way Metformin works, but as you are sure that it is making you feel ill, minimising the need for it might be the sensible option.
Wouldn't it be less stressful to eat protein and fats - which you can cope with, and minimise the carbs?
Many type twos stick to low carb to get normal blood glucose levels.
I can't comment on the way Metformin works, but as you are sure that it is making you feel ill, minimising the need for it might be the sensible option.
LittleGreyCat
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Diet drinks - the artificial sweeteners taste vile.
Having to forswear foods I have loved all my life.
Trying to find low carb meals when eating out.
I have found in the past that I get an adverse reaction to Metformin if I take it with too much carbohydrates. However that is more in the lower end eruptions than nausea.
I note that the pills are coming up whole. This is the slow release doing its stuff and perhaps you are reacting when the coating has dissolved and the ingredients are starting to work? Would you be better trying normal Metformin when it would dissolve whilst you were still full of the meal?
Have you tried taking one at a time? I see no reason not to spread the dosage out over the whole day, and also if you chuck up after a pill you have only lost one out of four.
I note that the pills are coming up whole. This is the slow release doing its stuff and perhaps you are reacting when the coating has dissolved and the ingredients are starting to work? Would you be better trying normal Metformin when it would dissolve whilst you were still full of the meal?
Have you tried taking one at a time? I see no reason not to spread the dosage out over the whole day, and also if you chuck up after a pill you have only lost one out of four.
Patrick66
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You were advised 4 in the morning ??
Might I suggest that there is your problem ?
Split the dose, two in the morning and two in the evening. Take them with food. I take them in the middle of eating so they are surrounded, so to speak, by food and ensure you drink a lot as well. Keep them washed down.
Good luck.
