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Hi guys not been well recently. For the first time in 16 years on metformin and insulin. A Dr has informed me not take my metformin when not well. I'm very surprised
Just a guess, as I am not a doctor, but maybe he/she is worried you won't eat while ill and may go hypo - the metformin can prevent your liver from protecting you from insulin induced hypos?Hi guys not been well recently. For the first time in 16 years on metformin and insulin. A Dr has informed me not take my metformin when not well. I'm very surprised
I had exactly the same experience at Easter operation staying in hospital on a sliding scale. Very much the samePerhaps my doctors were wrong to not stop my met then during my recent hospital, operation & other issues, they have permanently reduced mine to 1g but never stopped them, even when on a constant insulin drip and days on little or no food. interesting, I'm sorry I jumped to my conclusion.
Hello. Could you please fill in your profile and information so we know what type of diabetes you have, and any diabetes medication you are on, as this helps other posters to know how to respond to some questions. Thank you.Hi guys not been well recently. For the first time in 16 years on metformin and insulin. A Dr has informed me not take my metformin when not well. I'm very surprised
Perhaps my doctors were wrong to not stop my met then during my recent hospital, operation & other issues, they have permanently reduced mine to 1g but never stopped them, even when on a constant insulin drip and days on little or no food. interesting, I'm sorry I jumped to my conclusion.
They reduced it because.... wait! I have no idea why, I was in hospital having a heart bypass, I assumed it had something to do with that but to be honest, I have no idea. Ridiculous really that I didn't ask.But did they reduce your insulin dosage to compensated for the reduction in carbs?
For a Type 2 on insulin and metformin there are 3 possible ways to adjust BG so as to try to avoid hypos:
1. Stop the metformin. - this frees up the liver to produce glucose when required.
2. Reduce the insulin dosage.
3. Eat more carbs.
Or a combination of all 3.
Outside of a hospital setting I know which ones I would prefer.
Even after learning how little some doctors know even we in here still find ourselves blindly trusting that they will get it right for us.They reduced it because.... wait! I have no idea why, I was in hospital having a heart bypass, I assumed it had something to do with that but to be honest, I have no idea. Ridiculous really that I didn't ask.
I'd agree with Ellie here especially if you take insulin with meals and not just once a day? but if you are ill I'd keep checking the blood sugars. Your liver may be making even more glucose without your eating anything in response to the illness itself.I had exactly the same experience at Easter operation staying in hospital on a sliding scale. Very much the same