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<blockquote data-quote="JoKalsbeek" data-source="post: 2243116" data-attributes="member: 401801"><p>Hi [USER=369759]@UnderCeej[/USER] , and welcome,</p><p></p><p>I can see why your HbA1c came as a shock... Things seemed to be going so well, after all! Can you give a little more specifics about how you've been managing with diet only up until now? Were you following a certain school of thought there (Keto, LCHF, IF?) ? The foods you mention could go either way, carb wise, so I figured I'd check. After ten years of this you probably already know that practically all carbs turn to glucose once ingested? If not, you'll want to re-examine your daily meals, snacks and drinks, and start checking with your meter. Just be sure to use a big enough drop of blood, with strips that aren't past their use before date, wish freshly washed hands, or you'll be getting false LO readings. (Metformin doesn't cause hypo's, so it's fairly safe to say they're faulty readings). Test before a meal and 2 hours after, what you're aiming for is a result of 2.0 mmol/l or less, of a rise between the two.</p><p>Metformin can certainly cause everything you mentioned and then some, so considering the issues you're having I think it would be useful to go over your usual daily meals and see what the pitfalls may be. If those can be fixed, metformin can be nixed. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" /> What's an average day like, food wise? And has anything else changed in the past months? New medication, illnesses...?</p><p></p><p>Anyway, <a href="https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html" target="_blank">https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html</a> is my own little quick-start guide when it comes to low carbing and such, so you might want to read that, and go from there. And if you still have questions, or if things don't make sense, keep asking; there's always someone here with an answer.</p><p>Good luck!</p><p>Jo</p></blockquote><p></p>
[QUOTE="JoKalsbeek, post: 2243116, member: 401801"] Hi [USER=369759]@UnderCeej[/USER] , and welcome, I can see why your HbA1c came as a shock... Things seemed to be going so well, after all! Can you give a little more specifics about how you've been managing with diet only up until now? Were you following a certain school of thought there (Keto, LCHF, IF?) ? The foods you mention could go either way, carb wise, so I figured I'd check. After ten years of this you probably already know that practically all carbs turn to glucose once ingested? If not, you'll want to re-examine your daily meals, snacks and drinks, and start checking with your meter. Just be sure to use a big enough drop of blood, with strips that aren't past their use before date, wish freshly washed hands, or you'll be getting false LO readings. (Metformin doesn't cause hypo's, so it's fairly safe to say they're faulty readings). Test before a meal and 2 hours after, what you're aiming for is a result of 2.0 mmol/l or less, of a rise between the two. Metformin can certainly cause everything you mentioned and then some, so considering the issues you're having I think it would be useful to go over your usual daily meals and see what the pitfalls may be. If those can be fixed, metformin can be nixed. ;) What's an average day like, food wise? And has anything else changed in the past months? New medication, illnesses...? Anyway, [URL]https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html[/URL] is my own little quick-start guide when it comes to low carbing and such, so you might want to read that, and go from there. And if you still have questions, or if things don't make sense, keep asking; there's always someone here with an answer. Good luck! Jo [/QUOTE]
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