She's on Lantus & metformin too...@asparagusp Why do you need to reduce the Gliclazide? 4.1 to 4.6 is a perfectly normal range.
This was a fall post breakfast of 0.6 heading towards a hypo. In the late afternoon in the last few days since changing to taking Lantus in the morning, I have been feeling extremely hungry when out.
The same as always - unsweetened organic cocoa made with semi skimmed organic milk. Usually the post breakfast readings are within range, never low like this. The late hunger though is since increasing Lantus dose to 8 units a week ago so yes perhaps it might be that but perhaps two I could decrease the Glaiclazide which I would prefer. I have emailed my nurse so I'll see what she says.What did you have for breakfast?
Lantus doesn't make you feel hungry as far as I'm aware.
Let's put it a slightly different way @asparaagusp, you are quite unusual in that you are using Gliclazide, Metformin and Lantus together. Your glucose levels this morning, from what I can see were very good, and the blood test results you got were within the normal potential deviation of the meter you were using (0.6 change on 4.7 is 12.6% which is within the 15% tolerance) .
As a result, it's questionable as to what you saw. Was it:
The normal advice in T1 terms relating to seeing something that you've never seen before is not to change it after the first occurrence, and I think that applies here too. You only change it if there is a clear pattern with the same thing happening on multiple occasions. So as it stands, don't change the Gliclazide.
- An aberration in glucose readings emanating from the meter?
- A sudden drop caused by Gliclazide before eating breakfast?
- Normal deviation within blood glucose levels at a level that is normal?
See what happens with the same breakfast on the next two days and make an assessment based on a fuller set of data rather than a knee jerk reaction to a one off, however disturbing it might have been for you.
Sorry I have only just noticed your reply. My point is that I have never dropped post breakfast to what could have been a hyp. My fasting was 4.7. I took two post breakfast readings, both 4.1.I really don't understand where you're coming from. 4.1 is not low. It's perfectly normal and definitely within range. If you'd dropped from say 7 to 4.1 I'd be concerned but not enough to change my meds straight away. I'd be looking for a pattern to the drops.
I have to admit I would be punching the air & dancing about like Kevin Backon in Footloose if I started my day with a "flat one" like that..?!I really don't understand where you're coming from. 4.1 is not low. It's perfectly normal and definitely within range. If you'd dropped from say 7 to 4.1 I'd be concerned but not enough to change my meds straight away. I'd be looking for a pattern to the drops.
Ah Mahola the fasting level was 4.7 then it fell to 4.1 then after the glucose, 4.6!! Thanks.Of course it was going to go up after a bite of a glucose tab.
Did you have any symptoms of a hypo?
Ah Mahola the fasting level was 4.7 then it fell to 4.1 then after the glucose, 4.6!! Thanks.
Funny you say that. I was very confused so checked mine. I'm fine. The confusion is not down to a hypo. Phew.
Sorry I have just found your post. Yes I had a c-peptide test in mid July. I'll find the result and post it later. Thanks for your very helpful answer..I find the concept of being on a sulfonylurea and insulin at the same time confusing as hell. Seems like a really odd combination for a HCP to recommend at all, especially if they haven't done a c-peptide test to check endogenous insulin. Wouldn't insulin by itself (with maybe metformin to reduce IR) be a simpler regimen to manage? Have you ever had a c-peptide test, @asparagusp?
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