A little lost soul, trying to process it all.

Hello so new to Type 2. Yet to have a full appointment with gp/nurse about condition. Received phone call last wk (thurs) bloods came back at 99 above the average ideal of 48 or lower.
Metformin prescription to be collected Tuesday. Nurse said one week take one pill, second week take morn and nigh, third week morn, noon, night and fourth week take 2 in the morn two in the eve and maintain a 4 per day ratio.
Does this sound correct is it normal to increase to 4 per day, should I be worried?
Talks about meal replacement plan for 3 months too. (I’m fully on board with this)
Medical history aside from this, hypothyroid/Hashimoto (hereditary on father side) Managed well. I take daily vitamins too, vit a, vit c, probiotic, vit d, zinc, folic acid and daily allergy antihistamine.
Hypothyroid hasn’t caused major weight gain, if anything I’m just static. Give or take a few pounds here and there.
I actually asked for the bloods for Hba1c as it’s in my family and I kind of thought I’d be susceptible.
it’s kicked my butt into gear and I’m totally up for trying to put it in remission.
but I’m just lost with what’s next, is the metformin increase a worry and what should I be asking the GP/Nurse.
Thankyou

EllieM said:

Is this T1 or T2 (or a different type of diabetes)?

Once more welcome

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Is this T1 or T2 (or a different type of diabetes)?

Hello this is for type 2 my blood hba1c result was 98. Nurse was pretty nice said it wasnt one of the highest she had seen but to start metformin asap to get it heading in the right direction downward.

catinahat said:

Yes it's very normal to gradually increase the Metformin dose over a period of time.
The reason is the possible gastric side effects that Metformin can cause for some people, gradually increasing the dose gives your body chance to get used to the drug and hopefully avoids or reduces any problems.

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Ahh i understand, thank you for your reply and the link ill take a look

niblue said:

There seems to be some difference in prescribing for this - I was diagnosed at 106 and initially went onto 1 metformin per day for 2 weeks, then after that moved to 2 per day - which is what I'm still on.

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Ah thankyou my initial number was 98, so im hoping to get it moving in the right direction.

TriciaWs said:

Did they talk to you about cutting carbs? For me that was the best way forward and it worked very well. My HbA1c dropped very fast as I started as soon as I was diagnosed. Some people take longer. Some tolerate fewer carbs than me.

Not all GPs/nurses are up to date on this but if you want to try it remember all carbs turn into sugars, brown bread has almost the same carbs as white, and the Eatwell plate is not the best diet for T2s as it has too many carbs for most of us to cope with.
See links in my signature for more information.

If you prefer the medication route then yes, increasing the metformin dose is common but it should take account of your initial HbA1c and following tests You might want to check posts in here:
.

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No nothing about changing anything at the moment except the prescribing of the Metformin. I have a face to face appointment booked in a few weeks time the nure said she will go through 'it all' then, take measurements, blood pressure etc. Thank you ill have a look at the link along with the others, other people have posted. I think im just over whelmed but want to tackle it as best i can, if that means with the help of medicines then i guess ill give it a good go.