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Advice on Metformin
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<blockquote data-quote="Alexandra100" data-source="post: 1763990" data-attributes="member: 429870"><p>Hello Hollie, I am a Metformin enthusiast. I struggled to be prescribed it but have only been taking it for a few weeks. I began on 500mg once a day and have now progressed to 500mg x 3 times a day. I do experience some bowel looseness, but as I used to have problems with constipation which I found much worse, I don't mind that too much. I also feel a bit sick after taking the pills, which wears off after about 30-60 minutes. Next time I see my GP I am hoping to switch to the extended release pills and go up to 1000mg x twice daily. I make sure always to take Metformin with food, not necessarily a full meal. That is supposed to help with digestive issues, but on the other hand means that it may not help lower post-meal bg as much as it might, since I read that Metformin takes about 2 hours to kick in. So for that reason too I'd like to try the extended release version and just take that with breakfast and dinner.</p><p></p><p>You might do better to cut back to only one 500mg tablet daily for a week or two and then gradually increase. Some even recommend cutting the 500mg tablet in half so as to take only 250mg at first, but the tablets I have are domed and I don't think they would cut easily. (Btw we discussed this on another forum and it was decided that it is OK to cut the ordinary Metformin tablets in half, but not the extended release ones as that would mess up the dose.)</p><p></p><p>Metformin doesn't either increase or reduce your carb intake needs, but if you read the enclosed instructions, you will see that drinking alcohol is not recommended. I suspect that many Metformin users here do indulge at any rate in one small glass! However as a T2, if you want to lower your A1c and post meal readings you will probably need to lower your carb intake. Metformin will not do it all for you! </p><p></p><p>You might find this article concerning Metformin encouraging: <a href="http://www.mendosa.com/blog/?p=1261" target="_blank">http://www.mendosa.com/blog/?p=1261</a></p></blockquote><p></p>
[QUOTE="Alexandra100, post: 1763990, member: 429870"] Hello Hollie, I am a Metformin enthusiast. I struggled to be prescribed it but have only been taking it for a few weeks. I began on 500mg once a day and have now progressed to 500mg x 3 times a day. I do experience some bowel looseness, but as I used to have problems with constipation which I found much worse, I don't mind that too much. I also feel a bit sick after taking the pills, which wears off after about 30-60 minutes. Next time I see my GP I am hoping to switch to the extended release pills and go up to 1000mg x twice daily. I make sure always to take Metformin with food, not necessarily a full meal. That is supposed to help with digestive issues, but on the other hand means that it may not help lower post-meal bg as much as it might, since I read that Metformin takes about 2 hours to kick in. So for that reason too I'd like to try the extended release version and just take that with breakfast and dinner. You might do better to cut back to only one 500mg tablet daily for a week or two and then gradually increase. Some even recommend cutting the 500mg tablet in half so as to take only 250mg at first, but the tablets I have are domed and I don't think they would cut easily. (Btw we discussed this on another forum and it was decided that it is OK to cut the ordinary Metformin tablets in half, but not the extended release ones as that would mess up the dose.) Metformin doesn't either increase or reduce your carb intake needs, but if you read the enclosed instructions, you will see that drinking alcohol is not recommended. I suspect that many Metformin users here do indulge at any rate in one small glass! However as a T2, if you want to lower your A1c and post meal readings you will probably need to lower your carb intake. Metformin will not do it all for you! You might find this article concerning Metformin encouraging: [URL]http://www.mendosa.com/blog/?p=1261[/URL] [/QUOTE]
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