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Alternatives to Metformin

Discussion in 'Type 2 Diabetes' started by Muzleflash58, Nov 12, 2015.

  1. Muzleflash58

    Muzleflash58 Type 2 · Newbie

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    Hi all, I was diagnosed in 2012 with type 2 and put on metformin 500mg x 4 per day, after a while I was having major problems with stomach ache, wind and tiredness, the doctor put me on the Glucophage SR prolonged release metformin 2 x 1000mg per day, these were ok for a few months then the wind and stomach problems came back but worse, also my early morning bg is averaging around 11mmol/L. I have my diabetic check up next week and was wondering what if any are the alternatives to Metformin?


  2. mfactor

    mfactor Type 2 · Well-Known Member

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    What he/she said or

    LCHF ,,,,,,,,,,,,Low Carb High Fat diet and mucho exercise and good weight management ....................
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  3. zhaith

    zhaith · Active Member

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    Hi i was in a very similar position as yourself, with the exact same symptoms for the entire length i was on Metformin which was around 3.5 years, at the time my GP only wanted to put me on insulin which was not really an option for me do to my work, I eventually saw an endo at my local surgery who put me on Sitagliptin and gliclazide which worked really well for around 4 years but the last year control has eluded me even with a Low carb diet. As for side effect the sitagliptin and gliclazide gave me no side affects at all since I started them.

    Iy looks like i will be going onto Bydureon in the next couple of weeks as long as my liver function is as good as it was a couple of years ago.

  4. catherinecherub

    catherinecherub · Guest

    Hi @Muzleflash58 and welcome to the forum.

    There are other oral medications that may help your control.

    You seem to have a lot to put up with judging by your information page and I hope that you will feel better with advice from the forum.

    I will tag @daisy1 to give you some basic information that may help with your management.
    Take care and please ask any questions that you may have.
  5. daisy1

    daisy1 Type 2 · Legend

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    Hello Robin and welcome to the forum :) Here is the information we give to new members and I hope you will find it useful. To help control your levels, look especially at the diet and carb advice. Ask more questions and someone will be able to help.


    Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

    A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 150,000 people who are demonstrating this.

    On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

    The role of carbohydrate

    Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

    If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

    The bad news

    Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

    The good news

    People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

    Controlling your carbs

    The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
    There are two approaches to controlling your carbs:

    • Reduce your carbohydrate intake
    • Choose ‘better’ carbohydrates

    Reduce your carbohydrates

    A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

    The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

    Choosing better carbohydrates

    Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.

    The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

    Read more on carbohydrates and diabetes

    Eating what works for you

    Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

    To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

    The blood sugar ranges recommended by NICE are as follows:

    Blood glucose ranges for type 2 diabetes
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 8.5 mmol/l
    Blood glucose ranges for type 1 diabetes (adults)
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 9 mmol/l
    Blood glucose ranges for type 1 diabetes (children)
    • Before meals: 4 to 8 mmol/l
    • 2 hours after meals: under 10 mmol/l
    However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

    Access to blood glucose test strips

    The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

    • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
    • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

    Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

    You may also be interested to read questions to ask at a diabetic clinic

    Note: This post has been edited from Sue/Ken's post to include up to date information.
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  6. Muzleflash58

    Muzleflash58 Type 2 · Newbie

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    Thank you for the information folks
  7. tuatara

    tuatara Type 2 · Active Member

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