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Dignosed today and already confused about metformin

Discussion in 'Type 2 Diabetes' started by Thommothebear, Mar 25, 2013.

  1. Thommothebear

    Thommothebear Type 2 · Well-Known Member

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    Doctor has prescribed 500mg slow release metformin, telling me to take one each morning. Got the prescription filled and the instructions say to take in the evening with food. So do I take in the evening or in the morning?


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  2. Daibell

    Daibell LADA · Master

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    Hi. To be honest I think you'll it doesn't matter. The SR version can effectively be taken at any time on a 24hr cycle. Have a look at the leaflet anyway. Because it's the SR version I think you will find it doesn't have to be taken with food either but I always do.
     
  3. merrymax69

    merrymax69 Type 2 · Member

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    I used to take 1000mg SR metfomin in the morning and then again at bedtime, never taken with food.
     
  4. mimo

    mimo · Active Member

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    I take 2 SR metformin in the morning as requested by my GP. Check with yours if you are unsure.


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  5. cherylle

    cherylle · Well-Known Member

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    I am on metformin i was told to take in a morning with my breakfeast.I then went back 2weeks later and was told to take 500mg in a morning then 500mg evening for 2wks then i had to take 500 mg at dinner so i take 1500 daily and i take it always with my meal.hope this helps and welcome to our world.lol

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  6. Thommothebear

    Thommothebear Type 2 · Well-Known Member

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  7. lifesway

    lifesway · Member

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    I would imagine it doesn't really matter so long as you are taking them regularly so they build up in your system. I am on my second week of Metformin I was told I had to take one with my evening meal for the first week . Always take it with food I usually have a glass of water also to help with digestion. This week I'm on 2 mets a day one in morning one at night then 3rd week 3 times a day and finally 2 morning and night which is what I'll be on unless anything changes I suppose.
     
  8. Thommothebear

    Thommothebear Type 2 · Well-Known Member

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    Well, a couple of weeks on and things not too bad at all. Testing twice a day per my GP and averaging 6.8mmol over the last 7 days, which is much lower than it was. Have much more energy too so definitely feeling the benefit of the metformin. Have not really changed my diet as it was pretty much a low gi diet anyway so it has to be the metformin. only thing that is slightly bothering me is some stomach pain in the early mornings but that could be unrelated. I'm hoping that the 500mg slow release metformin is doing enough that I won't need a higher dose for quite a while. Now if I could just get my dodgy knees dealt with so exercising would be easier I'd be really happy! :D
     
  9. kathy fardell

    kathy fardell · Member

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    I've been on Metformin 500gms daily for 3 years but tummy upsets were unbearable (don't want to put people off their food lol). Doc just changed me this week to Metabet (Metformin) 500mg 3 times daily, 2 morning & 1eve. Doc and pharmacist said take with food. Hope this helps
     
  10. Thommothebear

    Thommothebear Type 2 · Well-Known Member

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    I'm not really getting any side effects at all now from the metformin so I'm quite happy with the medication. I'm eating to the meter right now and eliminatng food that cause spikes>2hrs (just the supposedly low GI Blueberry muffins so far).

    I'm much more concerned about my high cholesterol levels which have been rising despite the increase in statin doses from 5mg to 40mg over the last 7 years. I am seriously considering switching to the <130g carb diet and see what effect that has, but I'll wait for the results of my latest lipid test next week first.
     
  11. Vern

    Vern Prediabetes · Well-Known Member

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    Hi there. Just a quick chirp. I low carb under 50mgs a day. It was hard at first but now I am so used to it that I don't even bat an eyelid. My BG has gone from 7.8 (fasting) and 11.2 (Post Prandial) to 3.9 and 5.1 respectively. I am not using any meds but am hoping to control this with low carb for a long period of time. However, when I can no longer do this I won't hesitate to take Metformin. I too also lost 18kgs with the low carb lifestyle and only then got T2. It does raise the question as to the cause then?


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  12. volaer

    volaer Type 2 · Active Member

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    I am taking 1500 mg of metformin daily. If you take the SR version that's totally fine even if u take it one time, let's say evening.

    If it is not the extended release, i am taking it one 500mg per meal. Hope that gives u the idea.


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  13. daisy1

    daisy1 Type 2 · Legend
    Retired Moderator

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    Hi Thommothebear and welcome to the forum :)

    Here is the information we give to new members and I hope you will find this useful. Carry on asking questions and members will help you.


    BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

    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 well over 30,000 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.
    http://www.diabetes.co.uk/food/diabetes ... rains.html

    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 blood glucose 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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