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Do I need to change meds?
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<blockquote data-quote="JoKalsbeek" data-source="post: 2278798" data-attributes="member: 401801"><p>It's a lot of hit-and-miss with medical help... Some are completely up to date and enthusiastic about helping people, quite a few are not, alas... And some just have given up on their patients because they see so very many of them, and so little improvement. Which I think is understandable... I have <em>a lot</em> of different conditions, and diabetes is the first one where I encountered some hopelessness or indifference from the endo, nurses etc. I had a rheumatologist cheering about a swollen pinky finger's joint once. ("Verifiable! You <em>do</em> have rheumatism!" Yeah... Like my body wasn't telling me that for years already....). Never had an endo cheering at me about anything. Not even getting blood sugars back down on my own, or fixing my non-alcoholic fatty liver disease. I actually got told off cut cutting carbs, I should let the gliclazide do the work. Sure. So maybe you just got lucky to get someone who's actually involved in your case.! Cherish them, and put them on your Christmas card list! (It's what i do.) <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>Metformin, this is how it works: It suppresses appetite, so you eat less. (Less food, less carbs, less of a spike). That's point one. And it reduces the glucose your liver dumps by about 75%. So that is the impact it does actually have on your blood sugars. It <em>might</em> make you a little more sensitive to your own insulin, but might not. It doesn't, however, do<em> anything</em> about the carbs (and thus, glucose) you ingest. There are other medications to tackle that with. So while certain aspects of what could raise blood sugars are indeed handled by metformin, the main and biggest one, is not: The food you do ingest. So while it's not a completely useless bit of medication, it doesn't make much more of a dent for the bulk of us. Hope that explained that a bit. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>Have a great weekend,</p><p>Jo</p></blockquote><p></p>
[QUOTE="JoKalsbeek, post: 2278798, member: 401801"] It's a lot of hit-and-miss with medical help... Some are completely up to date and enthusiastic about helping people, quite a few are not, alas... And some just have given up on their patients because they see so very many of them, and so little improvement. Which I think is understandable... I have [I]a lot[/I] of different conditions, and diabetes is the first one where I encountered some hopelessness or indifference from the endo, nurses etc. I had a rheumatologist cheering about a swollen pinky finger's joint once. ("Verifiable! You [I]do[/I] have rheumatism!" Yeah... Like my body wasn't telling me that for years already....). Never had an endo cheering at me about anything. Not even getting blood sugars back down on my own, or fixing my non-alcoholic fatty liver disease. I actually got told off cut cutting carbs, I should let the gliclazide do the work. Sure. So maybe you just got lucky to get someone who's actually involved in your case.! Cherish them, and put them on your Christmas card list! (It's what i do.) :) Metformin, this is how it works: It suppresses appetite, so you eat less. (Less food, less carbs, less of a spike). That's point one. And it reduces the glucose your liver dumps by about 75%. So that is the impact it does actually have on your blood sugars. It [I]might[/I] make you a little more sensitive to your own insulin, but might not. It doesn't, however, do[I] anything[/I] about the carbs (and thus, glucose) you ingest. There are other medications to tackle that with. So while certain aspects of what could raise blood sugars are indeed handled by metformin, the main and biggest one, is not: The food you do ingest. So while it's not a completely useless bit of medication, it doesn't make much more of a dent for the bulk of us. Hope that explained that a bit. :) Have a great weekend, Jo [/QUOTE]
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