Been type 2 from april 2011, always diet and medicine controlled. Bloods were high in february so my meds were upped to 100mg metformin in morning and 1000mg at teattime, also 160mg gliclazide in morning with 80mg at teattime. Bloods are up again, averaging around 15ish. I dont want to go on insulin so my question is are there othes tablets i can change to or even add on to what im already taking? Thanks
extra medication??
- Thread starter bonkers82
- Start Date
Hi. Can you let us know more about your age and BMI; also diet? Typically many go through Metformin and then Gliclazide and possibly Sitagliptin or similar are added. Each tablet has a different function but you are on the popular ones so far. Insulin is then used if these all fail although there are other injectables if you are grossly overweight. If you have excess weight then a low-carb diet is essential. If you are slim, then there is the possibility of being Late onset T1 (LADA) not T2. If LADA then going thru the tablets to insulin is inevitable, but with T2 the right diet together with some tablets may be all that is needed.
To be honest i dont have a routine with eating. Id try and have some breakfast, toast with benecol butter. For lunch ive been having cup a soup, with bread. For tea, a 'normal' meat, veg and spuds. In NI potatoes and bread are involved in every meal have cut down as much is possible. For lunch i have tried to go from carby stuff to poached eggs and grilled bacon
Tim55
Well-Known Member
- Messages
- 1,052
- Type of diabetes
- Type 2
- Treatment type
- Tablets (oral)
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Have you tried measuring your levels before each meal and then 2 hours after to get an idea what foods you can get away with, and what you can't?
I found moving onto high fat and away from spreads, margarines etc helped me a lot. Probably biggest problem I came across was the orange juice I used to have with breakfast. Now replaced with blueberry and cranberry, although I have found I can get away with some brands of non- sweetened orange as well
I found I didn't have to make too many changes, I can tolerate a small amount of bread or toast, provided it is buttered rather than margarine, although I have found bread from different bakeries can affect me in different ways, and I am OK with jacket potatoes, again provided they have loads of butter and preferably a bit of cheese too.
I think you may benefit from such an exercise, if you have not tried it.
The other thing I found helped was to take a couple of supplements, alpha lipoic acid and methyl vitamin B12. I started with these because I have neuropathy in my feet and there is a very good thread in the complications section called "Help in dealing with neuropathy" which suggests these can help. Since taking these for a couple of months I noticed my FBG levels were more stable and lower than they had been,and in fact I have halved the Metformin dose I was taking (2 x 1000mg daily) and my levels are still Ok.
I think, although I am no doctor, this is because my insulin resistance may be linked to difficulty in metabolising B12, and it seems metformin actually makes this problem worse.
My last Hba1c was 34, and, very much to my surprise, cholesterol was described as "excellent".
HTH
I found moving onto high fat and away from spreads, margarines etc helped me a lot. Probably biggest problem I came across was the orange juice I used to have with breakfast. Now replaced with blueberry and cranberry, although I have found I can get away with some brands of non- sweetened orange as well
I found I didn't have to make too many changes, I can tolerate a small amount of bread or toast, provided it is buttered rather than margarine, although I have found bread from different bakeries can affect me in different ways, and I am OK with jacket potatoes, again provided they have loads of butter and preferably a bit of cheese too.
I think you may benefit from such an exercise, if you have not tried it.
The other thing I found helped was to take a couple of supplements, alpha lipoic acid and methyl vitamin B12. I started with these because I have neuropathy in my feet and there is a very good thread in the complications section called "Help in dealing with neuropathy" which suggests these can help. Since taking these for a couple of months I noticed my FBG levels were more stable and lower than they had been,and in fact I have halved the Metformin dose I was taking (2 x 1000mg daily) and my levels are still Ok.
I think, although I am no doctor, this is because my insulin resistance may be linked to difficulty in metabolising B12, and it seems metformin actually makes this problem worse.
My last Hba1c was 34, and, very much to my surprise, cholesterol was described as "excellent".
HTH
4ratbags
Well-Known Member
- Messages
- 3,334
- Type of diabetes
- Treatment type
- Diet only
Have you thought about cutting out the bread and potatoes altogether to see if it helps at all. There are.plenty of alternatives out there you just need to look. I get lots of ny LCHF recipes off Pinterest. Increasing your medication may not help but it might be a discussion you need to have with your Dr if you cant get your levels down.
