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Fasting until 2pm. Do I still take my morning Metformin ?
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<blockquote data-quote="KennyA" data-source="post: 2676392" data-attributes="member: 517579"><p>Hi NoMoreBeerAnymore and welcome to the forums.</p><p></p><p></p><p>I have never taken metformin, so can't speak from experience here. However, according to Bilous and Donnilly's <em>Handbook of Diabetes</em>, metformin doesn't itself lower your blood glucose. What it does (and how it does it isn't fully understood) is prevent your liver topping up your blood glucose from time to time from body stores. </p><p></p><p>Just to point out that we don't do taking/stopping medication advice or diagnoses on this forum. You need to discuss all that with your medical team.</p><p></p><p>What raises your BG after eating is carbohydrates (all digestable carbs, starches and sugars) being digested to glucose. You don't say whether you're testing your blood glucose levels or not with a glucometer - the NHS won't tell you to do it, although the advice you'll get from me (and from most folks here) is that it's the only way to understand how well your system can handle whatever carbs you're putting in to it. </p><p></p><p>Tagging [USER=400972]@Rachox[/USER] for the meter list</p><p></p><p>The method is to take a baseline test just before you eat, and then a second test two hours later. The second test is not to see "how high you go" - your high blood glucose point will almost certainly be reached somewhere in the first 20 to 60 minutes. You're looking for the +2 hr test to be as close as possible to the first - within 2mmol/l of the first, and not above 7.8mmol/l. </p><p></p><p>What the second test is for is therefore to show how well your system handles that glucose - how quickly it's removed from the blood and transferred to muscle tissue for fuel. </p><p></p><p>Insulin resistance - which is almost a definition of T2- can mean that muscle tissue won't allow glucose to be placed there. You don't want prolonged high blood glucose levels, and neither do you want the excess glucose being stored as fat. Sio if your system can't deal with the glucose produced, the advice is to limit that food. </p><p></p><p>This link (written by a forum member) is a good explanation. <a href="https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html" target="_blank">https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html</a></p><p></p><p>Best of luck. This forum is a great resource. Keep asking questions.</p><p></p><p>PS - there are decent low carb beers. Example - 1.6g carbs per 440ml</p></blockquote><p></p>
[QUOTE="KennyA, post: 2676392, member: 517579"] Hi NoMoreBeerAnymore and welcome to the forums. I have never taken metformin, so can't speak from experience here. However, according to Bilous and Donnilly's [I]Handbook of Diabetes[/I], metformin doesn't itself lower your blood glucose. What it does (and how it does it isn't fully understood) is prevent your liver topping up your blood glucose from time to time from body stores. Just to point out that we don't do taking/stopping medication advice or diagnoses on this forum. You need to discuss all that with your medical team. What raises your BG after eating is carbohydrates (all digestable carbs, starches and sugars) being digested to glucose. You don't say whether you're testing your blood glucose levels or not with a glucometer - the NHS won't tell you to do it, although the advice you'll get from me (and from most folks here) is that it's the only way to understand how well your system can handle whatever carbs you're putting in to it. Tagging [USER=400972]@Rachox[/USER] for the meter list The method is to take a baseline test just before you eat, and then a second test two hours later. The second test is not to see "how high you go" - your high blood glucose point will almost certainly be reached somewhere in the first 20 to 60 minutes. You're looking for the +2 hr test to be as close as possible to the first - within 2mmol/l of the first, and not above 7.8mmol/l. What the second test is for is therefore to show how well your system handles that glucose - how quickly it's removed from the blood and transferred to muscle tissue for fuel. Insulin resistance - which is almost a definition of T2- can mean that muscle tissue won't allow glucose to be placed there. You don't want prolonged high blood glucose levels, and neither do you want the excess glucose being stored as fat. Sio if your system can't deal with the glucose produced, the advice is to limit that food. This link (written by a forum member) is a good explanation. [URL]https://josekalsbeek.blogspot.com/2019/11/the-nutritional-thingy.html[/URL] Best of luck. This forum is a great resource. Keep asking questions. PS - there are decent low carb beers. Example - 1.6g carbs per 440ml [/QUOTE]
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