Gliclazide dosage

[rowan]

No-one's posted in this forum since last year, so hoping someone sees this?
I take 2 gliclazide with breafast and 2 with dinner, started on this max dose when my levels were high 20s (I take 2 metformin at the same time).
I asked DN recently about reducing amount seeing as my A1C had gone down and she said not yet, they're still too high, which sometimes they are, but lower numbers are getting much more common before dinner now.
It was 4.5 before dinner tonight so am wondering if I should really be taking 2 gliclazide, or split the dose 1 now and one later?

 

[EwokBishop]

Hi,

I don't take gliclazide now but I have done in the past.

I personally would be changing anything in the basis of one reading, and that to one side 4.5 would be a perfectly acceptable pre-meal BS for me.
My advice would be not to change your meds if a dN has advised otherwise but keep a close check on your BS, if you start going sub 4 then you need to perhaps look at changing your meds, but it's really what you feel comfortable with at the end of the day, perhaps ask to see your specialist rather than the DN and talk through your concerns with them.

 

[rowan]

It's not just one reading, it's often around 5 before dinner, I'm just a bit concerned that the max dose could send me too low overnight.

 

[rowan]

Ooh 1 hour after fillet steak, 2 hash browns and fried tomatoes and I've gone down to 4! I took 1 gliclazide and 2 metformin.

 

[gjonesuk]

I am on 2 Gliclazide morning and night as well as Victoza and I am still struggling to get below double figures!

 

[GillKat]

I am now on 2 Glicazide before first meal and evening meal and 1 Saxaglipin before first Glicazide and levels are averaging about 7.1 although were down to 6.8 yesterday over last 7 days.

However find readings vary dramatically sometimes and although I have been told to only test twice a day I tested 3 times in a minute one day last week because I got a silly reading of over 10, when it should have been more around 6 or lower. So used 3 different fingers and got 3 completely different readings!

So give up tbh!

I wouldnt change anything myself and dont think you will have a problem overnight as the body stores glucose and sometimes higher readings are due to your body thinking you are starving and releasing glucose into your system........................told this by diabetic consultant and also on course I am currently on.

Agree with OP about going below 4 because you are then in hypo territory and if it happens regularly you need to get back to doctors...........good luck