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Glucose patterns.

Smiter55

Well-Known Member
Messages
63
My team started me on glimepiride couple months back and want me to monitor and get my a1c done in January. There's a definite pattern to my glucose levels. Levelling most of the night then spiking like heck during the day regardless of what I eat. Maximum carbs with any meal is around 20 grams, eg a slice if toasted high fibre bread. I'm sure the pills ate having no affect. I've attached screen shot of my readings .Screenshot_20221121-132643_xDrip%2B.jpg
 
What dosage are you on? I've just started with a 1mg dose, but my results are different to yours - higher at night, lowest in the middle of the day
 
Hi, sorry I missed your posts on the gastric band thread, and I've been looking at your other posts as well.
One of the many side effects of the surgery is blood glucose levels seem to have a rollercoaster ride.
There are theories why, it does.
You have had the trials of drugs. But not full control of your blood glucose levels.
When you eat because of the surgery, the response from the hormones, for instance insulin isn't enough to cope with the glucose . Because of the surgery, you have become insulin sensitive, insulin resistance with the T2, and also something called gastric dumping or glucose dumping
Usually, the higher glucose will come back to normal levels, but some people stay higher or go hypo. It all depends on your hormonal response or the amount of insulin you can use due to insulin resistance.
If Sitagliptin doesn't work, which is by design to increase insulin response and lower the glucose dumping blood glucose levels. I would presume that other drugs will not have much effect.
You have become carbs intolerant, I would recommend a keto diet.

Your fasting levels are decent, in fact I would presume near normal or just prediabetic levels which means that the su every has reduced the T2 levels. But every time you even eat low carb, you spike high.

I can answer some questions, as there has been those who have had surgery, have had similar symptoms to Reactive Hypoglycaemia. But in your case it is not quite clear. Mainly because of the drugs. I wonder what your levels would be if not on meds, overall. And yes hypos are bad!
 
Hi, sorry I missed your posts on the gastric band thread, and I've been looking at your other posts as well.
One of the many side effects of the surgery is blood glucose levels seem to have a rollercoaster ride.
There are theories why, it does.
You have had the trials of drugs. But not full control of your blood glucose levels.
When you eat because of the surgery, the response from the hormones, for instance insulin isn't enough to cope with the glucose . Because of the surgery, you have become insulin sensitive, insulin resistance with the T2, and also something called gastric dumping or glucose dumping
Usually, the higher glucose will come back to normal levels, but some people stay higher or go hypo. It all depends on your hormonal response or the amount of insulin you can use due to insulin resistance.
If Sitagliptin doesn't work, which is by design to increase insulin response and lower the glucose dumping blood glucose levels. I would presume that other drugs will not have much effect.
You have become carbs intolerant, I would recommend a keto diet.

Your fasting levels are decent, in fact I would presume near normal or just prediabetic levels which means that the su every has reduced the T2 levels. But every time you even eat low carb, you spike high.

I can answer some questions, as there has been those who have had surgery, have had similar symptoms to Reactive Hypoglycaemia. But in your case it is not quite clear. Mainly because of the drugs. I wonder what your levels would be if not on meds, overall. And yes hypos are bad!

Did you mean this post to be here? Ah I realise now what you have done. Firstly I hade rny bypass not band.

I had my rny surgery 13 years ago the erratic sugars are recent so not sure they are connected. I've had in the past rosiglitazone, gliclacide, metformin (still taking), sitagliptin (still taking) and this new one. Had no meds at all for about 5 years post op then had heart surgery and glucose went high again. Currently being monitored fir further heart issues, af and pauses. I have noticed my heart beats really hard as glucose goes high, then when glucose drops low is when pauses have been recorded, when sleeping. I have an implanted loop recorder.

Thank you for your input.
 
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Sorry, I have no idea where I got the band surgery.

However, your fasting levels are still decent and your response is high to even low csrb, your carb intolerance is high

sorry again.
Take care.
 
Sorry, I have no idea where I got the band surgery.

However, your fasting levels are still decent and your response is high to even low csrb, your carb intolerance is high

sorry again.
Take care.
So basically I will only get my glucose down by stopping eating carbs oh no!!!
 
Join the club! (Ha)

With my condition it is not an option, but I suspect if you continue with reducing your hba1c, fasting and having control of your blood glucose levels, your insulin resistance will improve, and then maybe a treat or two.

I assure you, it's not the end of the world or your life.
it can be done.
 
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