Snap! I too was maxe'd out on Glic, along with Metfomin and Actos /Avandia and my bgl rarely dropped below 20 mmol/l and usually my meter registered HI whenever I tested. I too started my journey down Low Carb lane, and also skirted hypoland as I reduced my meds. That was 8 years ago, and since then my HbA1c has remained below 48. My weight dropped from 18 stone down to 10 stone, and I took to wearing braces since my waist is now 30" whereas I had been contemplating upgrading my jeans to a 40" waist before LCHF. My weight has been consistent at 64kg since. I have chosen to maintain a minimum dose of Gliclazide (40mg/day) since it helps me to relax my low carb diet and makes it more sustainable. I am happy to use Glic as it is a med I understand and trust and it gives me no side effects. Am I thrashing my beta cells? Not really, I still follow LCHF and that one tab of glic seems to keep my mealtime levels in check nicely. for instance two nights ago I ate battered cod and my bgl only rose 0.5 mmol.l at the 2hr PP mark and had returned to baseline at 4 hrPP.I was on maximum Gliclizide for a few years as I continued to reduce carbs and lost weight I slowly reduced it with the help of my GP until I came of it completely in 2019, I lost the majority of my weight 11st weight loss on Gliclizide so no I didn’t gain weight.
It’s was a bit of a balancing act between carbs and how much gliclizide I was on, once I started to drop into hypo territory regularly I would reduce the gliclizide and my carbs a bit more until I wasn’t in need of it anymore. I think some of those who gain weight are feeding the hypos rather than reducing the meds which is maybe why some say they gain weight.
I do have to stick to less than 20g carbs a day though, and please be aware not everyone can get off meds completely and that doesn’t mean they’ve failed, it just means their journey is different than yours and if that was the case for me I would rather be on a small dose of Gliclizide with good numbers than struggle with higher numbers without. There is no shame in needing medication to help you be well.
Those using a gliflozin medication while doing low carb diet need to bw aware of this adviceI went from Gliclazide to Metformin because my diabetes instructor didn’t like Gliclazide. Metformin cause me bowel problems so ditched that and on Empagliflozin and low carbohydrate high fat diet. I have ups and downs because of tam LOT of stress and other Healy issues I’m trying to get sorted, but otherwise ok
I do eat high proteins and carbs I doubt are low. Sadly no chance of getting a dietitian unless I pay and then who.Those using a gliflozin medication while doing low carb diet need to bw aware of this advice
As one who has experienced very high ketone readings (8 mmol/l) while on an SGLT-2 medication and only doing moderate carb restriction (not keto diet) this is worrying. The gliflozins reduce '/ stop the kidneys excreting ketones which build up.
These meds are contraindicated for Low Carb eating. We have seen several incidences of DKA admissions while tking this med reported in this forum. Gliclazide does not have this effect at all.
You should contact your HCP that prescribes the medication and make them aware that you are low carbing. They should provide you with ketostix on scrip to allow you to self monitor your ketone output. It ought to be entered into the medical record that you have declared this.I do eat high proteins and carbs I doubt are low. Sadly no chance of getting a dietitian unless I pay and then who.
Could have been electoyte imbalance. High potassium can cause panic etc. My heart med does that and I got the call back after a test to go straight to A&E do not pass Go, Do not collect £200.Saw my GP Thursday, have been given testing strips to use with my Nipro Duo, but GP wasn’t that concernedI’m now concerned because I ended up in A&E March and I had a reading that made them panic, called me to a bay to re-test blood and said the problem might have caused a HA, re-test appeared ok.
Got GP to give me Ketone strips, used one earlier and it’s ‘low’
Electrolytes - I’ve got dissolvable tablets, maybe use more often.
No it was a distraction from your question. Gliclazide can give hypoglycemia but that is readily treatable by eating some carbs or glucose.I’d this when taking glyclozide do you mean pls?
My experience of mixing Gliclazide and alcohol, is that they do interact, and the combinatiion can drop bgl levels lower than usual. It is not a major problem since as a T2D the liver will eventually step in and raise the sugars back up naturally, but keep a sugary snack nearby or a sugary driink to reverse the drop if it becomes a problem.Thank you , you sound like you have very cooperative doctors.
Thank you for this information, Iv got my sugars from 115 to 100 on my own cutting carbs I’m tempted to keep trying but I had a six hour migraine yesterday and worry could be the blood sugar.
I just hate the thought of not drinking and being able to let my hair down.
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