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Have I cut the carbs too much, too soon?
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<blockquote data-quote="Unbeliever" data-source="post: 264243" data-attributes="member: 30851"><p>I was neer on glic but was on glimepiride. I had been on it for 3 years , quite a high dose. When I started taking j januvia and low carbing I was told by the hospital I should be avble to cut tthe glimepiride {same sort of thing as glic} gradually.</p><p></p><p>I had to cut it it very quickly as i was having hypos several times a day. Had I waited to see the nurse in my practice I would have been very ill I think.</p><p></p><p>When I had my HBAic - the only time a GP will talk to you about diabetes in my practice} they totally agreed with me.</p><p></p><p>If you are havning hypos after lowcarbing then you are over medicated. Of course noone can officially give you medical advice but I know you will find that they would be more concerned wih your having hypos than lowering the medication.</p><p>You may get someone who tells you that you should eat more carbs but you have to ry to avaoid getting into the "meds make you put on weight which raises your levels so you have to have more meds " etc</p><p></p><p>I would not tell them that you are low carbing because they may not understand what you mean, Just say you are being careful with your diet and reducing starchy carbs.</p><p></p><p>I dont think it would be a good idea to eat more carbs han you want just o accommodate the medication. It is often difficult to get he dosage righ in the beginning. You may need to increase it again in the future when you have worked ou a sustainable diet for yourself but I doubt if you will get much help with this from the HCPs who are bound by NHS guidelines.</p><p></p><p>I was told to eat more carbs because of the effects of metformin , This I got into that spiral with other drugs which have caused complicaions.</p><p></p><p>Changing to tjhe metformin sounds like an excellent idea. That will give you a bit of help should you need it without causing hypos.</p><p>Obviously your nurse was just doing what everyone has to dio in the beginning, just try various doses to see how they work.</p><p></p><p>I have had exercise-induced hypos and found that they were far less unpleasant than the medication induced s You dont want many of those!</p><p></p><p>The only point of taking the glic is to increase the insulin production so if you dont need it dont take i. That doesnt apply to all medication but seems to make sense in these circumstances.</p></blockquote><p></p>
[QUOTE="Unbeliever, post: 264243, member: 30851"] I was neer on glic but was on glimepiride. I had been on it for 3 years , quite a high dose. When I started taking j januvia and low carbing I was told by the hospital I should be avble to cut tthe glimepiride {same sort of thing as glic} gradually. I had to cut it it very quickly as i was having hypos several times a day. Had I waited to see the nurse in my practice I would have been very ill I think. When I had my HBAic - the only time a GP will talk to you about diabetes in my practice} they totally agreed with me. If you are havning hypos after lowcarbing then you are over medicated. Of course noone can officially give you medical advice but I know you will find that they would be more concerned wih your having hypos than lowering the medication. You may get someone who tells you that you should eat more carbs but you have to ry to avaoid getting into the "meds make you put on weight which raises your levels so you have to have more meds " etc I would not tell them that you are low carbing because they may not understand what you mean, Just say you are being careful with your diet and reducing starchy carbs. I dont think it would be a good idea to eat more carbs han you want just o accommodate the medication. It is often difficult to get he dosage righ in the beginning. You may need to increase it again in the future when you have worked ou a sustainable diet for yourself but I doubt if you will get much help with this from the HCPs who are bound by NHS guidelines. I was told to eat more carbs because of the effects of metformin , This I got into that spiral with other drugs which have caused complicaions. Changing to tjhe metformin sounds like an excellent idea. That will give you a bit of help should you need it without causing hypos. Obviously your nurse was just doing what everyone has to dio in the beginning, just try various doses to see how they work. I have had exercise-induced hypos and found that they were far less unpleasant than the medication induced s You dont want many of those! The only point of taking the glic is to increase the insulin production so if you dont need it dont take i. That doesnt apply to all medication but seems to make sense in these circumstances. [/QUOTE]
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