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How much metformin ?

Martinez

Member
Messages
5
after being ill on and off for 18 months, I was relieved to be diagnosed as type 2 in July this year. Well I had almost come the end of my tether as to what was wrong with me so any diagnosis was positive unless fatal of course. I was a hefty 18st 12 and 6ft tall, still same height but have lost over a stone now and feeling much better for it. The first tablet of Metformin I took was like a veil being lifted from me, my eyesight got better and the tiredness went. I have lapsed a little and do allow myself a few treats within reason and am still losing weight but a little more slowly now. I've been using the Collins Gem GI book as a guide and my Nurse has agreed it's a good diet to follow. Up until the past couple of days I've felt fine, but then the feeling unwell started again and I've felt a bit sick on and off throughout the day. Checked my blood yesterday and today to see if anythings gone a bit high, and reading right after eating was 5.3 and 2 hours later 7.3. So why do I feel unwell ? I took another half tab of Met and feel better.

I normally take just 1 tab every morning with my porridge, do I need to look at increasing do you think or upping the effort with diet ?
I'm still losing weight but at a slower rate now, but find the drop in energy a bit much if I diet too hard
 
I don't have the answers you are looking for but I have one or two comments about your medication. I take Metformin and I was told to take it after my main meal of the day. I am not sure what taking it with breakfast will do.

You seem to be getting some benefit from the Metformin but I and one or two other people I know have had side effects with it. I suffered taste displacement which meant that food tasted like burnt plastic and my dose had to be reduced. I have met three other people that had the same problem.

Others have had bad stomachs with Metfromin. Stomach pains and gas etc.

So the bottom line is that maybe if you took your Metformin with the main meal it might be more comfortable but taking more Metformin might bring you into the side effects zone if indeed you are not in it already. The feeling sick might be because of the amount or the timing.
 

I would suggest stop eating porridge for breakfast that would make your levels rise. Then you may not need to take another Metformin,
 
Your levels all look good. Providing you are never more than in the 7's two hours after eating, your diet must be pretty good. I'd have thought it unlikely that atking the metformin would suddenly make you feel better - metformin works quite slowly and only has a small effect on BG levels anyway. Maybe it is co-incidence? Or, and I don't mean to sound nasty, could it be that you feel better because you THINK the metformin will make you feel better? If you feel unwell, it could be because your body is still acclimatizing to a lower blood sugar levels. It gets used to running on high sugar levels, so when we start to head towards more normal figures, it thinks it's not getting enough. I'd just stick with it and keep ensuring you never stray out of those 7's.
 
Hi. Metformin does not normally cause you to feel unwell apart from stomach issues with the non-SR version. I had the metallic taste problem for 6 months but it did eventually disappear. This put me off many foods for a while. Metformin does reduce your appetite so be prepared for food to be a bit less appetising. For the SR version it doesn't matter when you take it and whether it's split or taken all at one time. For the plain version I think the advice is to take with food.
 
I really don't know why I was feeling unwell. Of course it could I've picked something up, but first reaction is to think it's my type 2.
Anyway been a good boy today, wheatabix for breakfast and mixed bean salad for lunch with wholemeal roll followed by an apple.
Felt fine all day, so maybe nothing to worry about, after reading advice on here I've tried to increase my fluids with some diet lemonade.
Had a naughty night tonight with Inspector Montelbano and some chianti and bruschetta with stuffed Jalepenos and olives. I'll check my levels in the morning. I've planned a berry fruit salad tomorrow to make up.
I do miss the french sticks, but that's all in the past now
 

I might be wrong here, so forgive me if I am, but are wheatabix, mixed beans and wholemeal bread a good idea for diabetics? They all sound high in carbs to me. If you're eating a lot of carbs maybe that's why you're feeling ill. :think:
 
GraceK said:
I might be wrong here, so forgive me if I am, but are wheatabix, mixed beans and wholemeal bread a good idea for diabetics? They all sound high in carbs to me. If you're eating a lot of carbs maybe that's why you're feeling ill.

You're correct, they are all carb laden. Martinez, you need to understand that what is considered "good" and "healthy" for a non-diabetic isn't for us. Wholemeal bread is still bread, and weetabix has high levels of carbs. Perversely, the things you seem to think are bad, like Chianti, stuffed olives, Jalapenos, are all fine. (The bruschetta isn't so clever of course)
Here's some general dietary info you might find helpful.
In general terms you will need to reduce the total number of carbohydrates you eat per day. All carbohydrates turn to sugar when we eat them, and no type 2 diabetic on diet only, or on diet and metformin only, can control their blood sugars (BGs) without controlling their carb intake. Even those on strong medication normally choose to control their carb intake to keep the level of medication they take down. The total number of carbs per day you can eat depends on how advanced your diabetes is. It’s perhaps worth starting at about 50% of normal levels for a non-diabetic then adjusting up or down according to how you get on. So that means eating 150 grams of carbs per day for a man, 125 for a woman. You can read the total carb content of food under “nutritional info” on the packet or wrapping, or look it up on the internet for loose food. Just google “carb content..”
You also need to stop or reduce the bad carbs; that is the starchy ones that make your BG go up quickly.
So obviously no sugar or glucose! But also no white bread, white rice, pasta, flour products like pastry, cake and batter. You can eat a little basmati rice, wholewheat pasta or the tri-color pasta fusilli ones in small quantities. Boiled new potatos (again not too many) are OK but not old pots mashed, boiled or in their jackets. (Roast is not so bad, the fat slows their absorption and conversion to glucose in the blood) Amongst other veg, parsnips are about the worst for BG, and carrots not great but ok in smaller amounts.
Multi grain bread (not wholemeal) is not SO bad, but lots of us eat Burgen soya and linseed bread from tescos and sainsburys, although all bread should be in limited amounts.
All fruit has carbohydrates, and needs to be included in the amounts of carbs you eat in a day. For most people, bananas are about the worst for pushing our BG up and berries (like strawberries, raspberries etc) are the least bad.
No sweeties!
Exercise is important. I tend to exercise about an hour after eating when I know my BG will be peaking. This helps to bring it down quicker and further. I do ten minutes hard work on an exercise machine, but you could run up and down stairs for ten minutes or go for a brisk walk.
Returning to types of food and quantities of carbs - you can only find out how many you can eat by testing. Some people test before and after eating, on waking (fasting test) and before bed. But if you have limited strips because of cost, the key to me is testing 2 hours after eating. If your BG is above, say, 7.8 at that stage, you need to cut down on the carb content the next time you have that meal. Test after various different meals and you soon get to see a pattern of what you can and can’t eat, and in what quantities. Keep careful records of what you ate and when, together with the result, so you can refer back at a later date. You can then reduce your testing. I said “below, say, 7.8” because NICE guidelines are below 8.5 but most of us think that’s a little high. 7.8 is the max. level at 2 hours after eating that a non-diabetic normally gets to so is perhaps a better target. Some then set progressively lower targets.
Do ask lots of questions; there is normally an answer on here. The more you get to learn about your diabetes, the better it will be.
Good luck!
 
well the mixed beans are an important source of protein for me as I don't eat meat other than fish. I haven't found the wholemeal bread and wheatabix to have had any real effect so far, but maybe you're right, I'll keep an eye on it but only eat a small amount it's within the limits of my diet
 
The patient information for slow release metformin is to take it with or immediately after food Please all posters check your facts . And all of us should check the information in our meds It is there for a reason .
CAROL
 
Carty. Good point. I realise my post was a bit mis-leading. By 'anytime' I really meant you could take SR at mealtimes morning or evening (and perhaps midday if instructed). Yes, this is not as the leaflet says. My GP says to split mine morning and evening whereas the leaflet says to take all at the evening meal. I recently saw a study report on SR in which the BS effect was the same if split or not so the indication is that in practice it doesn't matter too much but the correct guidance is to follow your GP or the leaflet which also says to take with the meal.
 
My leaflet explains that a gp may want you to take the met 2x per day and also on the box the instructions from the GP are to take twice a day I dont know why some should be asked to take all pills at once and others twice a day ,but it is important to take with food
CAROL
 


he Diabetes consultant told me I could take metformin SR {2000] mg and sitagliptin and even a small amount of glimepiride {1mg} all at the same ime - in he morning , because "It's all about client convenience"!

A very nice man but I don't agree. Its all about reducing bg levels! Prior to this I had been old by various Gps to "try" taking medication at different times etc.

I came to the conclusion that there was no particular reason why I had to take anyhing at any particular time and worked out a routine for myself balancing eercise food and medicaion. Works well for me. So long as Mt HBA1C is Ok noone cares how I do it.
Having said that I would only ever ake the glimepiride with or around food and the same with the SR metformin.
Occasionally I will change the ime I take the glimepiride o fit in with the exercise . It is the smalles dose available - smaller than normally prescribed but in the wrong condiions can still cause hypos.

I would not advise anyone to do this without speaking to an HCP first but there is no harm in trying to work out for yourself how to improve your medication regime to make work beter for you and then running those suggestions past someone.
We all know our own lifestyles best after all.
I am only referrring to diabees medication of course. If anyone takes anything else for other conditions then of course his will alter the situation.But there is no need o sick rigidly to a regime which may not be working for you. It may not be the medication which is wrong but the timing and your HCP may be unaware of all the factors affecting this.

As I said this is not to advocate a DIY system but it is not always correct to assume that here is a standard , unalterable way of taking all medication. There has o be some initial guidance , of course {as in the packet instructions} but this can often be adaped o the individual.
 
I take 1 x 500mg of Metformin 3 times daily.

One GP said "always take with food 'cos that's when you want it to act". Huh :?:

Another said "Space evenly throughout the day" when I asked. :?

I settled down with it pretty quickly and don't get side-effects any more. I try to take it around food (usually when I'm in the kitchen serving my food) but sometimes I forget and take it when I remember - sometimes 3 or 4 hours later - with no problems.

We are all different.

Viv 8)
 

Yes exactly , Viv, Metformin is one drug where -apart from the stomach problems - I doubt there is any harm in taking when it suits the indiividual. Its not true of everything , of course.
 
A lot depends on the active life of each med when in the body. If I remember correctly Met SR has a life of 24 hours as it's slow release so on that basis it's not so critical when you take it but best with food (my opinion). I don't know the life of plain Met. Gliclazide has a life of only 10 hours so I tend to follow the advice to take it slightly in advance of a meal to get the pancreas going. Many HCPs assume you will forget to take pills so suggest you take the lot in one go for convenience. I've not heard of any conflicts between the popular diabetes drugs when taken together.
 
I use 2 x 500mg Metformin. I take 1 first thing and one after evening dinner. I keep BG DOWN mainly by avoiding carbs and taking exercise.
I take other medication and keeping it all to twice a day reduces complications of remembering.
Hana
PS I've been doing this for years
 
If it helps, I take 2 x 500mg Metformin with lunch and 2 x 500mg Metformin with dinner.
I inject Victoza and take 6mg Glimepiride first thing in the morning before breakfast. This seems to be doing okay for me so far.
 
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