HYPO....HYPER

Use a blood sugar monitor when you have these symptoms and find out. You're basically asking the Internet to guess at this point and the fact is, no one knows. So test and then you'll know what's going on.

gavmoulds said:

Whats the difference. I am a recent type 2 with HBCA 53 and Cholesterol 5.2. Im on my 3rd day of Metformin. However I am getting what I call a crash. Usually in the afternoon. It feels like the early stages of being drunk but tiredness is overwhelming. Is something spiking or plumeting.

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I agree, you need a blood glucose meter. It could be either. All I can say is that Metformin is a mild drug that does very little. It will not stop post meal spikes, only reducing your carbs will do that. So it could be high blood sugars. Metformin is also not a drug that causes low blood sugars. It is very rare to hypo due to Metformin. So whatever it was, it was not caused by Metformin.

I strongly advise you to buy a meter, not just for this reason, but also to help you with your food choices.

If you have not made great changes to your diet then I would hazard a guess that the fatigue is being caused by high blood glucose levels but with the best will in the world this is only a guess. As has been said, get yourself a glucometer and I would suggest looking at your carbohydrate intake and this is where the Carbs and Cals book or app would come in useful for you.

Improving your blood glucose levels can have an effect within days regarding fatigue etc.

What are you eating for lunch?

gavmoulds said:

Whats the difference.

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Hypo = lo, or to be technical, blood sugar levels fall under 4 mmol/L. hyper = high, comes from the ancient greek ὑπέρ and means over or above .

Metformin is a biguanide. This works to lower the amount of sugar in the blood of people with diabetes. It does this by lowering the amount of sugar produced in the liver, and also increasing the sensitivity of muscle cells to insulin. That's the theory. It will take several days, maybe weeks before it becomes fully effective.

Definitely a very good idea to get a meter, it's the only way to tell if the drugs and/or dietary changes are making a difference.

gavmoulds said:

However I am getting what I call a crash.

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I volunteer operating a hyperbaric chamber at a local MS centre, there's a lot to do mentally and physically. I definitely crash out and have a snooze late afternoon.