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I accidentally took Amaryl (Glimepiride) 2mg twice at dinner time!

Discussion in 'Ask A Question' started by Aminehamlil, May 16, 2018.

  1. Aminehamlil

    Aminehamlil Type 2 · Newbie

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    Hey guys, I am new here to the community. Hope to meet lot of people here and help everyone as I much as I can with the knowledge and experience I learned from the past couple years.

    I just took Amaryl 2mg at dinner like I always do but after taking the second dose I’ve come to realize at that moment I realized I took it earlier when I was eating some kind of appetizer. I always take amarayl during the meal.

    So, is it okay? I know some people take 4mg sometimes but I’m afraid it would lower my sugar a lot since amarayl does and instruct your pancreas to produce more insulin. But I’m kinda anxious about it and I’m eating some sweets and can’t sleep yet, because I’m afraid it would go so low during my sleep!
    Please help me with any tips or what actions I need to take to prevent a super low sugar level.

    Thank you
     
    #1 Aminehamlil, May 16, 2018 at 8:38 AM
    Last edited: May 16, 2018
  2. Guzzler

    Guzzler Type 2 · Master

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    Amaryl (Glimepiride) can cause hypos so you are right to be concerned. I do not take a sulfonylurea so will leave arvice to those who do. Having said that, I think it wise to test your blood glucose more, perhaps eat some carbs and take water. Best wishes.
     
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  3. Aminehamlil

    Aminehamlil Type 2 · Newbie

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    Thank you Guzzler, I am going to do that right about now! my whole body is shaking right now I can feel my sugar to be low! I’ll keep track on it and test it around the clock!
     
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  4. Guzzler

    Guzzler Type 2 · Master

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    There will be lots more advice coming your way. Welcome to the forum. Tagging @daisy1 for the info pack offered to all newcomers.
     
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  5. Aminehamlil

    Aminehamlil Type 2 · Newbie

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    @Guzzler Thank you, looking forward into it. I am very excited to be here.. I really appreciate it, thanks again!
     
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  6. Runica

    Runica Type 2 · Well-Known Member

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    Hello! Trust your instincts.

    It may be a good time for a late night and extra supper. You probably won't sleep if you're worried about a hypo anyway.

    If you 'feel' or test low, eat. I understand Amaryl is a medium to long acting drug, and I was on a short acting sulphonylurea, but only you know how well your body responds to this particular drug.

    It is far better for your sugar levels to be too high rather than too low. Eat if you are shaky.

    But again, trust your instincts, and if you feel you are losing control of your blood sugars or start to feel very unwell then seek medical assistance as soon as you can.

    Is there anybody with you who can keep a eye on you?
     
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  7. daisy1

    daisy1 Type 2 · Legend

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    @Aminehamlil

    Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful and interesting. Ask more questions when you need to and someone will help.


    BASIC INFORMATION FOR NEW MEMBERS

    Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

    A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

    On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

    The role of carbohydrate

    Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

    If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

    The bad news

    Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

    The good news

    People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

    Controlling your carbs

    The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

    There are two approaches to controlling your carbs:
    • Reduce your carbohydrate intake
    • Choose ‘better’ carbohydrates
    Reduce your carbohydrates

    A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

    The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

    Choosing better carbohydrates

    The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

    Read more on carbohydrates and diabetes.

    Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

    Eating what works for you

    Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

    To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

    The blood sugar ranges recommended by NICE are as follows:

    Blood glucose ranges for type 2 diabetes
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 8.5 mmol/l
    Blood glucose ranges for type 1 diabetes (adults)
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 9 mmol/l
    Blood glucose ranges for type 1 diabetes (children)
    • Before meals: 4 to 8 mmol/l
    • 2 hours after meals: under 10 mmol/l
    However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

    Access to blood glucose test strips

    The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
    • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
    • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

    Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

    You may also be interested to read questions to ask at a diabetic clinic.

    Note: This post has been edited from Sue/Ken's post to include up to date information.
    Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

    • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

    • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
     
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