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Is my medicine controlling my peak?
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<blockquote data-quote="LittleGreyCat" data-source="post: 2454720" data-attributes="member: 6467"><p>Checking a couple of things.</p><p></p><p>Firstly the timing of your medication.</p><p>Are you expecting the Sitagliptin and the Metformin to kick in as soon as you take them to counteract the meal?</p><p>As I understand it they are both long term acting drugs which can be taken at any time of the day.</p><p>Then again you are supposed to take Metformin with a meal.</p><p></p><p>Secondly the dosage.</p><p><a href="https://www.nhs.uk/medicines/sitagliptin/" target="_blank">https://www.nhs.uk/medicines/sitagliptin/</a></p><p>I am assuming that you are on 50 mg Sitagliptin and 1,000 mg Metformin.</p><p>50 mg Sitagliptin is a lower dose as the above link says 100 mg is the standard dose.</p><p>1,000 mg Metformin is half the maximum dose.</p><p>So there appears to be scope for increasing the drugs if they are not being fully effective.</p><p></p><p>Having said that, I think you are giving your body a hard time.</p><p>I am on 2,000 mg Metformin (split between morning and evening) and if I regularly ate what you have I would have a glucose spike which takes a good few hours to come down again.</p><p>It is likely that drugs alone won't give you good control.</p><p>Diet also plays a crucial part and the drugs that you are currently taking don't seem to enable to eat what you are currently eating and get a normal blood glucose response.</p><p>I would expect you to see better results with less carbohydrates.</p><p></p><p>I must say that in general for diabetes pills aren't a magic fix which allow you to keep on eating what you used to.</p><p>When combined with diet (and hopefully exercise) they can assist you in getting your BG levels down but you have to work with them not just rely on them to fix things.</p><p>I am guessing that you have made changes (hence the low sugar beans) but I am wondering if you have changed enough.</p><p>Could you give us an idea of your usual eating habits so we can try to help and advise?</p><p></p><p>I assume the 6.3 was a fasting reading?</p><p>Or did you have something earlier.</p><p></p><p>Oh, and what was your last HbA1c?</p><p></p><p>Libre is an excellent tool for taking control, by the way. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="LittleGreyCat, post: 2454720, member: 6467"] Checking a couple of things. Firstly the timing of your medication. Are you expecting the Sitagliptin and the Metformin to kick in as soon as you take them to counteract the meal? As I understand it they are both long term acting drugs which can be taken at any time of the day. Then again you are supposed to take Metformin with a meal. Secondly the dosage. [URL]https://www.nhs.uk/medicines/sitagliptin/[/URL] I am assuming that you are on 50 mg Sitagliptin and 1,000 mg Metformin. 50 mg Sitagliptin is a lower dose as the above link says 100 mg is the standard dose. 1,000 mg Metformin is half the maximum dose. So there appears to be scope for increasing the drugs if they are not being fully effective. Having said that, I think you are giving your body a hard time. I am on 2,000 mg Metformin (split between morning and evening) and if I regularly ate what you have I would have a glucose spike which takes a good few hours to come down again. It is likely that drugs alone won't give you good control. Diet also plays a crucial part and the drugs that you are currently taking don't seem to enable to eat what you are currently eating and get a normal blood glucose response. I would expect you to see better results with less carbohydrates. I must say that in general for diabetes pills aren't a magic fix which allow you to keep on eating what you used to. When combined with diet (and hopefully exercise) they can assist you in getting your BG levels down but you have to work with them not just rely on them to fix things. I am guessing that you have made changes (hence the low sugar beans) but I am wondering if you have changed enough. Could you give us an idea of your usual eating habits so we can try to help and advise? I assume the 6.3 was a fasting reading? Or did you have something earlier. Oh, and what was your last HbA1c? Libre is an excellent tool for taking control, by the way. :) [/QUOTE]
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