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LCHF Diet on Glaucophage + Gliclazide

Sean-W

Well-Known Member
Messages
152
Location
Stoke-on-Trent
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Diabetes!!!
I currently take 1000mg Glaucophage twice a day along with 320mg of Gliclazide and 20mg of Simvostatin at night.

I'm about to embark on the LCHF Diet and read that this particular diet and Gliclazide don't bode well in terms of low blood sugars. Is there any truth in this?
 
Depends what your usual levels are like.. with your high HbA1c (other thread) I'm guessing your sugars are pretty high most of the time? Just keep on monitoring and maybe check in with the doc to let him know what you are intending on doing so they could recommend reducing the meds if your bloods start to lower. I think you probably have quite a large margin before you will start to get hypos.
 
Depends what your usual levels are like.. with your high HbA1c (other thread) I'm guessing your sugars are pretty high most of the time? Just keep on monitoring and maybe check in with the doc to let him know what you are intending on doing so they could recommend reducing the meds if your bloods start to lower. I think you probably have quite a large margin before you will start to get hypos.
My sugars vary around 8.2 - 11.3 so on the high side yes.
 
I always know when I'm low when I get a shaky hand - its the reason I only take Gliclizade once a day (in the afternoon). If I have it with a low carb meal it pushes me down too low for the next morning (which is when the jelly babies and Lucozade come to the rescue!)
 
I agree with everything that has already been said, also talk to your doctor about changing to SGLT2 inhibitors so as to allow you to improve your diet without the fear of hypos. SGLT2 inhibitors also help with weight loss, unlike Gliclazide that tends to result in weight gain.

But provided you test often, and see your doctor as soon as your BG starts to get close to 5, you should have no real issues with Gliclazide. (We can't tell you what to do with drugs, however, we can tell you what we did ourselves, I stopped taking Gliclazide as soon as my BG got within Hypos range, however, it may have been better if I had reduced the dose, by cutting a tablet in half. But I monitored my BG closer to see if it remain low without the Gliclazide.) If you are told you must eat carbs at every meal due to taking Gliclazide, tell the nurse/doctor its your body and you have decided you will not eat carbs.

However when taking Gliclazide, you need to keep your carbs ABOUT the same at each meal and each day, you can't have some days when you are very high carbs (300g) and other days when you are low carb (50g) and expect to get good BG levels. Likewise, intermittent fasting may not be a good ideal for you, other than trying to have breakfast later, so as to get longer between dinner one day and breakfast the next day.

And remember 10 minutes walk after a meal does wonders for BG levels.
 
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