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Medication

Discussion in 'Type 2 Diabetes' started by Hoyt man, Sep 18, 2018.

  1. Hoyt man

    Hoyt man · Active Member

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    Hi, new to this forum but it's been helpful already, and friendly.

    I have been type 2 for approximately 9 years, totally my own doing as I like sweet stuff and love pepsi.
    6 weeks ago I started taking it seriously though (yes I'm an idiot) I saw my nurse after a fasting blood test and she said I needed to see my doctor so he can raise my medication, my average blood sugar was 15
    So after a bit of a talk we agreed that I wouldn't see a doctor but try and cut down my sugar intake, I haven't had Pepsi since and I'm doing ok I think
    I have noticed my blood sugar is averaging 8 in the morning before my metformin (2 tablets) and has been 3-4 a few times a couple of hours after lunch.
    I have started taking 3 tablets in the evening now and 1 in the morning, would anybody else do that?
    Sorry for long post

    Ian
     
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  2. Guzzler

    Guzzler Type 2 · Master

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    Hello and welcome to the forum. Tagging @daisy1 for the info pack offered to all newcomers.

    Metformin does not directly affect the food you eat. It has a cumulative affect and while it can lower blood glucose levels a tad it is prescribed to aid the liver so changing when you take the drug may not influence your bg levels to a great degree. Your diet will influence your bg levels to a far, far greater degree. It can be startling how much improvement is made with a few changes and in sometimes a very short period of time.
     
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  3. Hoyt man

    Hoyt man · Active Member

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    Ah, thank you, I didn't know that about metformin, I have changed my diet a bit, it's not easy is it! Still more changes needed I know and with the advice on this forum in sure I can do it.
     
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  4. Guzzler

    Guzzler Type 2 · Master

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    It is certainly a learning curve but you have taken the first and most important step, and that is to actively address your condition so Well done!

    First piece of information is that sugar is a carbohydrate and all carbohydrates are immediately turned into glucose in the body. This glucose is what we are measuring with our monitors so it follows that lowering the amount of carbs in your diet will directly affect your blood glucose levels.

    Foods high in carbs are potato, rice, pasta, bread or anything made with flour. Fruit can be high carb e.g bananas and grapes but we all react differently so testing is all important.
     
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  5. LittleGreyCat

    LittleGreyCat Type 2 · Well-Known Member

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    Metformin doesn't stay in the body all that long (I read recently) so it is probably better to take 2 in the morning and 2 in the evening.

    Read up about Dawn Phenomenon (a thing not a person) for an explanation of why you may be high first thing in the morning.

    Brief summary: your liver can dump extra glucose into your blood stream when your BG levels drop over night, often in the early hours of the morning. This is often the last thing to come down as you get your BG under control, so patience is required.
     
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  6. Hoyt man

    Hoyt man · Active Member

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    thank you
     
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  7. Energize

    Energize Type 2 · Well-Known Member

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    @Hoyt man
    Hi there
    As already mentioned, you're doing the right thing by changing what you eat. Well done. You haven't mentioned if you have a glucose meter to check your glucose levels. This piece of kit is invaluable, in spite of what you may already have been told. So, unless you already have a Glucometer (Codefree is a cheaper one but, most importantly, strips are the least expensive) may I suggest you get one and then test, test, test. You will soon be able to tell which foods suit you and which foods raise your glucose levels and therefore to be avoided
    Good luck ;)
     
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  8. Hoyt man

    Hoyt man · Active Member

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    Hi, thanks, yes I was given one when I lived in Kent but didn't use it much until a few weeks ago.
    I'm going to have to learn about carbs, it seems everything I like is bad !
    thanks again.
     
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  9. Guzzler

    Guzzler Type 2 · Master

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    For me the change in dietary lifestyle has meant that there are foods that I cannot have but honestly speaking I have discovered new foods that I had never tried before that are even better than those I've had to give up.
    We all all have personal tastes so testing means that we can make decisions on which foods we can eat, which of those we can have in perhaps smaller portions and which foods that it is just best to avoid.
    Thankfully, bacon is not high in carbs, Yay!
     
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  10. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Legend

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    Do you like meat, fish, eggs, cheese, butter, mushrooms, tomatoes, various but not all vegetables, full fat yogurts, strawberries, raspberries, cream? I could go on, but those things are good to eat for us. Have a look at diet doctor for some ideas https://www.dietdoctor.com/low-carb/60-seconds
     
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  11. Hoyt man

    Hoyt man · Active Member

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    ah nice one thank you.
     
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  12. Resurgam

    Resurgam Type 2 (in remission!) · Expert

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    I saw my grandmother dying a bit at a time from uncontrolled diabetes - eating low carb is the easiest thing in the world.
     
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  13. daisy1

    daisy1 Type 2 · Legend

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    @Hoytman

    Hello Ian and welcome to the Forum :) Here is the Basic Information we give to new members and I hope it will be useful to you. Ask as many questions as 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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  14. Hoyt man

    Hoyt man · Active Member

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    Hello daisy1

    Brilliant thank you very much.
     
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  15. achike

    achike Type 2 · Well-Known Member

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    @Hoyt man - as long as you don't exceed a total of 3,000mg Metformin daily and keep your fasting blood sugar below 10mg/dL you are under control.
     
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  16. bulkbiker

    bulkbiker Type 2 · Oracle

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    That's a matter of opinion..! And if he were below 10 mg/dl I don't think he'd be very well...
     
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  17. brassyblonde900

    brassyblonde900 Type 2 · Well-Known Member

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    Please how did you come by the piece of declarative statement you just made?
    I ask because everything I read about diabetes states that, to ward off complications and all that goes with it, One should strive to keep BG normal or as near to normal as possible.
    I personally aim for a fasting BG of 4.6mmol/l and my upper maximum is 4.8mmol/l.
    I want to stay in remission hence my tight control which has always been sans medication.

    Did you mean 10mmol/l I assumed that's what you meant., that's what my reply is based on.
     
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  18. egontoast

    egontoast Type 2 · Member

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    Do you not drive? If you are below 5mmol/l you are not allowed to drive.
     
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  19. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Legend

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    @brassyblonde900 is not on any medication according to her post, and therefore this does not apply to her. She is no more likely to hypo than any non-diabetic.
     
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  20. brassyblonde900

    brassyblonde900 Type 2 · Well-Known Member

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    Just reading this.
    The directive is for those on hypoglycemic medication. I also believe its for after they have had a daytime hypo, it suggests a safe BG level before they get behind the wheel (Pardon me if the "after hypo" part is inaccurate, however I'm very sure of the being on hypoglycemic medication part.)
    Since I'm not on meds, its not applicable to me.
    Wow imagine if every driver, diagnosed with T2DM who achieves good control, winds up being prohibited from driving.
    That would be perverse .
     
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