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Metformin - Benefits of low dose compared to stopping
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<blockquote data-quote="FSnow" data-source="post: 1995803" data-attributes="member: 500292"><p>Hi all</p><p>Thanks for all the responses.</p><p>As reported I have been gradually cutting carbs since March 2018 and as reported dropped my HbA1c from 5.7- 5.9 to 5.5 - 5.4</p><p>My recent HbA1c at 5.6 result is a little disappointing, I have cut spikes but expense of slightly higher average blood sugar. My doctor advises as long a I stay under 6 everything is OK. </p><p></p><p>I have been controlling spikes to be under 7.8 at all times an may have reduced carbs too much.</p><p>I also tried flax seed which may have messed with the Metformin and my chloride levels have dropped. Doctor is investigating chloride levels with further tests.</p><p></p><p>Plan for next 3 months is to avoid flax seed and re introduce some carbs to still get keep spikes under 7.8.</p><p>This is essentially eating to the meter using the same diet I have pursued for many years but with tighter control</p><p style="margin-left: 20px">Avoid fruits from supermarket that can be ripe - give you a short sharp spike</p> <p style="margin-left: 20px">Carbs controlled by small portions works well - watch combinations</p> <p style="margin-left: 20px"></p><p>Change to 500 mg Metformin XR in Morning and Evening (100 in total) to see if i can better control the dawn effect which i have experienced for years.</p><p></p><p>Thinking about the free style libra to save my finger as i extensively test while tweaking the diet.</p><p></p><p>FSnow</p><p></p><p></p><p>History Summary</p><p>Type 2 diagnosis May 9th 2002, Metformin 500 mg. self monitoring on on off to tune meals etc. < 8 mmol/L after 2 hours</p><p></p><p>2002 - Weight 117 Kilos HbA1c 5.9 - 41</p><p>2017 - Weight 85 Kilos HbA1c 5.7 - 39</p><p>Typical result over the years 5.7 - 5.9</p><p></p><p>2018 Begin cutting carbs to meet new Target < 7.8 mmol/L after 1 hour</p><p>Increased Metfromin to 1000 XR mg</p><p>March 2018 - Weight 82 Kilos HbA1c 5.5 - 37</p><p>July 2018 - Weight 82 Kilos HbA1c 5.4 - 36 </p><p>Nov 2018 - Weight 82 Kilos HbA1c 5.4 - 36 cholesterol down</p><p></p><p>Further cutting of carbs and better achievement of reducing spikes under 7.8</p><p>Feb 2019 - Weight 83 Kilos HbA1c 5.6 - 38 cholesterol up a little</p></blockquote><p></p>
[QUOTE="FSnow, post: 1995803, member: 500292"] Hi all Thanks for all the responses. As reported I have been gradually cutting carbs since March 2018 and as reported dropped my HbA1c from 5.7- 5.9 to 5.5 - 5.4 My recent HbA1c at 5.6 result is a little disappointing, I have cut spikes but expense of slightly higher average blood sugar. My doctor advises as long a I stay under 6 everything is OK. I have been controlling spikes to be under 7.8 at all times an may have reduced carbs too much. I also tried flax seed which may have messed with the Metformin and my chloride levels have dropped. Doctor is investigating chloride levels with further tests. Plan for next 3 months is to avoid flax seed and re introduce some carbs to still get keep spikes under 7.8. This is essentially eating to the meter using the same diet I have pursued for many years but with tighter control [INDENT]Avoid fruits from supermarket that can be ripe - give you a short sharp spike Carbs controlled by small portions works well - watch combinations [/INDENT] Change to 500 mg Metformin XR in Morning and Evening (100 in total) to see if i can better control the dawn effect which i have experienced for years. Thinking about the free style libra to save my finger as i extensively test while tweaking the diet. FSnow History Summary Type 2 diagnosis May 9th 2002, Metformin 500 mg. self monitoring on on off to tune meals etc. < 8 mmol/L after 2 hours 2002 - Weight 117 Kilos HbA1c 5.9 - 41 2017 - Weight 85 Kilos HbA1c 5.7 - 39 Typical result over the years 5.7 - 5.9 2018 Begin cutting carbs to meet new Target < 7.8 mmol/L after 1 hour Increased Metfromin to 1000 XR mg March 2018 - Weight 82 Kilos HbA1c 5.5 - 37 July 2018 - Weight 82 Kilos HbA1c 5.4 - 36 Nov 2018 - Weight 82 Kilos HbA1c 5.4 - 36 cholesterol down Further cutting of carbs and better achievement of reducing spikes under 7.8 Feb 2019 - Weight 83 Kilos HbA1c 5.6 - 38 cholesterol up a little [/QUOTE]
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