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Metformin - Benefits of low dose compared to stopping
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<blockquote data-quote="FSnow" data-source="post: 2027125" data-attributes="member: 500292"><p>Hi All</p><p></p><p>Update on my progress with the plan below:</p><p style="margin-left: 20px">"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 style="margin-left: 20px">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">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>Most recent HbA1c 5.2. - best result ever.</p><p style="margin-left: 20px"></p> <p style="margin-left: 20px">Avoiding low carb ripe fruits from our local supermarket has been dramatic in the reduction of post meal 1 hour readings typically down from 7.5 to 6.5. </p> <p style="margin-left: 20px">Further cutting carbs when dining out or at home etc. </p> <p style="margin-left: 20px">Dawn effect vastly improved now 5.8 - 6.1 in morning.</p> <p style="margin-left: 20px">Also taking salt to improve my sodium and Chloride levels.</p><p></p><p>So as usuall changed many things so which was the dominate effect. I suspect the late night Metformin is doing me some good.</p><p></p><p>Considering getting a HbA1c Home testing unit - as I think more regular testing than every three months. overall this may be a better investment than Freestyle Libre CGM. </p><p></p><p>FSnow</p><p></p><p></p><p>History Summary</p><p style="margin-left: 20px"></p> <p style="margin-left: 20px">Type 2 diagnosis May 9th 2002, Metformin 500 mg. self monitoring on off to tune meals etc. < 8 mmol/L after 2 hours</p> <p style="margin-left: 20px"></p> <p style="margin-left: 20px">2002 - Weight 117 Kilos HbA1c 5.9 - 41 target < 8 mmol/L after 2 hours</p> <p style="margin-left: 20px">2017 - Weight 85 Kilos HbA1c 5.7 - 39</p> <p style="margin-left: 20px">Typical result over the years 5.7 - 5.9</p> <p style="margin-left: 20px"></p> <p style="margin-left: 20px">2018 Begin cutting carbs to meet new Target < 7.8 mmol/L after 1 hour</p> <p style="margin-left: 20px">Increased Metfromin to 1000 XR mg</p> <p style="margin-left: 20px">March 2018 - Weight 82 Kilos HbA1c 5.5 - 37</p> <p style="margin-left: 20px">July 2018 - Weight 82 Kilos HbA1c 5.4 - 36 </p> <p style="margin-left: 20px">Nov 2018 - Weight 82 Kilos HbA1c 5.4 - 36 cholesterol down</p> <p style="margin-left: 20px"></p> <p style="margin-left: 20px">Further cutting of carbs and better achievement of reducing spikes under 7.8</p> <p style="margin-left: 20px">Feb 2019 - Weight 83 Kilos HbA1c 5.6 - 38 cholesterol up a little </p> <p style="margin-left: 20px">April 2019 - Weight 82.5 Kilos HbA1c 5.2 </p></blockquote><p></p>
[QUOTE="FSnow, post: 2027125, member: 500292"] Hi All Update on my progress with the plan below: [INDENT]"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 Avoid fruits from supermarket that can be ripe - give you a short sharp spike Carbs controlled by small portions works well - watch combinations 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."[/INDENT] Most recent HbA1c 5.2. - best result ever. [INDENT] Avoiding low carb ripe fruits from our local supermarket has been dramatic in the reduction of post meal 1 hour readings typically down from 7.5 to 6.5. Further cutting carbs when dining out or at home etc. Dawn effect vastly improved now 5.8 - 6.1 in morning. Also taking salt to improve my sodium and Chloride levels.[/INDENT] So as usuall changed many things so which was the dominate effect. I suspect the late night Metformin is doing me some good. Considering getting a HbA1c Home testing unit - as I think more regular testing than every three months. overall this may be a better investment than Freestyle Libre CGM. FSnow History Summary [INDENT] Type 2 diagnosis May 9th 2002, Metformin 500 mg. self monitoring on off to tune meals etc. < 8 mmol/L after 2 hours 2002 - Weight 117 Kilos HbA1c 5.9 - 41 target < 8 mmol/L after 2 hours 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 April 2019 - Weight 82.5 Kilos HbA1c 5.2 [/INDENT] [/QUOTE]
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