Metformin

rachxx

Member
Messages
12
Type of diabetes
Type 2
Hi i just got told ysterday i have type 2 i on metformin tabs but finding i feel bit sick on them.dont no if it cause i new on them.but it making me not want to eat....any advise x x
 

Daibell

Master
Messages
12,674
Type of diabetes
LADA
Treatment type
Insulin
Hi and welcome. Metformin can cause stomach and bowel upset and your sense of taste may change. The Slow Release (SR) version may avoid any bowel upset. The taste disturbance may take a few weeks/months to clear but does fade fairly fast. Many have no taste disturbance but I did.
 
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britishpub

Well-Known Member
Messages
2,722
Type of diabetes
Type 2
Treatment type
Diet only
Give it time, but if you find that you cannot tolerate them there are other alternatives. Stay in touch with your health team and keep them informed.
 
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bren106

Newbie
Messages
1
Type of diabetes
Type 2
I seem to be in a similar position with Metformin. I was diagnosed approximately 18 months to 2 years ago, and had no trouble controlling my diabetes with diet and lifestyle. Unfortunately my Doctor, who I had been seeing for 40 years retired earlier this year, and the new Doctor chooses a more proactive approach. He prescribed 2 x 500 Mg Metformin daily, and since stepping up to the full dosage, after the lower first week, I have been suffering an increasing amount of painful stomach bloating and constant reflux. With these symptoms being very similar to those of a Hiatus Hernia, which I also have, it has taken a while for me to link the sudden resurgence of stomach problems with starting to take Metformin.

Taking into account that I was previously in no desperate need to start taking this medication I feel it to be of little risk to reduce the dosage down to one tablet a day until I am able to consult my Doctor again. Would anyone disagree and feel I should not do this?
 

Liam1955

Master
Messages
10,964
Type of diabetes
Type 2
Treatment type
Insulin
Dislikes
Anti-Gay People, Self Centre People, Two Faced People and Bad Language.
@rachxx - Hello and Welcome to the Forum. @daisy1 will provide you with some basic information that all new members receive. Have a read around the threads and ask questions, someone will provide you with an answer. :)
 
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chalup

Well-Known Member
Messages
1,745
Type of diabetes
Type 2
Treatment type
Other
Hi i just got told ysterday i have type 2 i on metformin tabs but finding i feel bit sick on them.dont no if it cause i new on them.but it making me not want to eat....any advise x x
Most people have some issues with metformin at first. You should start out slow and work up to the dose your doctor wants, adding 500mg per week is how its usually done. Taking them with food often helps and splitting the dose. I was fine on 1000 mg but had a few really bad days when upped to 1500mg, it is better now. One of the ways metformin helps with weight loss is by reducing appetite. Not everyone tolerates metformin so if you are still having issues in a week or so I would go see your doctor
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@rachxx

Hello and welcome to the forum :) Here is the basic information we give to new members and I hope you will find this useful. Ask more questions and someone will be able to help.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

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 over 150,000 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

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

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

LOW CARB PROGRAM:
http://www.diabetes.co.uk/low carb program


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 bloodglucose 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.
 
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Liam1955

Master
Messages
10,964
Type of diabetes
Type 2
Treatment type
Insulin
Dislikes
Anti-Gay People, Self Centre People, Two Faced People and Bad Language.
@rachxx - Never take Metformin on an empty stomach as it will give you stomach upset. Always take it during food or after eating. But, if you are still suffering - go back to see your GP and ask for SR Metformin.
 
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Daibell

Master
Messages
12,674
Type of diabetes
LADA
Treatment type
Insulin
I seem to be in a similar position with Metformin. I was diagnosed approximately 18 months to 2 years ago, and had no trouble controlling my diabetes with diet and lifestyle. Unfortunately my Doctor, who I had been seeing for 40 years retired earlier this year, and the new Doctor chooses a more proactive approach. He prescribed 2 x 500 Mg Metformin daily, and since stepping up to the full dosage, after the lower first week, I have been suffering an increasing amount of painful stomach bloating and constant reflux. With these symptoms being very similar to those of a Hiatus Hernia, which I also have, it has taken a while for me to link the sudden resurgence of stomach problems with starting to take Metformin.

Taking into account that I was previously in no desperate need to start taking this medication I feel it to be of little risk to reduce the dosage down to one tablet a day until I am able to consult my Doctor again. Would anyone disagree and feel I should not do this?
Hi. It's not for us to recommend a change in your medication without GP approval, but Metformin is one of those safe drugs where medication levels aren't as critical as some of the other diabetes drugs. It's your decision and you could always call the surgery and say you are doing this until the next visit.
 
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satkins

Well-Known Member
Messages
137
Type of diabetes
Type 2
Just to confirm that you should take it with food. Forgot my dose at supper last night so took it about 6 hours later. Well in the middle of the night i had a bad case of the runs. Other then that it took about 3 weeks to get my system used to it. Now if there was a wonder drug that let me eat carbs.