Type 1 Metformin

nathb said:

Excuse the spelling of wrong lol.
My carb counting and novo rapid ratio is fine cause I'm always in good range 2-3 hours after eating but my background insulin does not work to well I always seem to go high after 2-3 hours. My endo wants to get me on metformin to try stop this from happening. Has anyone taking this strategy, does it work??? Thanks

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Is that because your endo feels you have insulin resistance? Or do you suffer with pcos and are having hormonal problems?

nathb said:

TYPO- I always seem to go high after 3 hours of eating

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Sorry @nathb youve lost me. Are you in good range 2-3 hours after eating (like it says in your first post) or do you go high 3 hours after eating?

Post prandial highs, and 3 hours after eating would be a post prandial high, would be related to your bolus dose for the meal. Do you carb count? Are you confident you counting the carbs correctly? What's your I:C ratio? Have you done any testing or adjustments to that recently? Have your tried pre bolusing to reduce post prandial spikes?

Alternatively, if you're in range 3 hours after eating but you think there's a problem with you background insulin, what basal insulin are you using? Do you split it? Have you done a basal test recently?

Hi nathb,

Is there a reason to not simply increase your background insulin?

When I tried Metformin the main difference was that my 4am liver dump reduced and I was able to have more stable sugars overnight.