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Type 2 New diagnosis. Low Blood Sugar. Too Much Medication?

Hicks021

Hicks021

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1
Need some help. I started having some tingling in my hands and feet and decided to go to the doctor. Glucose was at 347. I was diagnosed with type 2 diabetes 10 days ago. Doctor prescribed me Janumet 50/1000 mg (2x/day) and Glimepiride 4mg (1x/day). I have been taking the medication, but also started walking 2+ miles and dieting. Since then, I’ve kept my carbs to around 50 g or less and rarely any sugar.

Yesterday, at 2:05 pm was my first time eating. Prior to, I took my glucose and I was 53 mg/dL. I took it again at 8:30 pm and it was 60 mg/dL. I ate dinner and took the second dose of Janumet. At 11:12 pm, I took my glucose again and I was 40 mg/dL.

I’ve woken up the last few nights around 3:45 am sweating and feeling like I needed to get something inside me so I’ve drinking some water and then prior to eating my first meal, a little sluggish.

Am I taking too much medication? It seems it’s like a double whammy since I’m now watching my carbs and eating less plus exercising.

Any recommendations?
 
Hicks021 said:
Need some help. I started having some tingling in my hands and feet and decided to go to the doctor. Glucose was at 347. I was diagnosed with type 2 diabetes 10 days ago. Doctor prescribed me Janumet 50/1000 mg (2x/day) and Glimepiride 4mg (1x/day). I have been taking the medication, but also started walking 2+ miles and dieting. Since then, I’ve kept my carbs to around 50 g or less and rarely any sugar.

Yesterday, at 2:05 pm was my first time eating. Prior to, I took my glucose and I was 53 mg/dL. I took it again at 8:30 pm and it was 60 mg/dL. I ate dinner and took the second dose of Janumet. At 11:12 pm, I took my glucose again and I was 40 mg/dL.

I’ve woken up the last few nights around 3:45 am sweating and feeling like I needed to get something inside me so I’ve drinking some water and then prior to eating my first meal, a little sluggish.

Am I taking too much medication? It seems it’s like a double whammy since I’m now watching my carbs and eating less plus exercising.

Any recommendations?
Click to expand...
You'll have to discuss it with your doc, but you are seriously overdoing it when you're using both medication and diet. If you're hypo-ing and have to eat carbs to up your sugars, that's kind of counterproductive, and if I'm calculating your numbers right (I'm a mmol/l girl myself), you're going dangerously low. Personally, diet has my preference because it'll keep me off of medication, no side-effects and less chance of complications and upped dosages/insulin later. If this diet is one you can keep up for life, I'd say, discuss it with your doc, reduce or stop meds and go from there.... But right now, considering how low you're going, don't mix the two. You're doing too much.
 
I agree with @JoKalsbeek - 2.9 is dangerously low. Really dangerously low and you need to speak to your doctor urgently about reducing meds. You are definitely doing too much - diet and meds.

The same thing happened to me when I went low carb on insulin. I was advised to drastically cut the insulin down immediately and when the hypos continued to stop it.

Just a thought - driving is dangerous at those levels.
 
I too agree with @JoKalsbeek , you are going way too low. You need to consult your Dr about reducing your meds. Meantime I’ll tag in some type ones who can help you treating these hypo episodes @Diakat , @urbanracer , @Juicyj
As others have said lease don’t drive with levels that low.
 
Hi @Hicks021

Agree you need to review your medication ASAP to avoid these, best hypo treatment is glucotabs, glucojuice, jelly babies, apple juice, please carry something on you at all times until you’ve seen your doctor and reviewed your medication.

Best wishes Juicy
 
Hicks021 said:
Need some help. I started having some tingling in my hands and feet and decided to go to the doctor. Glucose was at 347. I was diagnosed with type 2 diabetes 10 days ago. Doctor prescribed me Janumet 50/1000 mg (2x/day) and Glimepiride 4mg (1x/day). I have been taking the medication, but also started walking 2+ miles and dieting. Since then, I’ve kept my carbs to around 50 g or less and rarely any sugar.

Yesterday, at 2:05 pm was my first time eating. Prior to, I took my glucose and I was 53 mg/dL. I took it again at 8:30 pm and it was 60 mg/dL. I ate dinner and took the second dose of Janumet. At 11:12 pm, I took my glucose again and I was 40 mg/dL.

I’ve woken up the last few nights around 3:45 am sweating and feeling like I needed to get something inside me so I’ve drinking some water and then prior to eating my first meal, a little sluggish.

Am I taking too much medication? It seems it’s like a double whammy since I’m now watching my carbs and eating less plus exercising.

Any recommendations?
Click to expand...
Welcome.
The doctor hasn't factored in how good you are at diet and exercise in his medication prescription. Well done on tackling your diagnosis head-on.
The Glimepiride medication you are taking belongs to a group of drugs called Sulfonylureas. One of the common side effects is hypoglycaemia. This means when taking Glimepiride, you no longer have a homeostasis mechanism that normal people have, which stops your blood sugars going below 70 mg/dL and you need to monitor your blood sugars to keep them above this level.
You must get an urgent doctor's appointment to sort this out.

https://bnf.nice.org.uk/drug/glimepiride.html
 
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