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New here-New to Type 2 - Med issue

JonnysGram

Newbie
Messages
1
Type of diabetes
Type 2
Hello from "across the pond"! I didn't notice the UK in the title of the group until I joined, but I digress.. I was diagnosed on Monday - yesterday 10/18 with Type 2 diabetes. He said I JUST make it over the line. (lucky me, NOT). My GP put me on 500 mgs of Metformin HCL twice a day. I took it once yesterday and once so far today and I am SO SICK! Anyone have any of these: light-headedness, headache that won't go away, sadness, general all over unwell feeling and so tired I can barely stand it. The Dr said to wait 2 days, then try 1/2 a pill and let him know. I already have several other illnesses - MS, Spinal Stenosis, Generalized Anxiety disorder, Fibromyalgia, lower back issues with disks and spurs, and more and I am only 61 and I am very overweight due to inactivity from all the illnesses. My MAIN issue now is the side effects to the Medformin. I feel so HORRIBLE! I've also been stressed beyond belief with family issues - adult children, and a grandson I raise newly diagnosed with ADHD. Besides that, all is swell. I want to be successful with the Metformin because the doctor also put me on a high fat - low carbs diet and said to lose 40 pounds - to start with... and my appetite is also gone from the meds - I've only taken 2 of these pills and I feel so wickedly horrible! Has or does anyone else suffer these from Metformin? It's scaring me, I have so many other issues and adding feeling so bad..Thanks to any and all and I hope that you don't mind that I don't live in the UK..I like the site a lot. Take good care and thanks again for any help.
 
Metformin can have issues for people - often they settle down within a few days, but sometimes not. It is a good idea to take it with food and also to limit carbohydrate as the carbs can tend to make the side effects worse. If the side effects don't settle, perhaps the extended release version may be helpful.

Have you heard of the Wahls Protocol for MS? Her diet plan is absolutely compatible with the low carb high fat diet your doctor has prescribed and has had a lot of success in improving the health of MS (and other autoimmune disease) patients.

Welcome to the forum and I hope your metformin side effects settle soon :)
 
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They don't make it easy do they. At the very time you are advised to change your diet you are given medication that affects your taste or takes your appetite away. In my case it made most foods taste like burnt plastic.

Doctors seem to only have a vague appreciation of the effect food can have on your wellbeing.
 
Was just commenting on here the other day re stress and blood sugar levels when someone said it raises their blood sugar levels.
With me (T1 for 44 years) it drops my blood sugar levels
 
Hi. If the problem doesn't clear do ask for the Slow Release (SR) or Extended Release (ER) version of Metformin which is much kinder. I have an idea it's not so readily available in the USA but may be wrong. Metformin started life as an appetite suppressant hence it does reduce the appetite for a while. It can also leave a metallic taste for quite a while (6 months in my case!). It is however a very safe drug and I've been on the SR version now for 14 years and have no problems with it now at all.
 
About a quarter of people put on standard Metformin can't tolerate it as it is too disturbing on the digestion, or have side effects such as interference with taste or rashes. About half of those can though tolerate the slow / extended release versions. The normal recommendation in the UK is to start with one 500mg tablet in the morning with breakfast and only add a further one after two or three weeks if you can tolerate the initial one.
 
Hi @JonnysGram and welcome
I will tag @daisy1 who will post some very useful info for newbies.
I also reacted violently to Metformin and my GP told me to stop it for a short time. I pleaded with him and was eventually given 3 months to try by diet, weight loss and exercise. So you might want to ask if this is possible for you. My HbA1c was very high at diagnosis whereas if you are only just over the line this would be easier for you. Daisy's post will be very helpful and give you the basics. I found home testing, before meals and 2 hours after really helpful as it showed me what foods I could eat and what was better avoided.
 
@JonnysGram

Hello and welcome to the forum :) Here, as mentioned above, is the basic information which we give to new members. I hope this will be interesting and useful to you. Ask as many questions as you want and someone will be able to help.


BASIC INFORMATION FOR NEW MEMBERS

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 well over 210,000 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

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.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

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 blood glucose 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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