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<blockquote data-quote="Goonergal" data-source="post: 2363914" data-attributes="member: 368709"><p>Sounds like you’re making great progress [USER=152043]@Sir-Lancelot[/USER] </p><p></p><p>Your ketogenic diet is likely having way more effect than the metformin so whether you decide to increase the dose or not (your call), the reduction in carbs is the thing to stick to. Incidentally no need to count the calories too, although if you’re not getting hungry and you’re getting the results you want, I’d say ‘if it ain’t broke, don’t fix it’! </p><p></p><p>And it’s highly, highly unlikely you’ll go ‘too low’ on metformin alone. It’s not a blood glucose lowering medication, rather it helps with insulin resistance by reducing the amount of sugar your liver releases into the blood (that’s why dietary changes are the most important thing).</p><p></p><p>I started with a very high HbA1c and also went keto. My eyesight was affected - was a bit odd at first, but my next visit to the optician confirmed it was improving so all was good. Similarly I got tingling, in fact a bit more than tingling in my legs and feet, but again it was short lived and a sign of blood sugars improving. And my migraines got worse for a short period, but have now completely vanishe,d.</p><p></p><p>If you’re restricting calories as well as carbs, that could be one reason for you feeling tired - you may be depriving yourself of the energy from fat that your body needs in the absence of carbs.</p><p></p><p>Stick at it and stick around!</p></blockquote><p></p>
[QUOTE="Goonergal, post: 2363914, member: 368709"] Sounds like you’re making great progress [USER=152043]@Sir-Lancelot[/USER] Your ketogenic diet is likely having way more effect than the metformin so whether you decide to increase the dose or not (your call), the reduction in carbs is the thing to stick to. Incidentally no need to count the calories too, although if you’re not getting hungry and you’re getting the results you want, I’d say ‘if it ain’t broke, don’t fix it’! And it’s highly, highly unlikely you’ll go ‘too low’ on metformin alone. It’s not a blood glucose lowering medication, rather it helps with insulin resistance by reducing the amount of sugar your liver releases into the blood (that’s why dietary changes are the most important thing). I started with a very high HbA1c and also went keto. My eyesight was affected - was a bit odd at first, but my next visit to the optician confirmed it was improving so all was good. Similarly I got tingling, in fact a bit more than tingling in my legs and feet, but again it was short lived and a sign of blood sugars improving. And my migraines got worse for a short period, but have now completely vanishe,d. If you’re restricting calories as well as carbs, that could be one reason for you feeling tired - you may be depriving yourself of the energy from fat that your body needs in the absence of carbs. Stick at it and stick around! [/QUOTE]
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