Hi I have recently been diagnosed with Type 2 Diabetes and put on Metformin 2 tablets per day however I have been so I'll since starting them I feel incredibly tired all the time no appetite and when I do eat feel nausea although have not been vomiting I don't know whether to keep taking the tablets and persevere can anyone advise as its the weekend and I can't ring doctor x
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- Thread starter Weller
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Hi @Weller Welcome to the forum. Some people do get an upset stomach when they start Merformin. If it persists, ask your doc for the slow release version which is gentler. Have you reduced the amount of carbohydrates you eat since being diagnosed? I found I was overtired before diagnosed as my carbs were too high. I could sleep standing up after eating.
I will tag moderator @daisy1 who has useful information for new members.
I will tag moderator @daisy1 who has useful information for new members.
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Hi Weller we cannot to you to stop the metformin. That is a decision that you need to make with your GPs advice. We do not have anywhere near the knowledge of your health and history to properly advice in this area. We can however, state what we have found helpful.
Do you take your metformin with your meals. Many have found taking them during the middle of a meal helps.
Do talk to your GP for the slow release version. Many find this helps substantially .
It does take some time for your body to get used to the drug.
The tiredness you are feeling could actually be caused by your blood glucose levels falling.
Do you test you BG levels. It is something I only started about a month after diagnosis. I wish I was monitoring earlier now. It is vital to understand what you eat does to your BG levels if you want to eventually try to manage your BG levels without medication. Something many GPs do not often worth talking to patients about most of the time. My health care time told me I would be on drugs the rest of my life. Well I was off them in a month and have normal BG levels now even when I pig out on stuff I shouldnt
Do you take your metformin with your meals. Many have found taking them during the middle of a meal helps.
Do talk to your GP for the slow release version. Many find this helps substantially .
It does take some time for your body to get used to the drug.
The tiredness you are feeling could actually be caused by your blood glucose levels falling.
Do you test you BG levels. It is something I only started about a month after diagnosis. I wish I was monitoring earlier now. It is vital to understand what you eat does to your BG levels if you want to eventually try to manage your BG levels without medication. Something many GPs do not often worth talking to patients about most of the time. My health care time told me I would be on drugs the rest of my life. Well I was off them in a month and have normal BG levels now even when I pig out on stuff I shouldnt
Robinredbreast
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Hello and welcome Weller 
Daibell
Master
Hi and welcome. As others have said, the standard Metformin causes nausea etc in some people and the SR (Slow Release) version normally helps. Sometimes the stomach settles with the standard version after a couple of weeks. BTW Metformin does suppress the appetite a bit. It's your decision whether to stop the tablets until you see the GP.
daisy1
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@Weller
Hello and welcome to the forum Here is the information we give to new members and I hope you will find it useful. Ask as many questions as you like 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 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
Access to blood glucose test strips
The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
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.
Hello and welcome to the forum
Here is the information we give to new members and I hope you will find it useful. Ask as many questions as you like 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
- Before meals: 4 to 7 mmol/l
- 2 hours after meals: under 9 mmol/l
- Before meals: 4 to 8 mmol/l
- 2 hours after meals: under 10 mmol/l
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.
