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<blockquote data-quote="ziggy_w" data-source="post: 2297071" data-attributes="member: 323454"><p>Hi [USER=528090]@Ceppo[/USER],</p><p></p><p>Is it possible that you are allergic to one of the inactive ingredients of slow-release metformin? If this is the reason for the rash (and no, I haven't heard of this as a common side effect), switching to a different brand might help. Maybe could ask about this at your appointment next Wednesday?</p><p></p><p>Have you started testing you blood sugar levels yet? What do they look like? Has your change in the way of eating had an impact yet? I know these are lots of questions, but sharing a record of your blood sugar readings might be helpful when having your appointment. Maybe they might even hold off on adding the new medicine (which I suspect is Gliclazide). </p><p></p><p>Gliclazide forces your pancreas to produce more insulin (regardless of what you eat) -- and some would argue that (a) it would exhaust the beta cells of your pancreas (which produce insulin) even faster and (b) that adding more insulin to an already high level of insulin (which tends to be typical for T2s) is not necessarily beneficial as it increases insulin resistance. For example, for Virta Health (a remote care U.S.-based health care company which focuses on reversing T2 and has a success rate of around 60% with people who had T2 for around 10 years on average) gliclazide is the first medicine to be eliminated when people join their program.</p><p></p><p>If low-carb is working for you and you are approaching near normal levels, the addition of gliclazide might push you into hypo (blood sugar levels which are too low) territory. So, it if you decide to take them (and yes, it is ultimately your decision not your GP's or DN's), make sure you monitor your blood sugar levels frequently. Let your GP/DN know if this medication is pushing down your blood sugars to a level which is too low (less than 4 mmol) regularly.</p><p></p><p>Good luck with your appointment on Wednesday.</p></blockquote><p></p>
[QUOTE="ziggy_w, post: 2297071, member: 323454"] Hi [USER=528090]@Ceppo[/USER], Is it possible that you are allergic to one of the inactive ingredients of slow-release metformin? If this is the reason for the rash (and no, I haven't heard of this as a common side effect), switching to a different brand might help. Maybe could ask about this at your appointment next Wednesday? Have you started testing you blood sugar levels yet? What do they look like? Has your change in the way of eating had an impact yet? I know these are lots of questions, but sharing a record of your blood sugar readings might be helpful when having your appointment. Maybe they might even hold off on adding the new medicine (which I suspect is Gliclazide). Gliclazide forces your pancreas to produce more insulin (regardless of what you eat) -- and some would argue that (a) it would exhaust the beta cells of your pancreas (which produce insulin) even faster and (b) that adding more insulin to an already high level of insulin (which tends to be typical for T2s) is not necessarily beneficial as it increases insulin resistance. For example, for Virta Health (a remote care U.S.-based health care company which focuses on reversing T2 and has a success rate of around 60% with people who had T2 for around 10 years on average) gliclazide is the first medicine to be eliminated when people join their program. If low-carb is working for you and you are approaching near normal levels, the addition of gliclazide might push you into hypo (blood sugar levels which are too low) territory. So, it if you decide to take them (and yes, it is ultimately your decision not your GP's or DN's), make sure you monitor your blood sugar levels frequently. Let your GP/DN know if this medication is pushing down your blood sugars to a level which is too low (less than 4 mmol) regularly. Good luck with your appointment on Wednesday. [/QUOTE]
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