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Newly Diagnosed Questions

Australiadiabetic2

Well-Known Member
Messages
94
Location
Sydney Australia
Type of diabetes
Type 2
Treatment type
Tablets (oral)
hi everyone
Just newly diagnosed type 2


My doctor put me on 2 medications one called Metmorfin and one called Glucolizade
One Glucolizade 30mg each morning
Metmorfin 500mg each morning

Now the should i be i be in BOTH these medications?
The reason im asking is the Pharmacist whose english was a second Language and a bit hard to understand said i should only be on one ?

Obviously i will go back and see the Doctor but what is all your opinions ??

My fasting BSL is 10.0 done by DR

And my normal BSL today is 8.2 using the Contour next prick but was up yesterday to 9.5 after i yhink eating sultanas .?

I havent started taking the meds yet though im a bit scared at side effects
 
Hi and welcome to the Forum, let me tag in @daisy1 for her welcome post.
Now do you know if you had an HbA1c blood test (a measurement of your average blood sugar over the previous 2-3 months) done or has your diagnosis been made purely on the fasting level? In the U.K. HbA1c is the diagnostic tool used. Depending on that level a decision is then made on treatment. I had an HbA1c of 70, above 48 is diabetic and was just started on Metformin.
Some people try diet and exercise no meds, it’s worth finding out what your HbA1c is to decide if this or Metformin alone might be an option for you.
 
Hi Rachael not what my hb a1c is ,the doctor didnt say anything

All he said was my level should be under 6.4

And its 10.o having fasted for 12 hiurs before
 
Australiadiabetic2 said:
Hi Rachael not what my hb a1c is ,the doctor didnt say anything

All he said was my level should be under 6.4

And its 10.o having fasted for 12 hiurs before
Click to expand...

You need to know which tests you had and what the results were. It is important. I don't know the system in Oz but in England our test results are often on-line, and failing that we ask for a print out of the results. Perhaps ring the doctor's receptionist and ask if you can have a print out, or ask the doctor which tests and the results including the measurement units.
 
Hi @Australiadiabetic2 I've been enjoying reading your threads, welcome to the forum.

I've been thinking, it might pay to make another appointment to see your GP. I think you would benefit from seeing a diabetic specialist nurse a few times, to discuss medications and other stuff. 500mg of Metformin a day sounds like the usual dose for the first week on it, increasing to 1000mg after one week, and perhaps increasing further. I don't think 500mg would be enough to help you much, but it's not my place to advise you on that. Just suggesting having another chat about it with your GP.

IMO, when someone has a fasting BG of 10.0 and is around your height and weight level, they should be given information by their GP and a nurse about all their options, and also have a series of follow up appointments in fairly short order. You also should be told what your HbA1c blood test result was, and a the results of number of other blood tests of your overall health. Do you remember if the GP checked your blood pressure and what the reading was?
 
@Australiadiabetic2
Both pills are not that uncommon concurrently and work in different ways. Gliclazide is often given to very overweight T2s but not always. Case by case.

Diet is far more important than pills. The pills help a bit but can do zilch for what you decide to put in your cakehole.
 

I thought Metformin was the drug recommended for overweight people, not Gliclazide?
 
Australiadiabetic2 said:
Hi Rachael not what my hb a1c is ,the doctor didnt say anything

All he said was my level should be under 6.4

And its 10.o having fasted for 12 hiurs before
Click to expand...
Psst! My name is spelt Rachel, no need for the extra ‘a’, it serves no purpose!
 
Bluetit1802 said:
I thought Metformin was the drug recommended for overweight people, not Gliclazide?
Click to expand...

I queried my GP about this ages ago as one of my neighbours is on this while I'm on Metformin. He responded by asking me if he was very overweight. I responded by saying yes but he is a she. No more discussion so I assumed it was due to being heavy. You've touched my curiosity now so I had a quick look.

https://www.ncbi.nlm.nih.gov/pubmed/8005974

Seems like it's been tried before.
 

Well I never!
 
I was told by my GP that I was on the maximum dose of both Metformin and Glicazade and if I did not loose weight I would have to go on injections. So it looks like its for overweight people, I was 157Kg.
 
My blood pressure is 178 / 80 i think it was

I have started on both the Metmorfin and glucolizade and i actually felt dizzy
I actually feel better not taking them lol
 
Australiadiabetic2 said:
My blood pressure is 178 / 80 i think it was

I have started on both the Metmorfin and glucolizade and i actually felt dizzy
I actually feel better not taking them lol
Click to expand...

The target range I am using for my BP as a diabetic is 130/80. Did your doctor say anything about your BP, such as re-checking it at the next visit? And was it checked once or twice at this visit?

It's normal to feel some side effects when starting either of these meds. "In general" they ease with time but if they don't, you may need to see the doctor again (which I would recommend doing anyway).

Did the doctor say anything about the risk of hypos (very low blood sugar) while on Gliclazide? This can be an issue for car drivers and especially anyone who drives while at work.
 
Terrytiddy said:
I was told by my GP that I was on the maximum dose of both Metformin and Glicazade and if I did not loose weight I would have to go on injections. So it looks like its for overweight people, I was 157Kg.
Click to expand...
It's not always for overweight people but in some cases it is.
 
Yes, in 1993. Which suggests this study was part of the basis for the pre-service training of many GPs. There's been a lot more research done on these issues since then.
 
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