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Newly Diagnosed
Newly diagnosed, Should I start taking Metformin?
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<blockquote data-quote="Sapien" data-source="post: 2096266" data-attributes="member: 507939"><p>I haven’t had a lab GTT. My doctor says I don’t qualify to order one. (I will probably start looking for another doctor.) He told me that I had impaired fasting glucose and “there is no medicine for that”. (I didn’t ask about medicine and I prefer to not take medicine that isn’t necessary.) I bought a meter and started testing which food spikes my blood sugar, as well as testing the fasting BG each morning and after meal readings. </p><p></p><p>I have mostly stopped eating foods that spike my blood sugar at all. In some cases, I just eat less. (Half a cup of sweet potato instead of two cups makes quite a difference.) I had thought “healthy whole food” shouldn’t pose a problem, but the meter surprised me in some cases. In testing, I never saw above 11, but a few foods in large quantity brought me to 10 at 30 minutes and still near 8 at two hours. </p><p></p><p>After a couple months of moderate low carb (between 60 to 140 grams a day), my fasting blood sugar is down to about 4.5-4.6. The after meal rise is to not more than about 6.1 at one hour and 5.6 at two hours. My target is to lower that further. </p><p></p><p>I would suggest eating so one doesn’t exceed 7.8 at peak (likely 30 minutes to one hour except when the carbs are with lots of fat like pizza) and 6.7 at two hours. If for some reason one can’t achieve that with a change in diet, Metformin seems a reasonable option although I have no experience with it personally.</p></blockquote><p></p>
[QUOTE="Sapien, post: 2096266, member: 507939"] I haven’t had a lab GTT. My doctor says I don’t qualify to order one. (I will probably start looking for another doctor.) He told me that I had impaired fasting glucose and “there is no medicine for that”. (I didn’t ask about medicine and I prefer to not take medicine that isn’t necessary.) I bought a meter and started testing which food spikes my blood sugar, as well as testing the fasting BG each morning and after meal readings. I have mostly stopped eating foods that spike my blood sugar at all. In some cases, I just eat less. (Half a cup of sweet potato instead of two cups makes quite a difference.) I had thought “healthy whole food” shouldn’t pose a problem, but the meter surprised me in some cases. In testing, I never saw above 11, but a few foods in large quantity brought me to 10 at 30 minutes and still near 8 at two hours. After a couple months of moderate low carb (between 60 to 140 grams a day), my fasting blood sugar is down to about 4.5-4.6. The after meal rise is to not more than about 6.1 at one hour and 5.6 at two hours. My target is to lower that further. I would suggest eating so one doesn’t exceed 7.8 at peak (likely 30 minutes to one hour except when the carbs are with lots of fat like pizza) and 6.7 at two hours. If for some reason one can’t achieve that with a change in diet, Metformin seems a reasonable option although I have no experience with it personally. [/QUOTE]
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