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NHS Direct doctor says... NO testing when taking Metformin

Discussion in 'Diabetes Discussions' started by 999sugarbabe, May 7, 2015.

  1. carliannie

    carliannie · Member

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    Hi there...i have recently been diagnosed with T2 and was also told by diabetic nurse not to test unless I felt unwell, this is due to the fact that metformin lowers your bs but will never lower them enough to cause a hypo, however i still check them every so often to make sure they are stable as T2 does progress and I also monitor when feeling unwell. I was classed as prediabetic for 3 years beforehand and only by monitoring regularly did I discover that I had moved over to full blown diabetes. Personally if you feel you would like to continue monitoring your bs then do so you are paying for the strips yourself as I do and its your body and your health.
     
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  2. sally and james

    sally and james Family member · Well-Known Member

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    Cornman, I'm afraid I have to disagree with you. What porridge has a slow release of is SUGAR. If you test every half hour after eating porridge, you will see that it takes a long time for levels to go down. If you want to eat breakfast, try eggs, cheese, bacon, full fat unsweetened yoghurt.
    There is a school of thought that breakfast is a good meal to avoid altogether, giving your body and especially insulin levels and production, a 16 hour fast between your evening meal and next day's mid-day meal. There is plenty of glucose stored in your liver and muscles to keep you going and the process of gluconeogenesis will always make a bit more, if needed (and sometimes if not!). The Diet Doctor has links to more information about this.
    Sally
     
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  3. sally and james

    sally and james Family member · Well-Known Member

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    Carliannie, I'm afraid I am disagreeing with you too. T2 does not have to progress. For very many, who adopt a low carb diet it regresses, including partial, if not almost total reversal of some complications. I've seen this process with my husband, read about it here and many other places on line and been told about it by my husband's medical advisors. So, please don't think of testing as a way of seeing if you have got worse, use it as a way of demonstrating that you have got better!
    Sally
     
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  4. mojo37

    mojo37 · Guest

    Although I agree with the above for me when I have a long gap between meals my BG drops to the 3's and I feel unwell :hungry:
     
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  5. DianaRose

    DianaRose Type 2 · Active Member

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    I agree
    I disagree with you about oats and porridge. I think it probably varies from person to person. Oats are an excellent soluble fibre and will make you feel full as well as releasing the small amount of sugar very slowly. If you have porridge will full cream milk etc that will slow it further as well as tasting extremely yummy. I couldn't do without breakfast and wouldn't if I was working or going to the gym or walking - as I do. I think breakfast is the most important meal of the day after fasting for 12 - 14 hours.
     
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  6. mojo37

    mojo37 · Guest

    That's the thing it does vary from person to person I seem to able to tolerate porridge and even a slice of whole meal bread ( tho not at the same time ).I can have up to 40 (slow release carbs ) 3 times a day as long as I do at least 20 mins aerobic exercise between meals .
     
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  7. Lamont D

    Lamont D Reactive hypoglycemia · Master

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    Hi,
    How many times have not ate and had hypos?
    Do you regularly check your fasting number?
    What are the symptoms when you feel unwell?
    I'm curious because I can relate to your post.
     
  8. mojo37

    mojo37 · Guest

    Well I've always had shakey hands lack of concentration etc when I'm very hungry well since I was in my teens . Wasn't diabetic then I was fit and healthy , now I am diagnosed I have tested if and when that happens and my BG is always in the 3's . Even when I have tested when feeling very hungry and have had readings in the low 4's. I think for some folk low 4's etc are fine for me its not .Shortly after eating I feel ok again .MY ex husband none diabetic and slim and fit could go all day without eating and feel fine . I regularly test am fasting and my numbers at present are between low 8's and mid 6's tho when I lost weight last year my range was in the 5's .I think I might have waffled on somewhat :rolleyes:but yes I always get shaky and just can not concentrate when I have too big of a gap between meals .
     
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  9. jenrose

    jenrose Type 2 · Well-Known Member

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    As for the advice rolled out that you should not test as 'testing causes anxiety' I would find not being able to test would cause me anxiety, especially as I know blood sugars go up when you are ill, as I found out when I had and infection and took antibiotics for it. My aunt died nearly two years ago, she had sickness and diarrhea and ended up in hospital with organ failure. I know she had type 2 diabetes but I don't know if she had a meter or had her blood sugars tested before she went to hospital. I know her son had a meter as is on insulin but did not like to ask.
     
  10. Lamont D

    Lamont D Reactive hypoglycemia · Master

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    It's unusual for T2s to regularly get hypos unless they are on diabetic meds.
    You do have fasting bloods of a diabetic, but that doesn't explain the lows and feeling poorly.
    Have you asked your doctor about your getting hypos?
     
  11. mojo37

    mojo37 · Guest

    Hi is this post in reply to mine ?...if so I never said that I get regular "hypos" I just stated how I felt when I went too long ( for me)and this for me as always been the case and the few times that I have tested my BG was in the 3's
     
  12. Lamont D

    Lamont D Reactive hypoglycemia · Master

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    Yes it was!
    Sorry if I'm reading something from nothing. It's just that I suffered hypos for years that my doctors didn't know what was going on.
    Apologies again.
     
  13. mojo37

    mojo37 · Guest

    That's ok its just difficult with txt sometimes to tell what people meaning . I see that you are not classed as diabetic but Late reactive Hypoglycaemic ...not sure what that is but I assume its to do with Hypos .In my case the unwell feelings I get have always been present since I was about 15 so its sort of a normal thing for me and easily sorted ie I eat something ;). Now of course it does concern me because I want to keep my BG as level as possible . :)
     
  14. golfer24271003

    golfer24271003 Type 2 · Newbie

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    Hi my bloods go up and down like a yo yo it have to test 4 times a day before breakfast before lunch before dinner and before going to bed. I take insulin and metformin tabs 3 times a day before meals if I don't eat my bloods go down if it goes below 5 I start to get the effects of a hypo and have to eat something sweet some days my levels for no reason zoom up to 16 to 18 I have tried explaining this to the hospital but as usual they don't care unless you have a major hypo or you blood go to high that you go into a coma. I have numoius other things wrong with me so I have to live each day at a time which is hard.
     
  15. Lamont D

    Lamont D Reactive hypoglycemia · Master

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    That's exactly, what was happening to me!

    I was diagnosed as prediabetic, then diabetic, and I was really totally always not good, not normal me!

    I have to stay totally in control. The fluctuations in my blood glucose levels made me ill.

    You can read my blog, if your interested.

    There is also the reactive Hypoglycaemia thread in ' Ask a question' forum.

    My symptoms are very closely related to T2, and similar to what you are experiencing now.
    And it took a referral to an endocrinologist to get a diagnosis.
     
  16. mojo37

    mojo37 · Guest

    Hi its certainly a complicated illness ...I will take a look at your blog and the thread :)
     
  17. robertconroy

    robertconroy Type 2 · Well-Known Member

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    Sounds crazy to me a doctor would tell you you don't need to test on Metformin. Bonkers!
     
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  18. TyTy

    TyTy Type 2 · Well-Known Member

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    hi i just been diagnosed with T2 , i went to see my DN last week for the first time . I told her that i was going to start the ND and could i have a testing machine to measure my Blood sugar, She was wonderful and said it was ok and gave me a machine.

    but i am not sure why the doctors said that to you
     
  19. graj0

    graj0 · Guest

    It's because they have seen the research that's been done showing that patients not taking insulin do not benefit from taking their BG. http://www.cfah.org/hbns/2012/for-d...in-self-monitoring-blood-sugar-has-no-benefit is one example and there are others.

    It begs the question about what sort of person took part in the research, if you're cutting carbs to help control your diabetes then it's essential that you know what's going on, just in case a particular food has more of an effect on you BG than you expected. Also the fact that we all react differently to different sorts of carb means that we can't rely on a single source of information, we're all different.

    They must have had participants who weren't that concerned about spikes.

    Nearly forgot, the GP has to be able to justify why he isn't prescribing test strips. Poor justification in my book.
     
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  20. Ali H

    Ali H Type 2 · Well-Known Member

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    This forum represents a tiny minority of people with Diabetes. The vast majority of people I talk to with it are clueless and what's more, don't want to know or change. I have a friend on insulin who is always in the mid to late teens. She was told to eat a banana and porridge for breakfast by the Dr. She told me until a Dr tells her otherwise, she won't change........ despite talking to her about low carbing!

    Ali
     
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