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NHS Direct doctor says... NO testing when taking Metformin
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<blockquote data-quote="kiskutya" data-source="post: 925197" data-attributes="member: 194602"><p>I'm newly diagnosed T2. I'm 52 years old, female, overweight. My brother and father have both late onset T2. I've felt very unwell for approximately 8 months but having not been to the doctors in over 6 years I struggled through until my feeling unwell was affecting my ability to work or lead a normal life. I had moved areas so needed to register with a new GP. As a new patient I was offered full blood testing. This took place on 17th July 2015. Fearing the outcome might be diabetes due to my weight, family history, diet, lack of exercise I immediately searched the internet and found a recommendation on this site for LCHF so I immediately stopped eating bread, rice, pasta, potatoes, fruit juice, pastry, sweets, cake, below ground vegetables etc. I was given an appointment with the doctor for 26th July at which point I was diagnosed with high cholestrol (6.1). BG was high (8.5). BP was high (153 over 89). An appointment was made with the nurse to take more bloods - the result of fasting bloods HbA1c results were 58 (7.5). An appointment was made within a week to see the practice DN at which point on 29th July I was prescribed Ramipril 2.5mg 1 x daily, Simvastatin 40mg 1 x daily and Metformin 500mg 3 x daily. I was given a foot examination, a test meter, lancets, test strips, diet sheet, referral for Exercise Scheme, podiatry referral, eye test referral, referral for XPERT course and weighed. I started off taking the metformin but delayed the Ramipril and Simvastatin. The metformin immediately caused the most horrendous stomach upset with haemorrhagic diarrhoea necessitating A & E treatment. I stopped taking them. I had to wait 3 days for an appointment with the DN who prescribed Bolamyn 1000mg SR metformin (to be taken in the evening with/after food). My weight at this time showed a loss of 9lbs since 17th July (12 days). I put this down to cutting sugars from my diet. BP down to 118 over 70.</p><p>I test daily, usually first thing after fasting o/night, and whenever I feel like it during the day (some days I don't test, most days twice, some days once, others 3 times. My 7-day average is 7.1 / 14 day 7.3 / 30 day 6.9 - fasted mornings tests vary between 5.8 - 8.3, after meals between 5.7 - 9.3.</p><p>Having changed my diet completely and being on the medication I feel much much better, no symptoms that I had daily, no bloating, no ibs, no lethargy, sleepyness, shakyness, headaches or muscle fatigue.</p><p>I try to eat breakfast if only 4 Finn Crispbread with butter, 30g Philadelphia cheese, and blueberries. I take my Ramipril 1 x 2.5mg, Fenugreek 1 x 610mg, Chromium 1 x 200ug with breakfast, (and Simvastatin 1 x 40mg and Bolamyn 1 x 1000mg after my evening meal).</p><p>I'm trying hard to be a 'good' diabetic - have cut out as much sugar as I can, read every nutrition label, don't drink fruit juice or alcohol or fruit squashes or sodas, avoid bread, pasta, rice, pastry, cake, sweets, puddings, bananas, prepared 'tv supper' style meals and fast food takeaways.</p><p>Thgis site was recommended by my DN (who is also T2). I find my new GP practice to be 'on the ball' with my diabetes. I hope to be joining a diabetes 'self help' group locally and my appointments with my DN are scheduled fortnighly.</p><p></p><p>I apologise for the long winded response as a first posting but wanted to explain for newly diagnosed UK diabetics what they could hope to expect from their GP/DN.</p></blockquote><p></p>
[QUOTE="kiskutya, post: 925197, member: 194602"] I'm newly diagnosed T2. I'm 52 years old, female, overweight. My brother and father have both late onset T2. I've felt very unwell for approximately 8 months but having not been to the doctors in over 6 years I struggled through until my feeling unwell was affecting my ability to work or lead a normal life. I had moved areas so needed to register with a new GP. As a new patient I was offered full blood testing. This took place on 17th July 2015. Fearing the outcome might be diabetes due to my weight, family history, diet, lack of exercise I immediately searched the internet and found a recommendation on this site for LCHF so I immediately stopped eating bread, rice, pasta, potatoes, fruit juice, pastry, sweets, cake, below ground vegetables etc. I was given an appointment with the doctor for 26th July at which point I was diagnosed with high cholestrol (6.1). BG was high (8.5). BP was high (153 over 89). An appointment was made with the nurse to take more bloods - the result of fasting bloods HbA1c results were 58 (7.5). An appointment was made within a week to see the practice DN at which point on 29th July I was prescribed Ramipril 2.5mg 1 x daily, Simvastatin 40mg 1 x daily and Metformin 500mg 3 x daily. I was given a foot examination, a test meter, lancets, test strips, diet sheet, referral for Exercise Scheme, podiatry referral, eye test referral, referral for XPERT course and weighed. I started off taking the metformin but delayed the Ramipril and Simvastatin. The metformin immediately caused the most horrendous stomach upset with haemorrhagic diarrhoea necessitating A & E treatment. I stopped taking them. I had to wait 3 days for an appointment with the DN who prescribed Bolamyn 1000mg SR metformin (to be taken in the evening with/after food). My weight at this time showed a loss of 9lbs since 17th July (12 days). I put this down to cutting sugars from my diet. BP down to 118 over 70. I test daily, usually first thing after fasting o/night, and whenever I feel like it during the day (some days I don't test, most days twice, some days once, others 3 times. My 7-day average is 7.1 / 14 day 7.3 / 30 day 6.9 - fasted mornings tests vary between 5.8 - 8.3, after meals between 5.7 - 9.3. Having changed my diet completely and being on the medication I feel much much better, no symptoms that I had daily, no bloating, no ibs, no lethargy, sleepyness, shakyness, headaches or muscle fatigue. I try to eat breakfast if only 4 Finn Crispbread with butter, 30g Philadelphia cheese, and blueberries. I take my Ramipril 1 x 2.5mg, Fenugreek 1 x 610mg, Chromium 1 x 200ug with breakfast, (and Simvastatin 1 x 40mg and Bolamyn 1 x 1000mg after my evening meal). I'm trying hard to be a 'good' diabetic - have cut out as much sugar as I can, read every nutrition label, don't drink fruit juice or alcohol or fruit squashes or sodas, avoid bread, pasta, rice, pastry, cake, sweets, puddings, bananas, prepared 'tv supper' style meals and fast food takeaways. Thgis site was recommended by my DN (who is also T2). I find my new GP practice to be 'on the ball' with my diabetes. I hope to be joining a diabetes 'self help' group locally and my appointments with my DN are scheduled fortnighly. I apologise for the long winded response as a first posting but wanted to explain for newly diagnosed UK diabetics what they could hope to expect from their GP/DN. [/QUOTE]
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