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Totally confused am i having to much Gliclazide

suenjames

suenjames

Active Member
Messages
37
Location
Birmingham
Type of diabetes
Treatment type
Tablets (oral)
I started on 60mg of Gliclazide 2 weeks ago my blood sugar was 34.6 on monday it was increased to 2 60mg a day on Tuesday my blood sugar was 10.6 today i took my sugar before lunch and it was 4.3 am i taking 2 much medication i also take 2000mg metformin sr a day.
 
Hi, yes, that is a possibility that your dose is too high. Did you eat breakfast ? Have you done anything strenuous this morning ? If not, keep taking readings and speak to your nurse. 4.3 is not hypo territory but you wouldn't want to drop a lot lower.
 
mo1905 said:
Hi, yes, that is a possibility that your dose is too high. Did you eat breakfast ? Have you done anything strenuous this morning ? If not, keep taking readings and speak to your nurse. 4.3 is not hypo territory but you wouldn't want to drop a lot lower.
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Yes had my breakfast and walked my dog just puzzled why it is coming down so quick
 
It's quite a strong medication and it's doing exactly what it is designed to do. As I said earlier, 4.3 is nothing to get anxious about but keep an eye on your readings and you don't really want to be dipping under 4.0 if poss. Have you reduced carb intake as well ?
 
Please contact your DR or DN as a matter of some urgency over the Issue of your taking TOO much diabetic medications. I'm not medically qualified but it does to me seem like you are taking too much now that your B/G has come down from the high 30's to 4.3 mmol/L as having come down to what is now a very acceptable B/G level you could be doing yourself harm.
 
mo1905 said:
It's quite a strong medication and it's doing exactly what it is designed to do. As I said earlier, 4.3 is nothing to get anxious about but keep an eye on your readings and you don't really want to be dipping under 4.0 if poss. Have you reduced carb intake as well ?
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I haven't totally reduced my carbs i am stilling eating bread but having granary I had 2 granary toast for breakfast and a chicken salad wrap for lunch I still eat potatoes but half of what i used to eat.
 
Lazybones said:
Please contact your DR or DN as a matter of some urgency over the Issue of your taking TOO much diabetic medications. I'm not medically qualified but it does to me seem like you are taking too much now that your B/G has come down from the high 30's to 4.3 mmol/L as having come down to what is now a very acceptable B/G level you could be doing yourself harm.
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I have been to the doctors today i wasn't able to speak to my diabetic nurse but spoke to my other nurse she didn't seem concerned.
 
Just keep monitoring your levels until you are able to speak to your DSN. If you go lower than 4, have a snack, bread and butter or similar. Don't go to bed lower than around 7 or 8 if poss, just in case your dose is a little high and you drop in the night.


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mo1905 said:
Just keep monitoring your levels until you are able to speak to your DSN. If you go lower than 4, have a snack, bread and butter or similar. Don't go to bed lower than around 7 or 8 if poss, just in case your dose is a little high and you drop in the night.


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I will do ty will test again in a hour got my coke ready just in case
 
You might need to investigate adjusting timing and size of dosage. Do you take all 60mg before breakfast? I take 100mg per day, but only 20mg before breakfast, otherwise I'm hypo by lunchtime. Everyone's metabolism is a little different -- you may need to tweak timing and dosage until you find the combination that works best for you in keeping your sugars stable. My DN encouraged me to take control, test and adjust dosage accordingly.

The good news, though, is that your pancreas is still in good shape, so all the more reason not to strain it by taking more meds than you need. Good luck!
 
desidiabulum said:
You might need to investigate adjusting timing and size of dosage. Do you take all 60mg before breakfast? I take 100mg per day, but only 20mg before breakfast, otherwise I'm hypo by lunchtime. Everyone's metabolism is a little different -- you may need to tweak timing and dosage until you find the combination that works best for you in keeping your sugars stable. My DN encouraged me to take control, test and adjust dosage accordingly.

The good news, though, is that your pancreas is still in good shape, so all the more reason not to strain it by taking more meds than you need. Good luck!
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Ty i take 60mg breakfast and 60mg with my dinner hopefully will get to speak to my dn tomorrow because it is stressing me and as a new diabetic was diagnosed september last year everything is new to me.
 
Hi. I really think reducing your morning dosage is the obvious thing to do -- if your sugars go so low that you have to boost them to avoid a hypo then that really defeats the point. Do suggest to the DN tomorrow that you lower the morning dose to 40 or even 20 (or even better, reduce it to 40 and then present her with the results). As a diabetic, you really don't need stress, and you should be feeling good that the meds are working. Let us know how you get on.
 
Gliclazide has very different effects from person to person depending on the state of the pancreas. I was on 320/day with little effect whereas you appear to have a pancreas in a reasonable state. You almost certainly need to reduce your dose as 4.3 is too close to the wind and you mustn't drive at that level. I didn't think you could get 60gm Glic tablets?
 
Daibell said:
Gliclazide has very different effects from person to person depending on the state of the pancreas. I was on 320/day with little effect whereas you appear to have a pancreas in a reasonable state. You almost certainly need to reduce your dose as 4.3 is too close to the wind and you mustn't drive at that level. I didn't think you could get 60gm Glic tablets?
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Probably "diamicron" (gliclazide MR) 30ml is equivalent to 80mg of normal release per BNF.
 
Daibell said:
Gliclazide has very different effects from person to person depending on the state of the pancreas. I was on 320/day with little effect whereas you appear to have a pancreas in a reasonable state. You almost certainly need to reduce your dose as 4.3 is too close to the wind and you mustn't drive at that level. I didn't think you could get 60gm Glic tablets?
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sorry that should have read 80mg
 
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