lmck said:
Hi everyone i am new to this website. I have been a type 2 diabetic for about 5 years but just recently all my problems have started. My blood glucose readings used to be between 6 and 8 on 1 metformin tablet but now my doctor has increased my dosage to 4 a day my blood glucose readings have fell to 3 and 4 and when this happens i feel very ill but my doctor says that i have to stick to my medication. He says that i will never take a hypo but when my readings are low i feel as if i have the symptons of a hypo. Can anybody give me some advice please as this is really getting me down.
If your blood glucose levels have been running a little high - and between 6 and 8 would be a bit high for me, but we are all different - your body will be used to running at that level and you may well get some hypo symptoms until your body gets accustomed to the lower levels. This is not unusual and is called "false hypo".
The NHS target blood glucose levels for a Type 2 are: 4 - 7 fasting/before meals; less than 8.5, 2 hours after eating.
For a non-diabetic, the target levels are: 3.5 - 5.5 fasting/before meals; less than 8, 2 hours after.
You could always treat for a hypo when you're low, until things settle down. There is a saying "4 is the floor"; if you find yourself in the low 4s, you could give your levels a quick boost. There are various methods for this; I carry glucose tablets (available from all pharmacies and probably sweet shops too. If I find myself below 4, I chew 2 tabs and check my BGs again 15 minutes later. If I'm in the high 4s or over 5, fine; if not, chew another and test again.
Some people carry Lucozade, but I find the glucose tablets an easier way to get a small does; easy to swig too much Lucozade!
Having said all that, I haven't eaten a glucose tab for more than 18 months. I feel fine now even in the low 3s, so my system seems to have adjusted.
After all, if 3.5 is okay for a non-diabetic, surely it should be okay for a well-controlled Type 2?
You could always drop your Metformin down to 3 a day for a couple of weeks, and go back up to 4 a day after that. It's usual to start Metformin by 1 a day for a week; then 2 a day for the next week; then 3 - and so on. Then next time you see your GP, discuss the symptoms and explain what you've done.
Hope this helps. Have a read round on here, too - there's lots about hypos.
Viv 8)