New sorta... Need advice

By redir Latest Reply 2011-11-03 20:14:17 -0500
Started 2011-11-02 00:45:19 -0500

So I was diagnosed about a year ago. I weighed close to 500 pounds. They put me on 3 850mg metformin and 10 mg glipzide and sugar came under control. Lost insurance and dropped 75 pounds and my sugar started dipping to 50 so I freaked out and stopped taking all pills.

4 months have passed and I went to the ER with kidney infection. Told doc about everything he set me up with a single 500 mg metformin extended release. Fasting sugar is now 145 -165 and during the day 150-185.

Should I be worried or am I good? I'm losing more weight.

11 replies

2011-11-03 20:14:17 -0500 Report

Hey redir~~ 1st do as Gabby says. Keep in close contact with your MD. 2nd, keep on loosing the weight, which is the hard part. (Take it from some1 who lost over 200lbs). Any type of infections for a diabetic should be a huge concern. If you go into a hypoglycemic mode that's not good. (Trust me when I say this. The paramedics, and the ER people know me on a 1st name basis.) Talk to your MD. Maybe it's time to decrease your meds. Good Luck redir. I really hope that your overall health improves. (I'm also extremely jealous of you. I wish my b/s was that low. I eat right and my 1st b/s of the a.m is @ a 200 or higher. And my body cannot tolerate any synthetic forms of insulin. So I'm caught between a rock and a hard place. I'm on 2000mgs of Metformin. Oh well, what are you gonna do?)

GabbyPA 2011-11-02 19:20:36 -0500 Report

Keep in close contact with your doctor. You don't want to drop into the 50's, but if you can get your fasting numbers lower that would be good. How recent is the infection? You may still have some issues with your levels from that. Infections tend to run your numbers up.

Never just take anything as gold. Always ask, always question and work with your doctor. As you keep loosing weight you will continue to improve most likely as well. Just keep choosing the right directions and you will find your way.

Mickey/CCHT 2011-11-02 12:33:59 -0500 Report

If you have concerns about this, Please, Please talk with your doctor. You have a right to question all things being done for you and why they are being done. You have patient rights and don't let anyone else tell you different or let them blow you off. It is your body and you have a say in what is going on. If your doctor is not communicating with you or just not answering your questions, you might want to look into seeing someone else. Sounds like you are doing good with your diet, so that is awesome. Congrats! It takes time, but be consistent and ASK ?'s!!! Good luck and God Bless!! P.S. Welcome to DC!!!:)

MEGriff1950 2011-11-02 12:33:38 -0500 Report

Redir, great job on the weight loss. Some areas have diabetic education classes for free or little cost. After attending one I learned why and how to get my blood sugars under control. Getting a meal plan from a diatician at the class helped me with meal planning. If you have diabetic groups in your area I hear they are very good too. DC is a great place to learn what others are doing to gain control so keep coming back and checking new postings plus the older ones.
Your numbers are a bit high according to the American Diabetes Association but not too horribly bad. As James mentioned what were your beginning BG's.
Something that helps me keep on track is my daily journal. I write down everything I eat and when plus I keep track of my BG in that journal. This will help you to determin the foods that spike your sugar levels. Many diabetics can eat rice for a meal carb but I cannot.
Good luck,

jayabee52 2011-11-02 07:08:12 -0500 Report

I am not a medical professional no do I play one on TV. (LoL!) have had diabetes since 1995, and I've been an almost every day member of Diabetic Connece (BTW WELCOME to DC!)

I don't know what your Blood glucose levels were running when first diagnosed, but if they are now running lower than they were when first Dx'd you're ON THE RIGHT TRACK!

One thing to consider, since you have kidney problems, you might want to ask your Dr about switching to insulin.

In Nov 2006 I was taking Met. and I developed a kidney infection. I was switched from Met to insulin immediately.
I was deathly sick and nothing was said to me about the med change. I had to undergo dialysis for what I thought was for life. As it turned out I only had to be treated by dialysis for 10 months. I have since learned that Met has been implicated in kidney problems.

My kidney numbers are hovering again at near the point where I may need dialysis treatments. I just saw my kidney Doc and he has postponed dialysis treatments again (for perhaps another 2 months) . I had started an experement where I manage my BG numbers through what I eat and don't eat. It is working for me. I have maintained my BG levels at near "normal" levels have had my A1c at 5.5 (may 2011) and have lost 50 lbs. (If you request I will sharemy meal plan with you)

Blessings to you and yours


Mickey/CCHT 2011-11-02 12:35:31 -0500 Report

What! Your not a Doc!! HA HA…JK. That made me chuckle! Thanks! Glad to hear they are postponing your dialysis, hopefully for a good long while! Will pray on that! Blessings

MEGriff1950 2011-11-02 12:24:21 -0500 Report

James I would dearly love to hear your secrets. I recently dropped one of the metformin but still taking taking 5 500mg tablets a day. When I stopped that Metformin I had started going hypoglycemic during the night. I am sticking to the same meal plan and have not made any other changes. In the last week I have seen a steady climb in my fasting BG. While today's 119 is not bad it was about 80 for a long time. My blood work still shows normal kidney function and I would love to keep it that way.
Thanks and God bless,

jayabee52 2011-11-02 12:54:47 -0500 Report

of course Mary Here it is:


I have discontinued eating bread of any kind (biscuits, buns, tortillas cornbread, ect) I eat a low carb high protein menu.
For breakfast I eat 2 hard boiled eggs and a small serving of fruit. (usually 1/4 or 1/2 C depending on the carb yield of the fruit. My usual is 1 small clementine orange. But if I am out of the clementines I also eat mostly berries as they are lower on the glycemic index than many other fruits. I stay away from bananas as they are quite high in carbs and also are not good for me due to my kidney issues. Too much potassium.

(Really what you can have is more determined by how your metabolism reacts to certain foods or drinks. (At the end of this I will add how I determine MY body's reaction to a certain food or drink. Since we are all different what may spike me may not spike you and vice versa. )

BACK To the Menu:

For lunch, I generally grill (on a Geo Foreman grill) a boneless skinless chicken breast. I add to that NON or LOW starch vegetables. Green Beans, Broccoli, Calulflower, "California Blend" mix, or stir fry, or Zucchini, or yellow squash.
I haven't developed a taste for brussels sprouts yet, but that is OK too, I think,

I choose one of my usual fruit choices (from the breakfast menu)

(Your taste buds and your meter will be your guide there)

For the evening meal I usually eat a grilled (same method) hamburg pattie (85/15%). I add to that one of the Veggie choices from the lunch menu and one of the fruit choices from the Breakfast menu. I usually pick out veggies or fruits I have not had already that day.

For variety I sometimes Roast a turkey breast in the oven and serve it in the place of one of the protein selections.

Likewise I either make or heat up frozen meatballs and use them in place of one of the protein selections also.

and as promised above here is how I test a food or drink to tailor my eating plan to my metabolism:

What I do is to take a BG reading before I test a food. That is my "baseline reading". I determine what a "serving" of a particular food is using either ( or nutrition ( or ( ) eat a recommended portion of that food. Then 2 hrs lafter my first bite I take a "postpramdial" reading. That will tell me how much that particular portion of food has raised my BG levels over my baseline readings. If it raises my BG less than 50 pts, I may eat that portion without much trouble. If it raises my BG over 50 then I need decide whether it is too much over 50 or not and I may want to retest it with a lower portion size. If it is closer to a 100 pts raise then I usually decide to avoid that food altogether.

I then put a page in my 3 ring binder with that food on it, and record the baseline, the portion conumed and the postprandial results, and my decisions made, whether to retest with a lower portion, and then results of that test, or if I decided to avoid that food altogether.

I do that so I remember what I've tested and what my decisions were, so I don't have to test again needlessly.

That way I have a book of what works for ME and my metabllism specifically.

I pray this is helpful to you.

MEGriff1950 2011-11-02 13:38:24 -0500 Report

Yes James this is very helpful. My meal plan calls for 45 carbs per meal. I have been using glucerna for one meal a day, usually breakfast or lunch. For my other meals I try to stay within to 30 to 45 carbs. I was warned at diabetic education class that I need 45 carbs a meal no more and no less. I felt that was too many carbs and glad to hear you experminted with many less carbs and it is working for you. Thank you so very much.
God bless you,

jayabee52 2011-11-02 13:42:06 -0500 Report

Your results may vary but for me, I am happy with what I have done. And there may be a time I will have to rethink my management plan because something in my metabolism has changed, but I will take it as it comes.

MEGriff1950 2011-11-02 15:31:04 -0500 Report

I sometimes wonder if the experts (non diabetics usually) who teach us mean well but do not really know first hand what each individual needs for total control. After working as a janitor at a major university for 22 years I learned that people with degrees get their information from books and periodicals. With the aid of my journal and your experience I am going to do some serious carb cutting to see how I react. I did find that bananas and grapes spike my sugar more then apples or oranges so I avoid these.
I want to add James that you are an asset to this site, thank you for being here.