QUESTIONS ABOUT METFORMIN

DarleneHitch
By DarleneHitch Latest Reply 2009-04-11 11:37:16 -0500
Started 2009-04-04 17:19:29 -0500

i HAVE A COUPLE QUESTIONS AS MY DOCTOR ISN'T REALLY VERY HELPFUL. wHAT IS "NORMAL" FOR A BLOOD SUGAR READING? mY DR. HAS ME ON 2 METFORMIN IN THE MORNING AS WELL AS GLIPIZIDE AND I METFORMIN AT NIGHT. MY BLOOD SUGAR IS ANYWHERE FROM 207 TO 277 IN THE MORNING AND IN THE 100'S IN THE EVENING. SHOULD I MAYBE TAKE THE 2 METFORMIN AT NIGHT INSTEAD AND 1 IN THE MORNING? I HAVE UNTIL MY NEXT DR. APPT. APRIL 17TH TO GET MY SUGAR DOWN OR MY DR. WANTS TO PUT ME ON INSULIN.


23 replies

Idgie90
Idgie90 2009-04-11 11:37:16 -0500 Report

I have no answers as I have only been diabetic for under 2 years. But, as a woman with concern for others, if your doctor isn't helpful…get a new one!!! Or if you are only seeing your primary care get a referral to an Endocrinologist.

Galen
Galen 2009-04-08 11:16:00 -0500 Report

Had chronic diarrhea and thought it was the drugs. It wasn't, Have a great doctor who figured out that I'm celiac. Any products containing gluten from wheat and other grains can cause, among a long list of things, diarrhea.

Within two or three days of cutting out all wheat, oats and barley products, felt better than had in years.

Some research is showing that celiac and diabetes are related. The easiest way to see if it may be your problem is to eat only plain old meats, veggies, fruits, dairy and nuts for a week. No processed foods, toppings or sauces without checking first (whodathunk that soy sauce was made of wheat?).

shirleycc
shirleycc 2009-04-07 23:01:14 -0500 Report

I've been reading the discussions and, since I'm in agreement with the replies I'm not going to respond to the metformin question (which I currently take 2x a day. What caught my attention was the tone of your "my Dr. wants to put
me on insulin" which sounded to me as if you have some negative thoughts about
insulin. Insulin is not your enemy. If you cannot get your sugars down, it may
be a necessity. That doesn't mean it will be forever, you can work toward no longer needing it.

Also, you need to take some ownership of
your diabetes. It's not going to go away
If you are so dissatisfied with your doctor, you need to find an endocrinologist who is pro-active. Then
you need a referral to a diatician. And,
read, read, read. Judy (JP) had it right when she told you a couple of days ago that you can eat anything.I'll add a qualification to that—if you find that some particular food or foods causes your blood sugar to soar, first be sure that your portion size is correct, then, experiment. Check what else you consumed at the same time, how much, whether too much of your meal was carbs,
yada, yada. Then if what you think it was that caused the "high" is something you really want to eat, restructure your meal to allow a small amount and adjust
around it. You may find that works for
you. I love oats,eggs,milk,beans and pasta and even an occasional hamburger.
I include all these in my diet, (not at the same time, of course) I never have
whole milk, only skim. If I eat oats, I try to have steel cut oats and limit it to 1/2 cup. I'll add a handful of nuts
(8-10 pieces) some sweetener, a sprinkle of butter-buds and have 1/2 to 1 cup skim milk. (Regular oats have fillers,& some people cannot tolerate the fillers)
Take time to eat. Don't gulp you food, but savor it. Just remember, it's your life, no one else's. You don't need the
complication of a doctor who you don't think cares about you enough to take the time to talk.

officer203
officer203 2009-04-07 21:49:04 -0500 Report

IF YOUR DR. DOES DECIDE TO PUT YOU ON INSULIN, PLEASE-PLEASE ASK FOR THE INSULIN PEN, ESPECIALLY IF YOU ARE AFRAID OF NEEDLES OR JUST THE WHOLE TAKING INSULIN THING, BECAUSE MY NEW DR. PUT ME ON THE INSULIN PEN MY SECOND VISIT, I CAME THERE WITH A 400 BLOODSUGAR AND AN HOUR LATER THE NURSE INJECTED ME N MY ARM(BACK PART/FATTY)WITH THE INSULIN PEN AND MY BLOODSUGAR WENT DOWN TO 200, TO ME THAT WAS AN INPROVEMENT AND I FELT GOOD ABOUT MYSELF, BEACUSE AFTER I LOST MY JOB IN OCTOBER OF '08 I WENT INTO A DEEP DEPRESSION, EATING ALL DAY LONG STAYING IN BED NOT GOING OUTSIDE AND TO REALLY TOP IT OFF, I LOST MY HEALTH INSURANCE AND MY DR. VISIT AND LOST MY UNEMPLOYMENT BENEFITS… BUT ANYWAY- LIKE I SAID IF THE INSULIN IS THE ONLY SOLUTION FROM YOUR DR. ASK FOR THE INSULIN PEN(LANTIS SOLOSTAR) OR ANY OTHER BRAND, SO YOU WONT HAVE TO BOTHER WITH INSULIN BOTTLES AND NEEDLES, FOR ME IT'S ONLY 2 -3 EASY STEPS, I PLACE THE SHORT NEEDLE ON THE END OF THE INSULIN PEN(IT'S A TWIST-ON NEEDLE) SET MY DOSAGE ON THE PEN AND INSERT THE NEEDLE INTO MY LOWER PART OF MY STOMACH AND INJECT, IT'S RLLY EASY FOR ME BUT FOR SOME PEOPLE IT MAY BE DIFFERENT…

officer203
officer203 2009-04-07 21:30:01 -0500 Report

WELL I WAS IN THE SAME SITUATION AS YOU…WHAT MILIGRAMS R U TAKING FIRST OF ALL… MY BLOODSUGAR USE TO BE THRU THE ROOF THE HIGHEST I EVER GOT WELL ON THE METER WAS 500 AND IF IT WAS TOO HIGH AND OFF THE SCALE IT'D READ "HI" OR KEYTONES.
BUT, CHECK WHAT YOURE EATING AND YOUR PORTIONS THAT WAS MY PROBLEM BIG PORTIONS AND ALOT OF SWEETS AND SALT, NOW I'M AT THE POINT WHERE IF I TASTE ALOT OF SALT ON MY FOODS I WILL TOTALLY FEEL THE URGE TO VOMIT AND MY SWEET INTAKE IS LIMITED ALSO OR I WILL GET A HEADACHE, BUT ANYWAYS—- I THINK YOU SHOULD CHEK YOUR MILLIGRAMS UR DR PRESCRIBED BECAUSE MY OLD DR HAD 2 INCREASE MINE, BUT I KNEW WHY MY MEDS. WERN'T WORKING FOR ME IT'S BECAUSE I WAS CHEATING MYSELF AND MY HEALTH, I WAS EATING BIG PORTIONS AND SWEETS ALL DAY WHEN I WASN'T SUPOSE TO HAVE THEM, SO IF I WERE YOU I'D CHEK WITH A NEW DR. THAT IS AT THE HOSPITAL(CLINIC/FAMILY PRACTICE), THATS WHAT I HAD TO DO AND NOW MY SUGAR IS RUNNING IN THE 90'S TO 170, FROM 500 DWN TO 90'S AND LIKE YOU, I FELT MY OLD DR. WASN'T BEING THERE FOR ME ALSO, SEEMS LIKE IT WAS JUST- HELLO HOW R U FEELING 2DAY, R U N ANY PAIN, AND UR TYPICAL CHEK THIS HEAR THAT AND WRITE YOU A PRESCRIPT AND YOUR ON YOUR WAY OUT THE DR'S OFFICE, SO I'D REALLY LOOK INTO THAT AND IF YOUR DR SAYS THE SAME THING THEN YOU'LL KNOW THAT THERE IS SOMETHING WRONG WITH YOUR MEDS…

freddyg2u
freddyg2u 2009-04-07 20:48:52 -0500 Report

Hi Darlene,
There is another reason why this drug may not be working for you. If you eat after 6 PM your BS will be high, depending on what carbs you ate the night before. This disease is the pits if you don't control your intake. Fred

rbergman
rbergman 2009-04-05 08:02:25 -0500 Report

Its a fact that diabetes is different for each of us. There are 2 of us in this house alone, myself, who just the tiniest amount of sugar can make my numbers skyrocket, and our 7yr old daughter who can tolerate sugary foods in moderate to medium consumption and not have it send her numbers through the roof. For our daughter we went to a diabetic educator/dietitian and the diet plan of counting carbs is working for her, I myself attempted to follow the same exact diet and am not having good results. When I questioned my doctor about this she said…it's different for you because you are a severe T2 whereas your daughter is not at this point…and of course we pray she never will be.
My daughter takes 2000mg of Metformin daily for her diabetes and it works wonderfully for her most days, recently she's been having some highs but, she is also considered a Double Diabetic, or T2 leading to T1 and so things can change for her with little warning. I am a T2 and have been for just over 7yrs myself and take 2000mg of Metformin daily as well as 100mg of Januvia and cannot get my numbers under 200 at any point of the day. I have only been on this regimen since March 11th or so and so am encouraged to give it a little more time but it seems everything I eat turns to sugar and keeps my numbers higher. I was on insulin prior to the change last month and feel I need the insulin, however, I will do as ordered by the doctor and give it more time to see if the oral's will do their job, but, if not, if insulin is the answer then so be it. But in your case I would suggest seeing a diabetic educator or dietitian or nutritionist for suggestions of foods to eat and portion size and carb counting.

~Robin

Pat Jones
Pat Jones 2009-04-05 00:28:29 -0500 Report

he needs to refer you to diabetic classes. mine were fabulous. they teach you everything and give you your diet. after you start losing weight you meds should change. how long since you were diagnosed? you have to be educated. 125 is where they start diagnosing you. your fasting sugar (am before breakfast) should be the lowest of the day. after you eat you sugar rises. the meds are to keep your sugar down. if you do not eat enough or often enough, you may have low sugar, at which point you would need to eat to get your sugar up. OK. THE DEAL IS THIS. CONTROLLING YOUR SUGAR IS A BALANCE OF: exercise, meds, and food intake. these need to be balanced for you to feel better.
i was originally on 2 metformin in the am and 2 at night. i came off my meds about 4 years ago now. i am not familiar with the other drug you mentioned. before he does anything you have to go to classes and get educated. otherwise, you don't know what you are doing.

GailL
GailL 2009-04-10 17:57:20 -0500 Report

I am on 2 metformin in Am + 2 metformin at supper. I've only been on them since March 4th…and have come down, but not enough… how long should I wait before I become concerned? I was 180 -216 on daily checks and 144 on my A1C when I went to the Dr.last. Until then I had ranged from 111 - 126 on my A1C I too have a Dr who doesn't seem to care He left the room to make copies and sent the nurse back with them and I had to ask her to ask him to come back as I had some questions. I have been to the Diabetes Dietician but that was when I was controlling it with Diet & Exercise, so do not remember all the stuff about meds. I use a computer program Diabetes Pilot to track my meals, carbs, cal etc. Any help anyone can give would be great. Thany you

Anonymous
Anonymous 2009-04-04 22:47:40 -0500 Report

Pharmacists can be much more forthcoming with info than doctors sometimes; also check with local hospital maybe and see if there is a CDE (Certified Diabetes Educator on staff - Suggestions only -

lipsie
lipsie 2009-04-04 20:38:46 -0500 Report

It is surprising the doctor would put you in the hospital that fast. How much, dosage are you on of all that? Sheila

DarleneHitch
DarleneHitch 2009-04-04 21:19:48 -0500 Report

No, he wasn't putting me in the hospital. He will put me on insulin instead of the pills if my levels don't go down.

alwaystryin
alwaystryin 2009-04-04 20:07:32 -0500 Report

I concur with those that say check with DR first, but if your readings are 200+ then you must address that issue FAST. As I say too is don't forget the diet and exercise aspect. Even for T1's that makes a BIG difference!!

DarleneHitch
DarleneHitch 2009-04-04 21:21:56 -0500 Report

I've been trying to watch what I eat very carefully. The doctor didn't really give me any advice on can and cannot haves so I really don't know alot. And I do go to Curves to work out three days a week.

2009-04-04 19:36:11 -0500 Report

Hi there,
Everyone's definition of normal for blood sugars is different so the answers you get will probably vary. For me 80-120 is normal for fasting or before meals and 100-140 2 hours after meals and at bedtime. I would think anything over 200 at anytime would be cause for concern. Didn't the doctor tell you what your goals are? You did say that they weren't very helpful so maybe not. How long have you been on the Metformin? It does take some time to work, to get into your system so if it hasn't been too long maybe some time will help. Hard to say with out input from the doc.
*Judy

DarleneHitch
DarleneHitch 2009-04-04 21:25:00 -0500 Report

I've been on the Metformin for about a year now. When I was living in England the diabetic nurse was alot more helpful. I moved back here last August and my current doctor doesn't give me any info. I don't know where he wants my levels to be or what foods I can and cannot eat. I'm very frustrated with the whole matter.

2009-04-04 21:55:39 -0500 Report

Didn't the diabetic nurse in England set some goals for you and tell you what you can and can't eat? One would think that after being on the medication for a year you'd have a plan. If not this site is full of information.

DarleneHitch
DarleneHitch 2009-04-04 22:38:37 -0500 Report

She gave me advise like eating whole wheat pasta, limit grapes because of natural sugar, stuff like that. But whenever I eat any pasta my blood sugar goes way up. I've been told from someone here not to eat beans, oats,milk, hamburger and eggs. I thought oats were good for everyone?? Are organic eggs any better or the same than regular eggs? I feel like I can't have anything!! It gets very frustrating and depressing.

2009-04-04 23:18:24 -0500 Report

Oh my, there isn't anything that you CAN'T eat.. You just need to learn how much you can eat and how to plan a meal plan. Vegetables, fruits, whole grains, legumes (beans), lean meat, and low fat dairy are all included in a healthy diet. Portion sizes are important as well as the quantity of carbohydrates you consume. I'd suggest looking up a sample diabetic meal plan online for starters and then ask your not so helpful doctor if he can refer you to a diabetes educator or dietician so you can learn to take better care of yourself. There are many ways to do this, that's why I hesitate to suggest one specific approach.. Different things work for different people. Some do low carb, some do carb counting, some do glycemic index, information is available on all of it though on the web.. google all of them and see what feels best for your situation.

And if you need help let me know and I'll be happy to help you out.

*Judy

2009-04-04 19:35:27 -0500 Report

I am on metformin also. If you have questions about dosage, or are having problems, I wouldn't wait until my appt. to get in touch with my doctor. I would call and talk to the doctor. Some things you shouldn't wait on.

bigjrm45
bigjrm45 2009-04-04 17:28:50 -0500 Report

I first started on Metformin after the hosp. visit did not work for me but the Insulin is working for me I range from 75 to 120 now, and do not take it unless I am over 155, but keep on your doc. behind to help you out more.

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