Change of plan needed?

By maryea Latest Reply 2009-12-01 08:11:37 -0600
Started 2009-11-29 00:56:09 -0600

I have been on Metformin for about a month now after seeing my bs go up despite my sticking to my diet. Since being on the medication, my bs are mostly normal but I do have an occasionally high when I eat a lot more than I should and in the ams. Not terribly high usually but above normal. Just to put some perspective on it I have never had a bs reading above 220 and that was only once or twice when I had really overeaten even before starting medication.

My question is: now that I am on medication should I get another dietary consult? Is it possible I can have a little bit more carb servings? Like maybe 14 a day rather than 12? Or should I just test that myself by eating only slightly more if I want it?
Guess it's a small difference probably but I'd like to know.

9 replies

kdroberts 2009-12-01 08:11:37 -0600 Report

By carb servings I assume you mean the exchange system, 12 being 180g and 14 being 210g. Both numbers are pretty high if you are trying to control your blood sugar in my opinion. Really you should be eating and testing your blood sugar to see what works and doesn't work. If you are seeing numbers before meals that are 70-80 and after meals that are 90-100 and you feel hungry then you probably could up your carb amounts (or maybe cut back the medication with your doctors OK). However if you are seeing numbers after eating that are 160-190 or so then you probably should be cutting back on your carb servings or increasing your exercise or medication. If you want to see a dietitian then you really need to see them on a regular basis because it's impossible for them to give you a perfect diet plan on one consultation. To use them effectively you need to see them, try their plan, log your food and blood sugars, go back, have them adjust your plan base on your data, try that, go back, etc and keep going until you have it locked in and are getting good numbers, taking a level of medication that is acceptable to you and eating enough to keep you satisfied the whole day.

rankearl 2009-11-30 15:45:58 -0600 Report

with most diabetics everyday is differnet i have a pump so every meal and every blood sugar i adjust my dosages it is just ongoing i also adjuast if im sick or in pain hope this helps hugs julie

Pat Roth
Pat Roth 2009-11-30 16:53:06 -0600 Report

I am also finding that every day is DIFFERENT, I MUST stick to sticking myself several times a day as I can THINK that I am eating the same, but what works one day may not work the next. Checking more frequently has eased a lot of my dreaded worry—-what? IF?? JUst check two hours after eating one thing that is a question to you PR

lipsie 2009-11-29 12:25:00 -0600 Report


I agree with John. You have to check you sugars, find it within your own limits. Everyone wishes we could have more but its unfortunate that a lot of us can not go there. Good luck! Hugs! Sheila

maryea 2009-11-29 16:51:11 -0600 Report

Ok, think I will experiement a little and if still have questions ask for a dietician consult. Thanks!

lipsie 2009-11-29 12:24:50 -0600 Report


I agree with John. You have to check you sugars, find it within your own limits. Everyone wishes we could have more but its unfortunate that a lot of us can not go there. Good luck! Hugs! Sheila

John Crowley
John Crowley 2009-11-29 07:47:58 -0600 Report

That's a great question and I think you've already answered it yourself. You can take charge and see what a change in your eating plan does to your blood sugar. Can you add another carb serving and stay within your target blood sugar range? Well, your meter will tell you :-)

Of course, if you feel like another meeting with a dietitian would help you, then by all means go ahead. But most of all, you should feel empowered to take charge of your plan and your results.

That's my two cents.

TwoHugs 2009-11-29 03:57:02 -0600 Report

get another dietary consult?
Most certainly…with every medication change a dietitian should be consulted ask your doc to refer you to a free class setting in a local nearby hospital..

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