I was diagnosed Type II a few months ago, and I know very little about Diabetes. My blood glucose is hovering around 115 mg/dL the past few days according to my glucometer. I take 500 mg of Metformin once per day. I eat fairly well and stay away from "sweets", but I exercise very little. Believing that my blood sugar should reside between 80 and 105 mg/dL, should I talk to my doctor about increasing my Metformin dose? Might exercise alone do the trick?

Patty Bonsignore


The goal for blood glucose before breakfast is 70-130, and 2 hours after eating it is less than 180. If you generally average around 115, your blood glucose levels are in target and you are doing well. Usually doctors will increase the medication if the A1C is over 7% or if your morning blood glucose levels are regularly over 130. Right now your numbers are not that high, so an increase in medication does not appear to be indicated. Rather than increasing medicine, increasing exercise may be a better option for you. Exercise helps bring blood glucose levels down for about 24 hours. We like to see people with diabetes exercising 30 minutes, 5 days a week, but even a brisk 20-minute walk after eating can help.

November 3, 2013 at 2:13 pm

5 replies