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Lynnwood
Forum Moderator


Date Joined May 2005
Total Posts : 7473
   Posted 7/24/2016 9:15 AM (GMT -6)   
I've been eating low carb for over 2 weeks, and my fasting blood sugar is still 108-115.

(By low carb, I mean no breads or sugars, just chicken, fish, veggies (not potatoes), and fruits.)

I have some metformin, and am wondering what the best time to take it is. Morning? Lunchtime? Evening?

Thanks.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5926
   Posted 7/24/2016 9:38 AM (GMT -6)   
If you're taking one pill a day, like the 500 mg., it might not be effective all day for you. It's usually prescribed to be taken with food, so it would be before you eat. Let's say you take it before you eat breakfast. Personally that once a day dosage didn't last all day for me, so my doctor prescribed it twice a day, and I now take one 500 mg. before breakfast and one before dinner.

There are other strengths to metformin besides the 500, and there's the ER kind (extended release). So, there may be a way to change the dosage and frequency for you that would help.

Fasting is reflective of what you ate the evening before especially. It also may depend on what time you test in the morning. If a person tests at 6:00 or 7:00 when waking up, the fasting might be lower at that time compared to taking it at 9 or 10, still without having anything to eat or drink. The reason for that is our blood sugar rises by itself in the morning to give us the energy to take on the day even before we eat something.

What is the dosage you're on now?
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Lynnwood
Forum Moderator


Date Joined May 2005
Total Posts : 7473
   Posted 7/24/2016 11:03 AM (GMT -6)   
I have 500 mg capsules, and directions from several months ago for taking 500, 1000, 1500, and 2000 a day, but he never said WHEN to take it. I took it in the morning, don't remember the dosages, and was sick to my stomach by late afternoon. But I quit that Dr when he wanted to do some unnecessary testing.

I'm eating VERY DIFFERENTLY now. Almost 3 weeks without sugar or carbs, eating high protein meals 3 times a day.

My blood sugar testing has been first thing when I get up (9-10:30 for me), as I know it increases by itself once you get moving. I've been eating protein, vegs, fruit for dinner around 6 pm, and I go to bed 10 or 11.

I know I need to do the after-food testing to see what produces spikes for me, but since I don't like the needle I haven't convinced myself to do that yet. Little steps. :-) I imagine less fruit?

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5926
   Posted 7/24/2016 12:36 PM (GMT -6)   
Normally when metformin is first prescribed, it's begun gradually because of those very same stomach issues. So, starting with 500 before a meal once a day (at the same meal) is best and if that's tolerated and more is needed, then another 500 before another meal.

Knowing what I know now, I'd start at lunch once a day. Also, as I think you already know, avoiding greasy, fried food and heavy carbs will help avoid stomach issues. I know this is not 'you' but some people think they can eat whatever they want if they're taking something for diabetes/blood sugar because the medication will "take care of it". Wrong.

Anyway, if a person goes to twice a day, then I think before lunch and dinner might be best if that person is prone to stomach issues. Otherwise, before breakfast and then before dinner is better, in my opinion. But this is an individual matter and whatever works best for you is great.

So two things (actually more than two...) strike me in your post: the fruit and not testing after eating. Depending on the fruit and the amount, you could be getting a lot of carbs. And if you're not testing about two hours after eating, then you don't know how that food is affecting the blood sugar. You already know that but you're thinking needles.

So, fruit. Yes, it's full of natural sugar and it raises our blood sugar. What fruit are you eating? How much?

And, your doctor said you could take from 500 to 2000 mg a day? No guidance about when? Don't get me started on this because I'll never quit.
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Lynnwood
Forum Moderator


Date Joined May 2005
Total Posts : 7473
   Posted 7/24/2016 2:14 PM (GMT -6)   
Oh, no, the Dr ramped it up from 500 to 2000 over the course of several visits. I just don't remember what guidance he offered because he later proved to be flaky therefore I didn't trust what he said and promptly forgot it & stopped the metformin totally. Now I see metformin may be necessary to get blood sugar levels down.

Apples, bananas, cantaloupe, watermelon, maybe 2 servings a day with meals. Once in a while another serving in the late afternoon if I get hungry, with a handful of almonds or walnuts. Some plums, too, I guess, or cherries. Whatever is good at the Farmer's Market!

Yeah, no fried or greasy foods - trying to get lots of fiber in veggie/fruit form to lower that cholesterol!

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5926
   Posted 7/24/2016 7:54 PM (GMT -6)   
Oh! Sorry I misunderstood. Hmm. Well, you say you're eating differently now so that needs to be taken into account but the fruit is probably what's keeping the levels higher than you want. So, if I were you, I'd cut down on the amount of fruit and also check out the amount of carbs in the different fruit and go with the lower ones. Berries seem to work well but I know they're not as juicy as melons. Try to eat half a banana at a time, saving the other half for later and get some protein with the fruit. Peanut butter, nuts and cheese work well with apples.

Again, the only way to know how any of the food you're eating affects your blood sugar is if you test right before eating and about two hours after you start eating. If you test at 2:00 p.m. and your blood sugar is 120, it means nothing unless you know what you were before. If you were at 115 before eating, then that's great. If you were at 90, then the jump was 30 points.

One of the criticisms of Bernstein's eating plan is that he doesn't include fruit. This is because fruit has so much natural sugar that it does raise blood sugar a lot. You can get all the nutrition that fruit gives you from fresh, colorful vegetables and greens. It's just that who wants to eat a bell pepper instead of an orange for vitamin c? I understand that.

Anyway, if you go back on metformin, I would start on 500 once a day at the same time before a meal and see how that works for you. Then, add another (500 mg.) before another meal. Don't take it on an empty stomach so breakfast might not work well, at least now. These are the instructions that my doctor gave me in the beginning and if you have any questions, you know you should ask your doctor.
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Lynnwood
Forum Moderator


Date Joined May 2005
Total Posts : 7473
   Posted 7/25/2016 10:24 AM (GMT -6)   
Thanks for the information & support, Lanie. I'm going to add 500 metformin to my lunches and see where that puts me in a week.

I'll also find something that rates fruit by carb and/or sugar value and try for the lower ones.

Thanks again.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5926
   Posted 7/25/2016 11:08 AM (GMT -6)   
Keep us updated! You might want to keep a journal, too. Good luck!
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

21Jellybeans
Regular Member


Date Joined Jul 2012
Total Posts : 61
   Posted 1/16/2017 10:37 PM (GMT -6)   
Some people have to stay under 20 grams of carbs a day for diet to really work. I am on 2000 mgs of metforim a day. I have 5 mg of glipizide I can take if I eat carbs, but when I stick to low carb, my blood sugar goes way too low. One day I felt fine and took it and it was 54 two hours after some chili. Zoiks.
I think metforim only works for 8 to 10 hours in some people.
Most drugs do not work for me. Last scope showed inflamation had spread throughout my colon. I take sterioid enemas to mandage symptoms.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5926
   Posted 1/17/2017 6:32 AM (GMT -6)   
Welcome to the Diabetes Forum, 21Jellybeans! I hope you're doing well with the blood sugar! Please feel free to start a new thread to introduce yourself!

smile
Lanie
"The Happy Bunny"

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating
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