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couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 4/19/2016 4:41 PM (GMT -7)   
I've been on 850 mg of metformin and 2 mg of glimepiride for almost two months now and had a scare today at supper.
I went to take my blood sugar test before eating and it read 43! I thought "I feel fine maybe it's a false reading" and tested a different finger....45! smhair
I grabbed some peppermint I keep on hand and started munching. about that time I started feeling a vibration throughout my body and started sweating up a storm.

I grabbed an orange and ate it. I checked again and it was 53. Okay, it's rising.

about 30 scary minutes later it was up to 73. Whew!

Do you think my meds are too strong?
Joy
Lupus, RA, Fibromyalgia, Glaucoma, Asthma, Hypothyriodism, Sleep Apnea, Depression, Allergies, diabetes, and benign familia tremors

When life throws you lemons....
Pick them up and throw them right back at them! :))

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 6027
   Posted 4/19/2016 5:32 PM (GMT -7)   
Maybe. When you're on something else besides metformin, your blood sugar may go lower than you want if you haven't eaten in awhile or if you start eating lower carb than usual.

Also, if you've lost weight, then you may also be less insulin resistant. So, all these may have contributed to the low readings.

Talk to your doctor and maybe you can take a lower dosage of glimepiride and maybe eventually eliminate it altogether. (That would be optimal, of course.)
Lanie

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

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 4/19/2016 10:24 PM (GMT -7)   
I'd love to get rid of another pill. I take way too many already for all of my junk.
Joy
Lupus, RA, Fibromyalgia, Glaucoma, Asthma, Hypothyriodism, Sleep Apnea, Depression, Allergies, diabetes, and benign familia tremors

When life throws you lemons....
Pick them up and throw them right back at them! :))

cilly
Veteran Member


Date Joined Aug 2014
Total Posts : 1361
   Posted 4/19/2016 11:01 PM (GMT -7)   
Yes too many pills are tiring.
Cilly

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 6027
   Posted 4/20/2016 5:10 AM (GMT -7)   
You're on the glimpiride to help control the blood sugar because the metformin is not doing it alone. This may be because of what you're eating or what you had been eating before which is what made your blood sugar too high.

I've written before about my experience with two RDs. When the last one gave me a meal plan, I told her it would make my blood sugar too high after I read it and she said the metformin "would take care of it". After 10 years of being diabetic and many of those years having it controlled tightly by diet and exercise, I knew she was wrong. Every meal had either bread, potatoes or a "starch" and fruit. So, I did follow that plan on selective days and then my regular. low-carb way on others. I kept a strict food diary. On the days I ate the food on her plan, my blood sugar was in the high 100's (ranges from 150 to 190). I had never seen blood sugar like that except in the very first year when I was learning about food. When I went to the follow-up appointment with her, she didn't show up. On my next appointment with my GP (who prescribes the metformin and who referred me to the RD), I showed her the journal with the food and blood sugar results and told her about the RD experience, etc. I explained how this plan and the ADA plan will keep blood sugar elevated. It was then that she told me I knew more about blood sugar than she did. Can you imagine?

So, after reading your first post, my conclusion was that you were probably eating a lot of carbs (or you weighed more and were not doing regular exercise) when you were prescribed the extra medication - which is what doctors do because it's easy. And if you eat for the medication, then the blood sugar would be level. However, if you happen to change what you eat, like reducing your carbs or becoming more physically active or lose weight, then you upset that balance and the glimepiride will drop the blood sugar more.

When any medication is prescribed, even metformin, the doctor needs to be attentive and change the dosage if needed. And, of course, this is why the patient needs to know what her blood sugar is by testing.

At this point, evaluate what you're eating, look over what your blood sugar readings are and if they are on the low side a lot, then talk with your doctor about either reducing it or eliminating it.
Lanie

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

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 4/20/2016 11:08 AM (GMT -7)   
Ok.
I figured I ate more protein than carbs yesterday and threw off the balance.

Just need to keep it balanced.
Joy
Lupus, RA, Fibromyalgia, Glaucoma, Asthma, Hypothyriodism, Sleep Apnea, Depression, Allergies, diabetes, and benign familia tremors

When life throws you lemons....
Pick them up and throw them right back at them! :))

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 6027
   Posted 4/20/2016 11:53 AM (GMT -7)   
Yes, the glimepiride dosage should 'fit' what you're eating. On the other hand, as I said, if you cut down on the carbs, you would be taking less of that medication or maybe not at all. It all depends on what your blood sugar is.
Lanie

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

MusicForLife
Regular Member


Date Joined Nov 2014
Total Posts : 380
   Posted 5/9/2016 6:26 AM (GMT -7)   
I think there are other medicines that will only "kick in" if your sugar levels rise.
The medicine i take (onglyza) made it clear to me that it wouldn't lower my levels unless they got too high. In the meantime, maybe inquire about that?
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