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Finally, morning blood sugar is down

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Jean M. - 17 Mar 2004 15:27 GMT
I upped my metformin to 1000 mg./day one week ago. My last 2 morning
readings were 104 and 100. Amazing. The drug gave that extra little
oomph that low carbing hadn't provided, even during induction. I hope
they get a bit lower, but this is very good.
Roger Zoul - 17 Mar 2004 15:54 GMT
:: I upped my metformin to 1000 mg./day one week ago. My last 2 morning
:: readings were 104 and 100. Amazing. The drug gave that extra little
:: oomph that low carbing hadn't provided, even during induction. I hope
:: they get a bit lower, but this is very good.

I hope a doctor was involved...
Jean M. - 17 Mar 2004 21:16 GMT
>:: I upped my metformin to 1000 mg./day one week ago. My last 2 morning
>:: readings were 104 and 100. Amazing. The drug gave that extra little
>:: oomph that low carbing hadn't provided, even during induction. I hope
>:: they get a bit lower, but this is very good.
>
>I hope a doctor was involved...

No, I tested the blood myself. :þ

--  
Jean M.
New food of the week: Ice water. Lots of it.
(The jalapeño peppers are very hot!)

Do away with flipfloping to e-mail.
Roger Zoul - 17 Mar 2004 21:59 GMT
:: "Roger Zoul" <rogerzoul2@hotmail.com> wrote:
::
[quoted text clipped - 7 lines]
::
:: No, I tested the blood myself. :?

Okay...However, I was referring to this part: "I upped my metformin to 1000
mg./day one week ago."

I hope a doctor was involved on that part, because of the way you phrased
it.

:: --
:: Jean M.
:: New food of the week: Ice water. Lots of it.
:: (The jalape?o peppers are very hot!)
::
:: Do away with flipfloping to e-mail.
Proconsul - 17 Mar 2004 22:08 GMT
| I upped my metformin to 1000 mg./day one week ago. My last 2 morning
| readings were 104 and 100. Amazing. The drug gave that extra little
| oomph that low carbing hadn't provided, even during induction. I hope
| they get a bit lower, but this is very good.

I would hope you're doing this under a doctor's supervision. It's unusual,
although not impossible, for a doctor to prescribe Metformin alone for BS
control. OTOH, 1000mg a day isn't a "massive" dose.....

I suggest that your doctor review your findings and prescribe an appropriate
amount of Metformin and other useful drugs. It's relatively easy to get
fasting BS levels of 80 or so, which is desirable....!

It's also true that for many, myself included, a "basal" dose of insulin
works magic with BS control.....and all diabetics will get to that stage
sooner or later.....:)

PC
Jennifer - 17 Mar 2004 22:40 GMT
> I would hope you're doing this under a doctor's supervision. It's unusual,
> although not impossible, for a doctor to prescribe Metformin alone for BS
> control. OTOH, 1000mg a day isn't a "massive" dose.....

Not unusual at all.

Many many T2's are just using Metformin.

Myself included.

Jennifer
Proconsul - 17 Mar 2004 23:38 GMT
| > I would hope you're doing this under a doctor's supervision. It's unusual,
| > although not impossible, for a doctor to prescribe Metformin alone for BS
| > control. OTOH, 1000mg a day isn't a "massive" dose.....
|
| Not unusual at all.

Let's not "split hairs"....

| Many many T2's are just using Metformin.

And many many don't just use Metformin - it's for the doctor to decide, and
that's what I suggested....

| Myself included.

I'm one of the many many others who use more than just Metformin - and
insulin.....

This isn't a "contest" - advice and suggestions are just that, and unless
factually incorrect, all should be part of the mix.....:)

PC
Dave Balcom - 18 Mar 2004 00:12 GMT
}And many many don't just use Metformin - it's for the doctor to decide, and
}that's what I suggested....

Amen to the extra drugs! I was taking Glucotrol XL (20 mg/day), Avandamet
(Avandia and Metformin mixture at 1000 mg and 4 mg/day respectively) plus
85U Lantus insulin at bedtime to bring the morning readings down to the 130
range. Even with all these meds, before LC it was never easy for me to see
fasting readings below 100 except after a 3 mile walk/jog... :) I still
take everything but the insulin (still available if I need it though <G>)
)and have much lower meter readings eating LC. The proof will be in the A1c
test next month...

Later,
Dave

** 295/284/210 **
LCing since 3/1/04
Sleepyman - 18 Mar 2004 21:14 GMT
>}And many many don't just use Metformin - it's for the doctor to decide, and
>}that's what I suggested....
[quoted text clipped - 13 lines]
>** 295/284/210 **
>LCing since 3/1/04

85u of Lantus? Wow, that is quite a dose! The insulin will not help
with the weight loss, if ever you need to use it again. What is your
FBG looking like now if I may ask?

Sleepy

---------------------------------
    The True Axis of Evil
Bush - Cheney - Ashcroft - Rumsfeld
---------------------------------
Dave Balcom - 21 Mar 2004 20:05 GMT
}85u of Lantus? Wow, that is quite a dose! The insulin will not help
}with the weight loss, if ever you need to use it again. What is your
}FBG looking like now if I may ask?

Nope, the insulin helped me gain 40+ pounds in what seemed like weeks. My
set point was 245-250 pounds for years then boom I shot up to 290. The
doctor wasn't overly concerned as he said it showed I was finally getting
the sugar under control. Before I went on insulin I was hitting 200 in the
mornings and could only control the blood sugar with more exercise (walked
off a lot of doughnuts and other nasty foods when I gave in to the
cravings). With the insulin, I suddenly felt liberated as I was able to eat
what I wanted again (by shooting more insulin) with the downside being
constant weight gain.  

The new doctor (my endo) switched me from NPH to Lantus plus added Avandia
on my first visit to him and had increased the nightly insulin dosage from
80 to 85U. My A1c was 8.3 on the first visit (was the lowest measured since
diagnosed 7 years ago and down from a high of 11.5), then was 8.1 the next
visit and 3 months later 7.8. The endo commented we still had work to do as
it was still too high but softened his stance when I said I was tickled it
finally dropped below 8.0 for the first time. I am actually looking forward
to this next visit in 2 weeks as it should be much lower. My morning
readings were averaging 145 on the insulin, now after 3 weeks of LC and
using insulin only when the fasting readings go above 130, my meter 2 week
average is down to 125. The upward spiral was getting nuts so here I am
making a DRASTIC lifestyle change, one I should have made a long time ago.

Have there been temptations -- you bet!!! I was doing a PR event for work
last Saturday where they had Krispy Kreme Doughnuts when we got there and
Domino's Pizza for lunch. I ate an Atkins Breakfast Bar and kept smiling.
Yesterday, I was out of town at an Elk's Convention where they had bagels,
Danish and fruit for breakfast. I was able to skip my favorite quick
breakfast food (bagels and cream cheese) and just ate a small banana
instead. My blood sugar was 93 when I got home a couple hours later. I
think this lifestyle can work for me since there are always alternatives to
hunger (like eating <G>) instead of starving all the time when trying to
lose weight. It seems I have been on a weight gain/loss yo-yo since
childhood, so a gentle ongoing down slope is a nice goal to strive for.

Later,
Dave

** 295/284/210 **
LCing since 3/1/04
Jennifer - 18 Mar 2004 01:30 GMT
I wasn't looking for a contest.

I was just saying that it is far from "unusual" to for a doctor to only
prescribe Metformin.

I am a firm believer that you do WHATEVER it takes to maintain normal
BG.  Insulin, oral meds, etc.  There is no better or worse diabetes.

It's not better or worse to use only one glycemic control agent... and
it's still not "unusual" to only take Metformin.

Jennifer

> | > I would hope you're doing this under a doctor's supervision. It's
> unusual,
[quoted text clipped - 20 lines]
>
> PC
Proconsul - 18 Mar 2004 05:29 GMT
| I wasn't looking for a contest.
|
| I was just saying that it is far from "unusual" to for a doctor to only
| prescribe Metformin.

See below - in re "unusual"......I think it's not the norm....!

| I am a firm believer that you do WHATEVER it takes to maintain normal
| BG.  Insulin, oral meds, etc.  There is no better or worse diabetes.

I agree - and FWIW, IMO, you give exceptionally good advice in this
forum....

| It's not better or worse to use only one glycemic control agent... and
| it's still not "unusual" to only take Metformin.

It's a question of what "unusual" means.....I talked to the endo this PM and
he advises that while it's "possible", in his forty years of practice, he
estimates that fewer than 5% of Type 2's can gain and maintain adequate
control using only Metformin.....! It takes a balanced approach that treats
insulin production, insulin resistance and also uses insulin shots when
necessary...and it's necessary for good basal control more often than many
will admit. I see posts today that think that a fasting BS of 130 is OK. 80
is a much better goal and I, for one, thank God for Lantus.....:)

Keep up the good work!

PC

| Jennifer
|
[quoted text clipped - 22 lines]
| >
| > PC
Jean M. - 18 Mar 2004 08:30 GMT
>I talked to the endo this PM and
>he advises that while it's "possible", in his forty years of practice, he
>estimates that fewer than 5% of Type 2's can gain and maintain adequate
>control using only Metformin.....!

I predict he'll see a change in his patients in the coming months and
years if he's still in practice Many people are able to control Type 2
with low carb, some with meds and some without. I read about them here
and in the diabetes newsgroups frequently. The times, they are
a'changin'.

--  
Jean M.
New food of the week: Ice water. Lots of it.
(The jalapeño peppers are very hot!)

Do away with flipfloping to e-mail.
Sleepyman - 18 Mar 2004 21:17 GMT
>I wasn't looking for a contest.
>
[quoted text clipped - 8 lines]
>
>Jennifer

Hi Jennifer,

That bonehead was a troll in ASD, that I KFd a long time ago. But what
do I know, they call me a troll over here, and I have been KF'd by
quite a few meself! hehe.......

Sleepy

---------------------------------
    The True Axis of Evil
Bush - Cheney - Ashcroft - Rumsfeld
---------------------------------
Jenny - 17 Mar 2004 23:20 GMT
Jean,

Metformin plus low carbing can be an extremely powerful health/weight loss
aid. (Unless you're me, of course and are one of the 1% of people who go
hypo with met. <sigh>)

1000 mg is not even near the top dose.  They start you at 500 and then if
you don't get the super-craps push it up a lot higher than that.

It reduces insulin resistance and has been shown to have a very good effect
on cardiac risk too.

-- Jenny  - Low Carbing for 4 years. At goal for weight. Type 2 diabetes,
hba1c 5.2.
Cut the carbs to respond to my  email address!

Low carb facts and figures, my weight-loss photos, tips, recipes,
strategies for dealing with diabetes and more at
http://www.geocities.com/jenny_the_bean/

Looking for help controlling your blood sugar?
Visit  http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm

> I upped my metformin to 1000 mg./day one week ago. My last 2 morning
> readings were 104 and 100. Amazing. The drug gave that extra little
> oomph that low carbing hadn't provided, even during induction. I hope
> they get a bit lower, but this is very good.
Jean M. - 18 Mar 2004 01:26 GMT
>Jean,
>
[quoted text clipped - 7 lines]
>It reduces insulin resistance and has been shown to have a very good effect
>on cardiac risk too.

So far, so good. We're going slow with it and I haven't had any
digestive troubles. I love the stuff. I hated taking some others
because of the lows. I tried adjusting the dosage for a year and never
found one that lowered my readings and didn't give me the shakes. Low
carbing, exercise, and weight loss didn't do it. Well, the weight loss
did for a few months, then the morning readings shot back up.

Jenny, thanks for all of your information and advice. It has been
helpful and friendly. That combination is a thing to be encouraged
here.

--  
Jean M.
New food of the week: Ice water. Lots of it.
(The jalapeño peppers are very hot!)

Do away with flipfloping to e-mail.
Jenny - 18 Mar 2004 04:03 GMT
Jean M.,

Thanks for your kind words!

I still remember how terrified I was when I learned I had
diabetes--something I had never spent a moment worrying about until, all of
a sudden, I had it.. Fortunately, I found this group and the people here
provided me with a great deal of support and information over the years
which made low carbing work for me. The trolls are annoying, but that's how
unmoderated groups work, and the fact that the groups can be searched by
Google makes it worth posting here because useful advice will turn up in
searches for years to come.

Heck, in the past couple months some stranger who posted years ago taught me
how to rewire my clothes dryer for a 4 prong plug, which snowblower was
best,  and what to watch out for when planting Trumpet vines. The dryer
works, the snowblower is awesome (and cheap!) and the Trumpet vines are
going to be delivered in two weeks. <g>

-- Jenny  - Low Carbing for 4 years. At goal for weight. Type 2 diabetes,
hba1c 5.2.
Cut the carbs to respond to my  email address!

Low carb facts and figures, my weight-loss photos, tips, recipes,
strategies for dealing with diabetes and more at
http://www.geocities.com/jenny_the_bean/

Looking for help controlling your blood sugar?
Visit  http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm

> >Jean,
> >
[quoted text clipped - 25 lines]
>
> Do away with flipfloping to e-mail.
Sleepyman - 18 Mar 2004 21:10 GMT
>I upped my metformin to 1000 mg./day one week ago. My last 2 morning
>readings were 104 and 100. Amazing. The drug gave that extra little
>oomph that low carbing hadn't provided, even during induction. I hope
>they get a bit lower, but this is very good.

Metformin has a side effect, other than GI probs, that it is a heart
healthy drug. It would be better to get lower FBGs, but where you are
isn't bad. Most docs recommend a minimum 1500mg/day dose for best
effect (ramped up from 500mg/day) but it can take up to three weeks
for Metformin to give it's total effect, so you improve even more with
the dose you are on. A small low carb/high fat snack before bed will
help with fighting liver dump too.

Sleepy

---------------------------------
    The True Axis of Evil
Bush - Cheney - Ashcroft - Rumsfeld
---------------------------------
 
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