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Author Topic: Managing your metformin  (Read 766 times)

Offline Shanny

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Managing your metformin
« on: March 31, 2016, 12:02:33 PM »
Are you taking regular met, or the ER version? When do you take it? Have you found differences in how it regulates your blood sugar when varying the times you take it?

My dose is 2000mg of metformin ER, and I take all of it at once before bedtime. Tell us your story.

Offline Grammabear

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Re: Managing your metformin
« Reply #1 on: March 31, 2016, 01:57:43 PM »
I take the ER version of Metformin and my dose is 1500 mg.  I take a 500 mg tablet with each meal, 3 x a day.  Sometimes it is hard to remember to take it at mealtime.  My GP claims that I could take all three tablets at once if I wanted to.  I've never tried it, but I think I might in the near future. 
Type 1, April 2003
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"I've learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel."  ~Maya Angelou

Offline skb

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Re: Managing your metformin
« Reply #2 on: March 31, 2016, 07:34:06 PM »
I took a metformin + glibenclamide combo pill for almost 3 years. The met dose was 500 mg & at max load I took 2 pills a day (am/pm). Never felt any gastric distress. With LC I started to cut down the dosage myself till I came down to 1/4 pill each time. Even at that dosage I would get the lows. So somewhere in 2011 I stopped taking it completely.
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Offline bigskygal

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Re: Managing your metformin
« Reply #3 on: March 31, 2016, 07:43:45 PM »
At dx, I was given 500mg regular Metformin 2x a day.  I really didn't have any problems with it.  LC/HF/Keto woe dropped my A1c so well I went down to just 500mg once a day after about 2 years.  Last year, I decided to just drop the Met and see how things went since I had been in the 4% A1c club for 2 years at that point.  Dropped it totally a year ago March and am still in 4% club.  PCP considers me "cured" and only checks me once a year now, but we know the word is really  "controlled".  Due to many back issues, I can't exercise much but I am well controlled with diet alone.
grammaB
T-2 dx 2/2012 FBG 243 A1c 9.5%
6/2012 A1c 5.7%  In the 4% A1c club since July 2013. 12-2016 A1c 5.1%. 6-2018 A1c 5.3%.
No meds since 3/2015, diet controlled.  Minimal exercise.

Offline starsign

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Re: Managing your metformin
« Reply #4 on: April 14, 2016, 06:13:49 AM »
I hope this is the right place to ask. Should the metformin tablet be taken before meals or after ? Is it ok to skip (forget) sometimes ?
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Offline Shanny

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Re: Managing your metformin
« Reply #5 on: April 14, 2016, 06:32:32 AM »
Since met has never caused me any side effects, I just take mine all at once before bedtime. I'm on the extended release version & the entire dose can be taken once a day, if I like (and I like  ;) ).

Offline skb

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Re: Managing your metformin
« Reply #6 on: April 14, 2016, 10:18:28 AM »
I hope this is the right place to ask. Should the metformin tablet be taken before meals or after ? Is it ok to skip (forget) sometimes ?

Met takes a while to take effect in the system. I've heard it takes 2-3 weeks, so I guess missing it one odd time is fine. Some people who have gastric problems with met, prefer to take it midway during the meal.
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Offline starsign

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Re: Managing your metformin
« Reply #7 on: April 14, 2016, 10:26:19 AM »
Surprised that not any of our doctors told us this.
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Offline Timewise

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Re: Managing your metformin
« Reply #8 on: April 14, 2016, 10:28:18 AM »
Shanny,
I take regular metformin.  I take 1,000mg before bed and an injection of Lantus 25u (down from 126u thanks to LCHF)!

I take another 1,000mgs when I get up along with my blood pressure medicine.....

That's it!

Offline rocky

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Re: Managing your metformin
« Reply #9 on: May 24, 2016, 11:35:59 PM »
is metformin the only treatment for diabetes. i was given these pills a year ago. i take them two times a day but i dont know if there is any improvement.
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Offline Shanny

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Re: Managing your metformin
« Reply #10 on: May 25, 2016, 12:11:02 AM »
Hello, Rocky. Metformin works pretty quietly in the background of our diabetes . . . it does not force the pancreas to produce more insulin as do sulfonylurea drugs and other hot new and expensive concoctions, it simply coaxes the liver to stop secreting so much glucose, and it coaxes the recalcitrant receptors into allowing the circulating insulin into the cells. Metformin is commonly thought of as a type 2 drug, but that is erroneous. It is a drug for anyone with insulin resistance, and that encompasses all types.

In my opinion, metformin and insulin are the two best and safest meds for diabetes. There are dozens of others, but many of them cause more harm than they do help, and they are also very expensive.

I was prescribed metformin when I was first diagnosed and I now take the maximum dose of the extended release version, which is 2000mg per day. If at some time that doesn't do the job, I will request insulin.

One of our most trusted experts - Jenny Ruhl of Blood Sugar 101 - keeps a list of these things, and explains all the pros and cons of each drug . . . Be Safe With Rx Drugs.