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Permalink Reply by Ellie on May 3, 2012 at 7:23pm

I am this way with breakfast. I can eat some carbs later in the day and get away with it, but breakfast has to be way low-carb. Plain yogurt with a few berries, an egg, and I've had to give up my beloved orange juice for tomato juice.

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Permalink Reply by jims on May 4, 2012 at 6:16pm

Exactly. My breakfast is very same - cut carbs, low glycemic and proteins.

Once body running later, body handles carbs waY BETTER.

I even have to watch my coffee and better black.

After being asleep, body needs time for meds to get back up to speed.

Juice, cereal's - no - no.

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Permalink Reply by Ellie on May 4, 2012 at 7:27pm

Maybe that's it, Jims. Of course that wouldn't explain Paul's reaction at lunch, except if he doesn't take a metformin in mid-day that might explain it.

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Permalink Reply by Emmy on May 3, 2012 at 8:07pm

If you're taking Met twice a day, is it at breakfast and supper? Maybe you need it with lunch too. 1000 mg a day is a very very low dose. Its probably time to increase it. I'd talk to my doctor about that first, before adding anything else, because Met is one of the safest meds out there and doesn't lead to weight gain like most others do. It may even be protective against some forms of cancer.

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Permalink Reply by jims on May 4, 2012 at 7:02am

yes, great idea. and maybe at 10:00 pm and midhight 12:00 am.

one big dose useless as met works best on up to strength in blood system - not residuals.

work with your doctor at all times and good luck.

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Permalink Reply by garidan on May 4, 2012 at 9:50pm

I agree you should try metformin at lunch too. I would try first to split a dose, e.g. 250 breakfast and 250 lunch, to see if that's enough. If it's not ask your endo to up dose to 500x3.

I think you are in the strange common sitcom of PWD too good to cure themself, so that they do good enough and cannot have the pharma goods they need.

Keep on looking for an endo who understand your good A1c is due more to your hard work than to your "weak" diabetes.
Perhaps even a "cheap" regular insulin could now help you keep your numbers low after lunch.
Keep on with your good habits, but ask for a little insulin: the lower A1c the better and you could gain a little weight, if you need.

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Permalink Reply by Ellie on May 5, 2012 at 3:51pm

Yes, I have started taking my 3 metformins this way: one in the early morning hours to help with my dawn phenomenon problem, then I split the other two and take 1/2 at breakfast, 1/2 at lunch, 1/2 at dinner, and 1/2 at bedtime. Keeps it more in my system that way.

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Permalink Reply by jims on May 6, 2012 at 6:15am

Right on target. Key is up to strength in blood stream.

I run 5 doses - breakfast, lunch, dinner and two at 10:00pm and 12:00 am/

That helps minimkize the excess glucose fasting release. Nothing else does.

oh yes - 500 mg doses. 250 not much help and extended re;ease ER not muchhelp also.

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