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Comment by Judith Wy on January 18, 2010 at 9:51pm

Wow, this is a lot of encouraging information and it really makes sense for my lifestyle. I don't eat 4 of the food groups and don't eat enough calories. I have been on a very serious wt. loss program and training hard athletically. I also have an eating disorder. My doc also recommended that when I drop too low to take protein as well as the carb. Did your doc tell you that? He said it was to protect me from overprotecting and then crashing when the sugar wears off. I have had the confusion, memory loss. I'm going to give a lot of your suggestions a try and still push hard to see and endocrine doc. Thanks so much!

Comment by PatientX on January 18, 2010 at 9:35pm

Judith, I started to experience the same problem as you with the highs and lows. it started to happen to me when I started to excercise more frequently. So here is what I did to try to resolve the issue

1. The dawn phoenomenon- I started to realize that I was going low in the middle of the night. I woke up several times with rapid heart beat, confussion, cold sweats. One thing i would notice is that my bg would be around 140 or so without even eating at all in the morning. But my stomach would feel empty. So a few nights I started to check by bgs every two hours. A big pain but I wanted to see what was happening. I noticed that at 1 am or so I was at 90 and at 3 I was going even lower. I started to eat a night snack but counter productive for losing weight. So I am working on mixing protein and carbs before bed to get the balance. Seems to be working but there are nights I still wake up feeling a little low, I am adjusting though.

2. Lows in the middle of the day. Amazing how i am always told that metformin does not casue lows come something is doing it to me. I would be in the mall on the weekends and start the crazy low feeling. I now carry my meter everywhere I go and check before I do anything. I always carry an orange and glucose tabs. I have been at stores where I just grab a coke and down it to stay at normal range. One thing I learn from my new endo is the rule of 15. It talks about just having 15 grams of carbs at a time to bring you back up. Google it and you can find the suggestions on how to recover. i found out that the reason i was hitting over 200 was that I would over correct at times or I would not eat at all and sometimes my pancreas just wanted to shoot insulin out.

So to keep the 200's away I started being proactive instead of reactive. This involves a lot of testing. I tend to test about 10 times a day but it keeps me from over correcting with food and keeps me from going to high with a mix of protein and carbs. I had to test a lot to figure out this mix and it will change i know so I keep testing.

I got my endo to get me a script for testing at least 6 times a day which is double of what other doctors gave me even after I told them my issue. Other docs told me I was over testing. This one actually saw eye to eye on the testing issue.

If you need more info feel free to send a message

Comment by Judith Wy on January 18, 2010 at 8:49pm

I have been doing just that, JT, because I feel the same way you do. I had a long talk with my cousin who has done nutrition for twenty years. I went to another doctor because mine won't recommend me to an Endocrine doc. I have great health insurance and it belongs to a huge learning hospital in Texas where I reside. It is a learning hospital for Baylor and Texas A&M- Scott and White Hospital. We just upped my Metformin 1500 more mgs. this past week. I am going to a diabetic class the hospital has for 6 months and am learning a lot that he didn't tell me which is good. I am having to keep tabs three times a day of my BG for the class which helped me find out even more. I am spiking and bottoming out all over the place. I was in the Soc. Sec. office and passed out with BG of 52. I come home without eating and it is over 200. Thanks for the encouragement because I am not sure I am dianosed right. I also had LADA brought to my attention. Thanks, JT.

Comment by Judith Wy on January 18, 2010 at 7:58pm

The problem with my dawn phoenomenon is that it causes problems for me to get out of bed...blurry vision, dizziness, falling. I stay in bed and eat some protein and make sure I am hydrated before I get up. I keep everything either on my bed or right next to it. I had not heard of Dawn Phoenomenon or LADA until I talked to my cousin who works at Loma Linda Hospital as a physician. J

Comment by Judith Wy on January 17, 2010 at 6:51pm

You've got me inspired, JT!

Comment by shellyj on December 1, 2009 at 11:11pm

I am so sorry I have not been doing this group but I am going to try to help everyone I have been off metformin for a year and I have started actos as metformin did not lower my bg down and so far no other drug has work so this actos is my last drug before I go on insulin so I hope it works I do get highs and lows all the time so I want to start insulin if actos does not work hope you are all well thanks

Comment by Linda on November 20, 2009 at 8:15am

I was taking Metformin 800 mg three times a day. I started taking 1000mg twice a day after I had a stroke last month. The only problem I ever had with it was an unsettlerd stomach for about a week when I first started taking it.

Comment by R.L.Scovens on October 21, 2009 at 5:50am

I've just started taking 1000mg/once a day (one month ago). Doc moved the time from the morning to after dinner. It's helped in bringing my fasting numbers down.

Comment by Cindy M. Carr on October 1, 2009 at 11:59am

I also take 1000mg 2 x day. I started this in June 2009. It really upsets my stomach but I take it faithfully every day. I don't know anything about dawn phenomenon. What is it?

Comment by JayB on April 13, 2009 at 5:45pm

I take 1000mg 2x/day-- Question: Does the time the second dose is taken affect your fasting numbers the next morning? I have been told holding off until 9 or 10 at night may reduce dawn phenomenon in the morning. Your experiences?? Thanks. J

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