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Type 2 diabetes and metformin

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Type 2 diabetic for 28 years and always in control. I've been on glipizide for my diabetes but three years ago i changed to only metformin due to weight loss and increase in exercise. I usually am very much in control of my diet but on vacation, holidays, or special occasions I like to "enjoy" and then my blood sugar level is elevated. I hav my annual exam with my Dr in a few weeks and I'm thinking about asking for another medication just for these special times. Thoughts and/or suggestions please. Thanks

Madelyn
posted Jul 13 in Conversation by Madelyn (330 points)
retagged Jul 14 by KarenG

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As a T1 on insulin, I don't have any experience to share.  But please do let us know how your discussion with your doctor goes.  I'm interested to know what the answer was, and I'm sure others are interested as well.
answered Jul 20 by KarenG (16,340 points)
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I  am type 2 and totally understand elevated blood sugars. I indulge quite frequently at times myself.
My dosage of met is 2000 mg a day. I am suppose to take 1000 in the morning and 1000 at bedtime. If I know it's going to be a low carb day, I take less met and no insulin as well to avoid lows. The same would apply if you are eating more carbs that day or for wks.
Perhaps he could increase your dose for times when you need it? You would take it before you indulge of course. It doesnt act like short acting insulin is what I mean.
Another suggestion would be to discuss taking insulin and using it as you need it with your Dr.
answered Jul 27 by Cindycamp (370 points)
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Thank you for your reply. I went to my Dr today for my annual and we discussed my concerns. He agreed with me and said my suggestion was a good one because I am in tight control and aware of my body's needs. I told him I thought a low dose prescription of the sulfur drug I was on before taking only metformin would probably be enough to carry me for a year. I was on the lowest dosage of glipizide and only took half a tablet per day.  He gave me three refills on a 30 day prescription. He also said I need to be sure I eat on a day I take it and/or experiment with even a quarter of a tablet.Problem solved.
answered Jul 28 by Madelyn (330 points)
Great news!!  Thanks so much for sharing, I'm sure this will help others having the same problems.
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