A diabetic type 2 question.?

Question

I am ok with Metformin alone I take 6 tablets 500mg each a day but since being prescribed 80mg Gliclazide I have now experienced symptoms that are similar to hypos. I usually take Gliclazide at lunch time but quite a while before it comes to having a evening meal I experience severe shaking and a clammy feeling, I have to devour chocolate to overcome the feeling which has now made me put on weight. Surely this can't be good. The reason I was put on this tablet was to reduce my overall sugar count which at the time was 7.7 mmol/l. If anyone else is on this tablet or knows about it and could give me some advice ie. change the time I take it or how I can control it better I would be ever so grateful.

Answer 1

I remember reading that 2500 mg/day is the maximum dosage of Metformin... I'd check on that if I were you.

Gliclazide is a sulphonylurea and has been associated with weight gain, low blood sugar, and cardiovascular problems.

Sorry to tell you this, but I'm left wondering if your doctor has done his homework. If he's prescribing MORE than the maximum dose of Metformin and is now starting you on Glicazide, that means either he's given up on you following your diet and exercise routine or he has only a vague idea of how to treat a diabetic.

Since you asked how to control it better... no amount or type of medicine in the world is going to allow you to eat imprudently. Your body is broken and it's going to take a diligent effort on your part to learn all you can about taking care of yourself. Your doctor isn't getting the job done, so it's up to you. Controlling type 2 is usually as simple as eating right, losing weight, and daily exercise. Doesn't even have to be a lot of exercise either.... just consistent.

My suggestion to you is to learn all you can about managing type 2 diabetes. You'll find that it isn't that hard. Once you've learned a few basics, the hardest part is looking up and totaling your daily calories from carbohydrates and sugar.

Give the drugs a break. Chances are, you can cut those dosages in half with a little effort. If you really go nuts with the diet, exercise, and weight management, you might even be able to get off of them completely. Set a goal and stick with it. If not, insulin will likely be the next step.

Answer 2

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Answer 3

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Answer 4

Hi there. I'm sorry to hear about your problems. About four years ago, I was diagnosed with type II diabetes. I was an athlete and had gained over one hundred pounds in six months and no one had any idea what was wrong. Finally, they caught it and I was put on these two tablets. Metformin and Glucophage made me severely ill. I was violently throwing up and constantly dizzy and with Gliclazide, I was having similar symptoms you are experieincing. I took myself off both medications, which was not wise, I know, but I'd rather have sugar than feel like I was dying all the time. I decided to visit a homeopathic doctor to see if there was anything she could do for me, and she did, in fact change my life. The procedure was non-invasive. She only needed urine and saliva samples. She was then able to tell me what foods to eat and what foods not to eat based on my body/blood type and even went to a health/natural food store with me to buy the foods and supplements (vitamins and a deetox kit) I needed. I have since dropped 57 of the 100 pounds I gained and no longer have problems with my diabetes. Every once and a while, if I have a long day at or just get busy doing whatever and forget/don't have time to eat enough, I get a little weak feeling, but I don't ever feel like I'm going to pass out or like I'm dying. My sugar stays between 85-110. In most states (maybe even all) insurance doesn't cover naturopathic doctors and it can get to be a bit pricey. I spent $75 on the initial visit and $200 in foods and vitamins, but that was only in the first month. I've since learned where to buy the foods I need at lower costs and the vitamins, also. I've compared my grocery lists and tickets to that of my friends and family, and to be honest, it's not too far off. That would be my suggestion to you. Good luck. I hope you feel better. If you want to know more about the things I have mentioned, please feel free to reply and I will talk with you about them.

Answer 5

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Answer 6

My doctor also told me that 2000mg/day was the maximum dosage for Metformin. Make an appointment with an endocrinologist or diabetes specialist. They can also put you in touch with a dietician (who should be part of your diabetes management team anyway). Together they can come up with a diet/exercise/medication plan to fit your needs better. In the mean time, buy some glucose tablets from the drugstore to help cure your lows without the chocolate.
Good Luck!

Answer 7

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Answer 8

My wife had similar problems to you... It is almost certain that you blood sugar is getting too low in the period between lunch and dinner... My wife saw a nurse at our GP clinic regularly at diabetic clinics and problems like this would be addressed there and medications reviewed. Your level of 7.7 whilst a bit high is not drastically so, and possibly the Glicazide dose is too high.. Also if you take this at lunchtime perhaps you should re-arrange your meal times a bit to eat earlier in the evening with perhaps a light supper too... Have you taken a blood sugar reading while feeling hypo, might be interesting to quote the figure to your GP. Whilst you might be able to regulate things a bit for yourself I would suggest consulting your practice nurse or GP to achieve a better balance.

Answer 9

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Answer 10

Type II diabetes is caused (and quite often repaired by) lifestyle alone. I would say double check your medication with your GP, but in the meantime change your eating habits a little.

There is actually no need for chocolate first of all. Snacks on fruits (particulary bananas for example) are better. Especially if you want to eat healthily.

Also try having smaller regular meals throughout the day rather than just breakfast, dinner, tea. (Your boss should understand about you having just 5 minutes out to have a banana, a sandwich and a drink in the middle of the afternoon.)