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VICTUS_GIRLANYA's Photo VICTUS_GIRLANYA SparkPoints: (34,647)
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8/28/12 9:28 P

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I am new to Metformin. I have only the paperwork at this moment to go by. I am on 500mg to start on the first week. One pill after dinner....2nd week I move to 2 pills and 3rd week on to 3 pills. I am not a "good girl" on taking meds. I have never had one I had to treat with a daily regimen. I downloaded onto my phone a pill tracker to make sure I am taking then when I need to.......

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TAYVIE's Photo TAYVIE Posts: 130
7/7/12 2:06 P

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Autumn, it is good for you to know your body and where you generally are. 75 isn't considered low and is actually a pretty good number to have waking up, but if you are someone who usually lives at 150, for example, it could feel low. You don't have to check your blood sugar on metformin. It is not one of the diabetic drugs that can make you hypoglycemic (low blood sugar), which is why it is more trusted and the first line drug that people turn to. It is also why it is good for women with PCOS who may have insulin resistance, but don't have high blood glucose. Is it possible that there was anything else going on with you? Possibly sweating a lot and not replenishing fluids and electrolytes? Not enough sleep?



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ROADRUNNER201's Photo ROADRUNNER201 Posts: 623
6/23/12 12:56 P

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Did you find the extended release helped eliminate the sick feeling?

The joy of the Lord is my strenth. ~ Nehemiah 8:10

�Whether you think that you can, or that you can''t, you are usually right.�
~ Henry Ford


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AUTUMNLEAF81's Photo AUTUMNLEAF81 Posts: 690
6/20/12 12:31 P

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I've been feeling kind of off the last few days I didn't think to check until last night and this morning, doctor never told me I needed to check my blood sugar levels. But I did get a blood glucose monitor and I tested last night. 2 Hours after eating I was at 115, and this morning after fasting I was 75. I'm taking 1500mg of metformin. I'm thinking it may be time to go to the doc and see about a smaller dosage. Has anyone else had low blood sugar due to metformin?

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GAJEN2345's Photo GAJEN2345 Posts: 300
6/14/12 2:43 A

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I have been on the 500 mg twice a day for over 3 months. It seems to be working. It has helped regulated my cycles. I have lost a few months also since I have been on it. The great news is that the side effects for the most part are gone. Every now and then, my stomach gets upset.
Any time you start the metformin, it takes a little while for your body to get adjusted. Some people do have bad side effects and others don't. Try it for a little while if the side effects are to bad, talk with your doctor.

Jennifer


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YVETT85 SparkPoints: (296)
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6/13/12 1:37 P

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My docter put me on 750 mg of rapid release. She wants me to start taking it once a day for 10 days and then start taking 2. I am really nervous though because I already have a case of mild IBS and every saying they are having stomach problems on it are making me nervous lol. I have never been on metformin is 1500 a day sound like too much. I am IR and have pretty serve symptoms.

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CHERYL65's Photo CHERYL65 Posts: 19
4/30/12 1:20 A

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I take 2000 mg extended release at night before bed. It has helped with my side effects. I still have issues if I eat greasy food. :op

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DEB_T_30's Photo DEB_T_30 SparkPoints: (1,574)
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4/8/12 2:01 P

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My doctor wants me to be at 1000mg twice a day. Everytime I get close my stomach seems to have some issues and I cut back or quit altogether. I just restarted last night with 500 mg and next week I will work my way up to 850, then 1000, then 1350, then 1500, then 1850, then 2000. This is going to take a while. emoticon

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WHATWOULDRUTHDO's Photo WHATWOULDRUTHDO SparkPoints: (2,582)
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4/5/12 5:21 A

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I'd say the doc was most likely starting you low to minimize the side effects and will increase you slowly. I take 1,000 twice a day. Anything more than that doesn't lead to an increase of effectiveness, according to my doctor.

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AUTUMNLEAF81's Photo AUTUMNLEAF81 Posts: 690
3/26/12 4:50 A

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I know my doctors started me off with 500mg of Metformin, and then had me gradually work myself to 1500mg. That was making me very sick. So we ended up swtiching to extended release. Right now i'm at 1000mg of the extended release. I will be taking one more pill sortly to make it 1500mg.

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KEDRA231's Photo KEDRA231 SparkPoints: (4,439)
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3/21/12 6:20 P

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I was on a higher dosage (IR) but I had too many stomach issues, so they switched me down to 500 mg 2 times a day. I actually had more issues with the Extended Release pill for some reason, so they jogged me back & forth to find a fit. My stomach issues on the 500X2/day eased somewhere around the 2nd month. I was disappointed b/c I never seemed to lose any weight, but, I did become pregnant (twice) while on it, along with prenatal vitamins, & Follistim.

Once I got pregnant, I was very happy to be on the lower amount, b/c I wound up with GD (gestational diabetes). The dietician wanted to start me on insulin right off the bat, but I refused. My OB took my side, said there was time to see what I could do, & I managed my GD with a 3rd Met pill & Glyburide. I stopped the Met around the 3rd month of my 1st pregnancy per doctor's suggestion.

My 2nd pregnancy I was back to 500X2/day, & once again the nutritionist was pushing for insulin & I told her I didn't know what was behind her efforts, but it wasn't for MY benefit or my baby's, b/c I did fine the first pregnancy & reverted to non-diabetic right after delivery without any insulin. Again my OB supported me. This time I had to go up to the full 2000 mg a day, plus Glyburide & exercise, but I still managed to bring in good numbers. This time I remained on the Met all through the pregnancy, but it helped with the GD, & overall, it was an easier pregnancy than my first. I also had WAY more milk the 2nd time around, which I was told is a side effect for many women who are on Met their whole pregnancy. Once again, I reverted back to not-diabetic after delivery.

So...long way of saying, it's not always bad to start at the lower dose, b/c it gives you more room to play with it & adjust if something isn't working, or, if you should become pregnant & have a psycho insulin-happy dietician on your butt.

Also, any weight loss or hormone change between when you were originally on the higher dose to when they put you on the lower dose could have monkeyed with the amount your body needs, too, so the lower might be adequately meeting your needs. You can always go up later if you need to.

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GAJEN2345's Photo GAJEN2345 Posts: 300
3/9/12 4:25 P

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You are so right, doctors see so many patients a day that they lose focus. So far, everything seems good. I appreciated everyone suggestions and advice. I have learned that dealing with PCOS is a every day battle. But, a battle I can win!

Edited by: GAJEN2345 at: 3/9/2012 (16:26)
Jennifer


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ROCKCHALKSPARK's Photo ROCKCHALKSPARK Posts: 352
3/5/12 3:22 P

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The only reason I asked is because I fired my last doctor because she did absolutely nothing for me. This new doc is way more proactive and a true blessing. I was just curious! If you're concerned with the dosage, I would at least talk to your doc about it next time you're in. It's important to voice your concerns, after all your health is VERY important! :)

Three grand essentials to happiness in this life are something to do, something to love, and something to hope for.
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GAJEN2345's Photo GAJEN2345 Posts: 300
3/5/12 3:11 P

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The only reason that I changed doctors was because I moved. I use to live near Atlanta, Georgia. I now live in Alabama. If it was not to far I would not have changed doctors. I like this new doctor also, but the doctor I had before was a endocrinologist. The new doctor is a general practitioner.

Jennifer


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ROCKCHALKSPARK's Photo ROCKCHALKSPARK Posts: 352
3/5/12 10:24 A

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I started out taking 500 mg a day and now I'm up to 1000 a day. They wanted to make sure the side effects weren't too severe, which I have had no side effects. I only take it once a day; I don't split it up.
I think 2000 mg a day sounds like a lot, but I'm no doctor. Is there a particular reason you changed docs?

Three grand essentials to happiness in this life are something to do, something to love, and something to hope for.
jhawkgal.blogspot.com


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GAJEN2345's Photo GAJEN2345 Posts: 300
3/4/12 10:31 P

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Believe it or not, I am not having any of the side effects that I had before. I have had an upset stomach a few times. But, so far so good. I am just hoping that the dosage is high enough to do some good. I am just going to try it for a while and see what happens.

Jennifer


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JULMUT's Photo JULMUT SparkPoints: (20,964)
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3/1/12 11:53 A

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If you are having side effects, ask to be switched to extended release. For most people, including myself, the unbearable side effects of the regular get very reduced or are even non-existant. Best of luck!

Dream as if you'll live forever. Live as if you'll die today.
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If you have to tell someone how bad you want it, then you haven't shown them how hard you already work for it.
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Whether you get what you want isn't what defines you. It's how you go about your business.
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GREENMAMA10's Photo GREENMAMA10 SparkPoints: (5,129)
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3/1/12 12:36 A

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I know that when I was on Metformin from April until October of 2008, my doctor started me out on 500mg once a day, then had me start taking it twice a day at which point I finally became pregnant so he had me discontinue taking it. I wonder if your doctor's intentions might be to gradually increase your dosage over time if you both feel it would be more helpful? I'm sure your doctor will be willing to get your opinion as well and see how you think this dosage is working for you and whether or not you feel you need a higher dosage later or not. :)

- Val

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GAJEN2345's Photo GAJEN2345 Posts: 300
2/28/12 3:12 P

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JULMUT, I agree with you. I think I am going to see how this dosage helps. I have noticed that with the lower dosage, I have less upset stomach and other bad side effects. However, since I have been to the doctor I have lost 2 pounds. So far so good. Thanks for all the advice and suggestions.

Jennifer


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JULMUT's Photo JULMUT SparkPoints: (20,964)
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2/28/12 12:22 P

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here's my opinion... feel free to take it or leave it :) if it were me, i would see how the lower dosage is working. how do you feel, are you able to lose weight, are you seeing an improvement with your symptoms. if you are happy with how you are doing, then great! if you are struggling, though, i would not hesitate to ask about a higher dosage or to get a second opinion. I am not a big fan of taking lots of meds, but i am so much healthier with them than i am without them, and what i do with diet and exercise has been so much more effective with them than it was without them. so, for what its worth, there's my 2 cents.

Dream as if you'll live forever. Live as if you'll die today.
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If you have to tell someone how bad you want it, then you haven't shown them how hard you already work for it.
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Whether you get what you want isn't what defines you. It's how you go about your business.
-Scott Jurek






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GAJEN2345's Photo GAJEN2345 Posts: 300
2/27/12 5:01 P

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I am insulin resistant, my new doctor said that is why she recommends a lower dose instead of taking the 2000mg.

Jennifer


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JULMUT's Photo JULMUT SparkPoints: (20,964)
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2/27/12 12:58 P

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i take 2000mg a day, all at one time because its extended release. hard to say what the appropriate dosage is... i have type 2 diabetes, so that's why i'm on the higher dosage. if your sugar and/or a1c is high or if you've been diagnosed as insulin resistant, pre-diabetic or diabetic, you might want to talk to the doc about the possibility of more. the other thing that i would consider is how you feel and how well can you maintain a healthy weight. for me, without that metformin, i wasn't losing any weight. that medicine has made a huge difference, and the higher dosge has been better than when i was on a lower dosage. i was having trouble with the side effects and that's why i was switched to extended release -- that allowed me to go on a higher dosage. now i tolerate it very well, i am way more healthy and i am consistently losing weight. hope this info helps, and i hope you figure out what works for you!!!

Dream as if you'll live forever. Live as if you'll die today.
-James Dean

If you have to tell someone how bad you want it, then you haven't shown them how hard you already work for it.
-John Mayer

Whether you get what you want isn't what defines you. It's how you go about your business.
-Scott Jurek






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GAJEN2345's Photo GAJEN2345 Posts: 300
2/26/12 10:42 P

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I take a total of 1000 mg a day, but I use to take 2000 mg a day. Just wondering if the 1000 mg is enough.

Jennifer


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HOLLYLOLLY3's Photo HOLLYLOLLY3 SparkPoints: (3,959)
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2/26/12 11:01 A

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I take 1000 mg in the morning with breakfast and 1000 mg at night with dinner. I always have. It seems to be alright for me.

~Holly Nicole~


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NYXWOLFWALKER's Photo NYXWOLFWALKER SparkPoints: (141,254)
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2/24/12 7:35 P

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the max dosage for met is something like 2,000 mg a day (or 1000 morning and 1000 evening type deal) so at 500 morning and 500 evening your on 1,000 mg a day total (or are you meaning your on 250 mg morning and like 250 mg evening for a total daily intake of 500 mg?)

I'm only on 1,000 mg a day and I only take it once a day not twice

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GAJEN2345's Photo GAJEN2345 Posts: 300
2/24/12 5:01 P

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I recently went to a new doctor and she started me back on Metformin. However, she decided to give me a lower dose than what I was previously on. I used to take 1000mg twice a day. Now, I am taking 500mg twice a day. My question is was I taking to high a dose or am I now not taking enough? Just curious to see what everyone else thinks.

Jennifer


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