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1CRAZYDOG's Photo 1CRAZYDOG Posts: 471,704
5/28/14 7:50 A

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Thank you for your wise advice, Russell!

Love is the root of all things good in life.


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RUSSELL_40's Photo RUSSELL_40 Posts: 16,826
5/28/14 4:31 A

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JuniorSister - Over time, you will continue losing weight, and start increasing exercise. Stay on the Metformin, and both the weight loss, and exercise will naturally lower blood sugar. Those 95-110 numbers, will become 75-90 eventually due to lighter weight, and increased exercise, and you may start experiencing low blood sugars. At that point, you will want to cut down to 500 mg twice a day maybe, and then repeat the process. Lose more weight, and increase exercise even more. I am up to 60-90 minutes a day with the exercise, and 20 lbs. from goal. When I first got off my meds, my A1C was 5.7, but I only did 30 mins exercise most days, and was 230. After getting off meds, my A1C continued dropping, as my health improved. It should just continue getting better for you, and let the number be the guide for how long you take to get off meds, if that is possible.

The other factor is the amount of carbs. I stick to 25-50 most of the time, so maybe at 60, or 80, I might still need to be on meds. If you are at my levels, then most likely you will need to lose weight, and exercise more as you are up to it, and your blood sugars will continue dropping. Be patient, and see what happens.



Edited by: RUSSELL_40 at: 5/28/2014 (04:33)
"We can't solve our problems with the same thinking we used when we created them "

- Albert Einstein

“Whether you think you can, or you think you can't--you're right.”

- Henry Ford


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JUNIORSSISTER's Photo JUNIORSSISTER Posts: 643
5/27/14 8:20 P

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Thanks Russell for the feedback right now my numbers stay between 95 to 110 on the metformin. I'm starting to experiment with cutting back. I'm thrilled that I've been able to be off my insulin and stay off. Low carb high fat is definitely the way for me. The proof is in my numbers. I'm a little more concerned about trying to come off the Metformin. But maybe as I continue to lose more weight. Its exciting just not to have to take so many shots.

Nov 2017 - A Clean Slate
April 2017 Actively planning and preparing
Feb 2017 It's a new year.. Look forward.


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RUSSELL_40's Photo RUSSELL_40 Posts: 16,826
5/27/14 5:51 A

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My first blood sugar back in 2002 was 526, and I spent 7 years trying to figure out how to get below 200 mg/dl. Not much success. Then I started Atkins. At 20 grams a day, I had a low blood sugar on day 3. I was still on 1000 mg X 2 of Metformin.

The pills were to counteract my high blood sugars, but my fbs on day 2 was 90, so without high blood sugars, taking pills, just caused low blood sugars, It took 6 months to convince doctor to drop me to 500 X 2, and at 1 year after starting low carb, I was off my meds. Now 4 years later, I am at a 5.0 A1C.

What finally convinced me to do low carb was the threat of being on Insulin. I routinely had 300-500 blood sugars, and this was because carbs made me binge. By removing all those carbs, I also ate properly, and weight, and stable blood sugars followed. I think being able to have some idea of what my blood sugars would be, was more exciting than it being low. While 300 blood sugar was bad, having it be 450 one day, and 210 the next was more frustrating. I had no idea why the numbers showed up on my meter. I'd think 200, and it would be 513. The next day, I would eat Ho-Ho's and pop, and think.. it'll be 500, and it would be 276. It made no sense. Now I know it will be 75-110, and if I get tested before breakfast, it will be 80-90. If I cheat, I know it will be higher. That makes sense. I like being able to control what the number is.

Your doctor/endo will be convince that you will relapse, and in a month have high blood sugars, so they will want to leave you on the Metformin. Be insistent. Being on high blood sugar meds, with normal blood sugars, is kind of like drinking Nyquil, just in case you get sick one day. Tell them your plan, and show them you can control your blood sugars, and set up a plan to drop to 1000 mg a day, then 500, then 0. Should take less than a year.

"We can't solve our problems with the same thinking we used when we created them "

- Albert Einstein

“Whether you think you can, or you think you can't--you're right.”

- Henry Ford


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SOPHIEMAE2007's Photo SOPHIEMAE2007 Posts: 10,915
5/26/14 10:12 P

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Is it a natural or herbal supplement? Will have to look into it. Not sure how it would mix with other meds I am on.

Kim

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HOUNDLOVER1's Photo HOUNDLOVER1 Posts: 8,869
5/26/14 10:03 P

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I have started taking an adrenal support supplement that helps with how we respond to stress. It may be worth trying this. Of course lifestyle management to keep stress down is important, too, but sometimes not enough. The one I'm trying is called Adrenasense. I have not taken it long enough to know how well it works but the ingredients in it have been recommended.by several speakers on the recent diabetes summit. I know that when cortisol levels go up in the morning (which I know is normal), my blood sugar tends to go up a little, which is why I now exercise in the morning more often, at least to go for a walk after breakfast.
Birgit

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SOPHIEMAE2007's Photo SOPHIEMAE2007 Posts: 10,915
5/26/14 9:42 P

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I would love to get my sugar under control. I have been so stressed that it has messed it up big time. It has also messed with what and how I eat. Can't wait for the stress to be gone! I don't want to go on insulin.

Kim

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1CRAZYDOG's Photo 1CRAZYDOG Posts: 471,704
5/26/14 9:31 P

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Oh yes, that will surely tinker with the sugars. **SIGH**

Love is the root of all things good in life.


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FANCYQTR's Photo FANCYQTR Posts: 14,986
5/26/14 9:20 P

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Oh, I am mostly over the cold, but the bad part was over 3 weeks. I just had no energy to fix anything so was eating prepared heat-n-serve foods.



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1CRAZYDOG's Photo 1CRAZYDOG Posts: 471,704
5/26/14 9:09 P

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Sorry to hear you have a cold. Yes, that can really knock the heck out of blood sugars! Good luck and definitely hoping you feel better soon.

HUGS

Love is the root of all things good in life.


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FANCYQTR's Photo FANCYQTR Posts: 14,986
5/26/14 8:47 P

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I am currently off my metformin. I don't know if I will be put back on something, but am trying to control everything by diet. With my bad cold for 3 weeks I might have a problem right now, but I will ask if she will give me a little while longer to get it under control.



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HOUNDLOVER1's Photo HOUNDLOVER1 Posts: 8,869
5/26/14 11:16 A

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I have no advice as I have never been on insulin or metformin and hope to keep it that way. My highest A1c was 6.2 and my doctor encouraged me to do what I can through diet. That was 2 years ago. Since then I have learned that working on diet aggressively by monitoring my blood sugar before and after meals and also in response to stress (raises blood sugar a lot for me) and to exercise, in particular resistance training (lowers blood sugar a lot) helps me the most.

Thank God my taste buds have changed hugely from when I first started low carb.

It's great that you are making such good progress. You may find you won't need the metformin for too much longer or you may always need a little. Either way, you are taking control.
I have joined the Bernstein diabetes forum in addition to this group, in spite of not following the Bernstein protocol strictly, and it has helped my motivation to see other people take control of their lives and make it their own job to get better.

Sugarmom,
Dr. Bernstein does a great job explaining in his book how lowering carbs to a minimum makes blood sugar fluctuations much smaller, even while on insulin, because your body requires so little insulin when eating very low-carb.

Cheers,
Birgit


Edited by: HOUNDLOVER1 at: 5/26/2014 (11:20)
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1CRAZYDOG's Photo 1CRAZYDOG Posts: 471,704
5/26/14 10:49 A

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Diagnosed in Jan. 2010 w/an A1C of 12 and FBS of 300. I was shaken! The Dr. wanted me to go on both insulin and Metformin. I asked to try Metformin for 3 weeks with improved nutrition and upped exercise. Well, gradually this worked. Never did have to go on insulin and was able to get off Metformin in March 2011.

I monitored my blood sugar like a hawk to determine what food worked (or not). I got help from a diabetic educator. So, between meds, proper nutrition/exercise. I did it and have been off ever since. It takes time for the body to acclimate. Hang in there.

Love is the root of all things good in life.


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SUGARSMOM2 SparkPoints: (266,318)
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5/26/14 10:44 A

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no i have not . would love to but can not obtian a balance .

sugarsmom2 donna wva


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5/26/14 10:42 A

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While I never was on insulin, I was on metformin when first diagnosed. By learning what I could eat (blood glucose meter is a must for anyone pre-diabetic and beyond) I got the blood sugars in control and the weight back to normal.

As things were improving, I decided (without the doctor's input) that I had this under control and stopped the metformin. As a result, I learned that it really was helping. At the same time, it freed me up to be more aggressive with my diet modifications and by the next time I saw my doctor, although he was annoyed that I did it without input from him, he agreed that I proved I did not need them.

From my interactions with people on various boards and what I have read, it seems that not everyone will be able to get off of meds. It really depends on how much damage your pancreas has suffered and how likely it is to mend. That said, anyone with type 2 who has a chance of going med free, will probably only succeed when they go lower carb and allow their bodies time to heal.

JUNIORSSISTER's Photo JUNIORSSISTER Posts: 643
5/26/14 10:33 A

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I've been able to come off my all of my insulin. Stopped meal time insulin in January and night time insulin since April. My next step is to come off my Metformin. For those of you who have come off your meds, how quick did that process happen. Right now my sugars are 90 - 105. But i am on 2 doses of Metformin, 1000 mg 2 x a day. I recently just started experimenting with stopping my afternoon metformin and see how it affects my sugar. I do have a scheduled appointment with my Endo on June 4th. But I have to say, I don't think his goal is to help me come off my meds. Back in October he wanted me to go a pump and told me I would never come off insulin or my oral meds. In fairness to him my sugars were 400 to 500's then. But he never said, if you watch a low carb diet you have a chance.

I'm not asking anyone to offer medical advice, I'm just asking for your experiences. I will continue to watch and discuss with him when I see in two weeks. Just some thoughts.

Nov 2017 - A Clean Slate
April 2017 Actively planning and preparing
Feb 2017 It's a new year.. Look forward.


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