Metformin, glipizide, and jardiance

I take Jardiance and Trajenta(Canada) and have no side effects. I took Metformin for a very short time and had wicked Acid Reflux. My Dr took me off it right away, said I couldn't tolerate it. I am 81 yrs old.

I've been on metformin the whole time, was on insulin briefly then took Jardiance for about a month before it turned out I didn't need it, no kidney involvement.

Can you say more about how you "watch what you eat", are you doing carb counting? Is the exercise every day? Those are the two things that have really worked for me, when I cheat on either my blood glucose readings go up immediately!

Also there's always some fine tuning on the diet, discovering which foods cause the most trouble but also finding foods that seem to help! There is a lot to do managing diet and no easy reference point for most of it.

Sounds like your A1C should be great, don't know as much about the CKD to ask or tell anything.

Best wishes.

@howardrlewis taking 3 diabetes meds sounds like a lot but is not necessarily a bad thing. Does the same provider prescribe all three?

Over the years I have had doctors from Mayo and Allina. My Mayo doctor first recommended Jardiance years ago and I just started taking it because I was not lowering my A1c as much as I wanted even after taking care of my diet and increasing exercise. My Allina doctor prescribed the glipizide and metformin. I have been taking those for years. My last visit with Dr Green at Mayo didn't change any meds. I don't really identify any adverse effects of the medications. But, my blood glucose levels are very good.

@carbcounter I have read Dr Attia's ideas on diet. I have an egg and yogurt for breakfast and a combination of rice and black beans at night. My lunch is normal but I add a large salad. Sometimes I have salad for breakfast. I love ice cream and chocolate but have tried to eliminate that all together. How about you?

@howardrlewis
I just Googled up Dr. Attia and there's a lot I agree with and maybe a few quibbles like the aspirin, and he seems to count calories rather than carbs.

For breakfast I start with one hardboiled egg (make six at a time to last six days), an organic oatmeal concoction with strawberries, coconut, chocolate, Ceylon cinnamon, and nuts - that I'll bet I could sell on the boulevard, then a small salad with olive oil based dressing. Maybe 40 carbs in all. Cup of green tea, or sometimes an herbal tea with licorice. I recited this to my PCP who also does some nutrition, and I tend to agree with her 95%, and she said one egg is not enough protein. LOL. I agree, but I get more protein later in the day. Every ingredient I use has some nutritional role. She didn't like the coconut (just a pinch of shredded), but the whole topic of fats is very complex and coconut's short-chain saturated fats I count as helpful or at least harmless. There is just a LOT to say about fats. And the chocolate (under 1 ounce) I have found has no detrimental effects on my BG readings, and I've seen this mentioned by others, and some of its benefits are in being "good" fats.

Lunch and dinner are more general for me, I just count the carbs, keep under 75 and preferably under 60, sometimes just a chicken salad, other times a burger and salad, try to avoid fries at all times (although I can sneak them in sometimes without the BG going crazy). I mostly avoid beef and milk fat, they both seem to raise my BG readings, I presume via insulin resistance rather than carbs, it's those fats again.

If I eat carbs I try to do the "resistant starch" thing where you make pasta ahead of time, put it in the refrigerator overnight, and then eat it cold the next day. The taste is fine with me and the impact on your BG is cut in half or better. I've even found some restaurant foods and packaged cookies that must have some similar history because they repeatedly do not raise BG readings. It was my breaking the guidelines, you'd think, of the lunch deal at the local pizza kitchen - 7-inch pizza and smashed pea and barley soup, and some bread with EVOO dip, that was an amazing discovery, my pre-dinner reading was 20 points LOWER than normal! I credit the EVOO for lowering, but even the pizza and soup must also be in resistant starch modes! That's when I started making a point of EVOO at home every day.

Hope that helps!

I took Metformin, Jardiance, and Glimipride for a short time until they realized I was type 1. Glimipride is similar to Glipizide both having the effect of you pancreas producing more insulin. And I was Rybelsus (ozempic in pill form) as well. While Rybelsus cause some mild stomach irritation, the other three were fine.
Though I’m now on insulin, I remain on Jardiance and Metformin. Metformin has side benefits that I wanted to retain. Jardiance supposedly not only causes the kidneys to flush out more sugar but provides some protection to the kidneys as well. I notice the effects of both more - probably because I see both the amount of carb and insulin I take in.

I take Farxiga, a drug in Jardiance's family, and my A1c and blood pressure improved.

@carbcounter
You may also be interested in Dan Buettner's Blue Zones concepts. He is a Minnesota boy that has made extensive studies on longevity and diet.

@howardrlewis said: "Dan Buettner's Blue Zones".

Thanks. Looks good. I don't see too much new on the diet, he's more veggie than some. He likes a lot of carbs, hmm. He likes a big breakfast. He seems to be for exercise but the summaries say nothing more specific. Talks a lot about social connections.

All ok but - Loma Linda?