On Netformin no loner prescribed effects.

Posted by stormhelm @stormhelm, Jan 11 7:15am

I have been taken off Netformin after about a year and a half or so was taking 4- 500 mg daily as my A1C was about 9.. Then with losing weight and reducing sugars etc,, 2nd A1C exam was down to 5.7 big improvement then last June was 4.8 and finally in December 4.7!!
Dosage was reduced to 2 the 1 500 daily and after last month taken off no longer need. However I have been off for about 3 weeks no Netformin, I have noticed a slow rise from upper 70`s occasionally in the upper 60`s up to 80`s and occasionally 91 or so after fasting. Now I see upper 90`s and 101 was several days ago and this morning 98.. I hardly consume sugar keep it down about 17 -20 grams for the most part with an occasional "Indulgence".. and do walk around throw garbage out etc. I lost 53 lbs why in remission besides try to eat healthy just wondering why rise?? Normal?? Sometimes 75 or 88 a week a go rest in the 90`s slowly rising.. Thanks..

Interested in more discussions like this? Go to the Diabetes & Endocrine System Support Group.

@stormhelm welcome to Mayo Clinic Connect. You have made a huge improvement in your A1C. Your daily numbers are really good also. Most diabetics would love to have those numbers. There are several reasons as to why the daily numbers could be slowly rising. Have you ever heard of the Dawn Effect or the Symogi (sp?) Effect? It has to do with your body’s metabolism ramping up at the start of the day and when you are fasting in the morning the body sometimes borrows a source of glucose from the liver (glycogen) that ends up increasing blood sugar in the morning. Do you normally do your blood sugar tests in the morning? Try a few other tests throughout the day just to see what those results are such as before lunch or dinner, before bed, in the middle of the night if you get up to pee. The data can be interesting and can help identify trends or patterns. Do you have a record keeping system that you can show to your provider? Your provider can help you analyze and make sense of the data when you have a follow up appointment. Has your provider recommended a target range that you should stay within? That is helpful because if you start seeing the majority of your numbers at the top of the range your provider can make suggestions of changes to make towards returning to the midrange. How often do you have your A1C done?

REPLY

greetings,, It was tough had to discipline my self as I have strong sweet tooth and I restrict myself to majority of time despite A1C results below 18-19 daily mostly at breakfast not every day as I use zero sugar jellies and jams in fact anything low sugar or no sugar sweeteners Like Monk`s, Splenda, Stevia and honey depending and upper sugar limit is 36 which I rarely go to unless "Indulgence day" to have a regular slice of cake, pie all kinds of dessert I like or pound cake etc. but only on specified days but was told for both sugar and sodium I will explain more as I write. Yes I have heard of and explained after no longer prescribed metformin why from sometimes below 60 Gl to usually 70`s and 80`s with occasional 90`s then 100`` highest was 106 and now back in 80`s.I used to until Dr. told me go on a rotational schedule such as day 1 fast Gl,, next day post breakfast, Next day pre-lunch until post dinner starts again cycle next day and yes all data is stored in my tester Dr, has accessed before and all rather well! I get test ever I was about 198-200 lbs. now 139 I was a bit overzealous as never want to go again to very bad past A1C and I get tested every 6 months... Now sodium: I have CKD-A3 however kidney function improved and creatinine looking good overall with exception of very mild Anemia and Urine test I was below normal because being overzealous not taking enough sodium as it spooked me stuck in my head despite care team advising "loosen up" as data indicates I am doing quite well but hard to at times.. I have and last exam sodium test was in December was within above middle normal as before both sodium and chloride below normal as was over hydrating and told drink 2000 ml daily and I do plus I have sort of developed "Protocols" where in mornings I walk 20 minutes to prep muscles for insulin and carbs then depending how much sodium/sugar I have a 30 minute walk to sweat light or moderate to get net sodium for example intake 90 or so which is light I just drink 8 oz of water before and after walk help kidneys, sweating usually has 100-200 loss from light sweating so Net would be zero and if I need not do until past 300 then same 30 minutes but more brisk walks and sometimes 45 if near 400 Gl and ah hour over or heavy/moderate sweating with a mind not over do as can harm if not careful dehydrated despite hydration and I adapt to meals and nothing prohibited as long as in moderation with an occasional indulgence as generally strive to keep sodium below 1500-1600 Gl and usually depending day almost zero to about 1100 depending and I have light, moderate plan I never stack sodium and also advised loosen up don`t be strict with myself as I can absorb because now "programmed" so to speak and keep things balanced. will explain if you want to know? I am happy with results!! Hope this helps and have more to say but will see if you wish form me to elaborate further.. Thanks and till soon..

REPLY
Profile picture for Cheryl, Volunteer Mentor @cehunt57

@stormhelm welcome to Mayo Clinic Connect. You have made a huge improvement in your A1C. Your daily numbers are really good also. Most diabetics would love to have those numbers. There are several reasons as to why the daily numbers could be slowly rising. Have you ever heard of the Dawn Effect or the Symogi (sp?) Effect? It has to do with your body’s metabolism ramping up at the start of the day and when you are fasting in the morning the body sometimes borrows a source of glucose from the liver (glycogen) that ends up increasing blood sugar in the morning. Do you normally do your blood sugar tests in the morning? Try a few other tests throughout the day just to see what those results are such as before lunch or dinner, before bed, in the middle of the night if you get up to pee. The data can be interesting and can help identify trends or patterns. Do you have a record keeping system that you can show to your provider? Your provider can help you analyze and make sense of the data when you have a follow up appointment. Has your provider recommended a target range that you should stay within? That is helpful because if you start seeing the majority of your numbers at the top of the range your provider can make suggestions of changes to make towards returning to the midrange. How often do you have your A1C done?

Jump to this post

@cehunt57 Good morning,,
Fasting GL 96..

REPLY
Please sign in or register to post a reply.