Monday, February 13, 2012

Monday, April 28, 2008 Joe asks

Q: increase metformin is not helping

For four years of taking 500mg a day. Now my blood suger levels are high. We increased to 1000 once a day. (for 2 weeks) No change. Increased 1000 mg twice a day no change. Morning level are Apporox 165.  After meal 2 hr 190's. Before Dinner was 120's after 250's . Now before Dinner 150's and after is still 250's.

 

Life stye has not changed. Same diet And same workout. Weight has not change in the four years. Could their be somthing else drive my blood suger level high?

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Answers (1)
4/28/08 1:45pm

1. What are you eating? If you're on a high-carb diet with relatively high postprandial BG levels, what's called glucotoxicity will gradually destroy your beta cells, and your diabetes will get worse. If this is the problem, you should try cutting back on your carb intake.

 

2. Have you had a GAD antibody test? It's possible you're not type 2 after all, but LADA, or "latent autoimmune diabetes of adults." If this is the case, no amount of oral medications will help, and you should just try insulin. Ask your doctor about the test.

 

If you're thin, LADA is more likely than if you're very overweight.

 

Another test is the C-peptide test, which indicates how much insulin you're producing. Type 2s usually produce a lot. If the C-peptide is low, it's another indication of LADA.

 

 

 

 

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