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Medical Forum / Diseases and Disorders / Diabetes / March 2006

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Positive attitute & positive results

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Trinity - 09 Mar 2006 00:35 GMT
Being anal retentive that I am, I have had my 7th consecutive A1C in the
5's. I have reduced my metformin to 500mg 1x/day. When I first reduced
it from 2 pills to 1 pill, I just took the 1 pill at night. Now that
I've refilled my prescription, now the instructions are to split the
pill & take 1/2 tablet twice daily. Does it make a difference if I take
1 500mg pill at dinner vs. 2 250mg halves at breakfast, and then dinner?
I would prefer not to do the added work of splitting the pills, but????
Any thoughts?

OT: because I have terrible PMS symptoms, I've decided to try birth
control pills to see if it helps. Is there weight gain with taking the
pill? Also I told my spouse that I cannot get pregnant now..... hmmmm I
a lesbian anyways HA! She just chuckled at that one!

I do feel proud of my accomplishments and hope that I keep the
complications at bay through all this hard work!

I also just got promoted to a higher position at my company and I feel
really good about it!
A quote that has helped keep things positive:

"Go confidently in the direction of your dreams! Live the life you've
imagined"
Thoreau

Trinity
Signature

trinitytype2@nospamyahoo.ca
remove nospam
dx Oct 2003, Type 2,
metformin 500mg/2xday
low dose aspirin 3x week
walking 30 min/day
A1C 5.4
40 lbs lost
next goal: gain muscle strength

Cheri - 09 Mar 2006 01:10 GMT
Sounds like you're doing great. Keep it up, and congrats on the
promotion. :-) I take Metformin, but I've never split them, so dunno. I
do think there is a warning about not splitting the extended release
type though.

--
Cheri

Trinity wrote in message ...
>Being anal retentive that I am, I have had my 7th consecutive A1C in the
>5's. I have reduced my metformin to 500mg 1x/day. When I first reduced
[quoted text clipped - 4 lines]
>I would prefer not to do the added work of splitting the pills, but????
>Any thoughts?
Trinity - 09 Mar 2006 01:15 GMT
> Sounds like you're doing great. Keep it up, and congrats on the
> promotion. :-) I take Metformin, but I've never split them, so dunno. I
[quoted text clipped - 20 lines]
>>I would prefer not to do the added work of splitting the pills, but????
>>Any thoughts?

i'm not taking the extended release type, so no problem there. I think I
will stick to not splitting them though and just take 1 pill with dinner.

Thanks,
Trinity

Signature

trinitytype2@nospamyahoo.ca
remove nospam
dx Oct 2003, Type 2,
metformin 500mg/2xday
low dose aspirin 3x week
walking 30 min/day
A1C 5.4
40 lbs lost
next goal: gain muscle strength

Alan S - 09 Mar 2006 01:58 GMT
>> Sounds like you're doing great. Keep it up, and congrats on the
>> promotion. :-) I take Metformin, but I've never split them, so dunno. I
[quoted text clipped - 26 lines]
>Thanks,
>Trinity

Hi Trinity

Great to hear all the good news.

I only started on metformin a few months back - so I don't
have a lot of experience. However, the only reason I added
it was to reduce my FBGs. I found by experimenting with
different timings (all the permutations and combinations of
breakfast, lunch, dinner, supper and pre- and post-meal)
that mine was most effective taking one 500mg before
starting dinner and the other with my supper.

That seemed to improve my FBG and at the same time give me
less sensitivity to carbs at dinner.

YMMV.

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
Signature

Everything in Moderation - Except Laughter.

Trinity - 09 Mar 2006 23:15 GMT
>>>Sounds like you're doing great. Keep it up, and congrats on the
>>>promotion. :-) I take Metformin, but I've never split them, so dunno. I
[quoted text clipped - 46 lines]
> Cheers, Alan, T2, Australia.
> d&e, metformin 2x500mg
How far apart is your dinner from your supper? Here, dinner and supper
mean the same meal.

My fbg has been fine, so maybe i'll stick the whole 500mg with my dinner
to also allow a little more carbs.
Cheers,
Trinity

Signature

trinitytype2@nospamyahoo.ca
remove nospam
dx Oct 2003, Type 2,
metformin 500mg/2xday
low dose aspirin 3x week
walking 30 min/day
A1C 5.4
40 lbs lost
next goal: gain muscle strength

Alan S - 10 Mar 2006 04:53 GMT
>How far apart is your dinner from your supper? Here, dinner and supper
>mean the same meal.
[quoted text clipped - 3 lines]
>Cheers,
>Trinity

Approximates, with indicative examples:

Breakfast 07:00 bacon and one egg, or stuffed mushroom or
zapped casserole.
Lunch 11:30 Open sandwich or bowl of soup or stir-fry.
Late lunch/snack 15:00 Half an apple or avocado, or yoghurt
and blueberries or similar.
Dinner 18:00 meat - pack of cards size, salad or
steamed/boiled veges.
Supper 21:00 Muesli/nuts/psyllium mix.

With several micro-snacks between Lunch and Supper - a
half-cracker and PB or blue cheese or vegemite, or a stalk
of celery, or a few nuts, whatever.

Of course, there are exceptions. With the vampire act
occurring this morning, followed by the CAT-scan, I fasted
from 9pm last night until 1pm today. So I had an excellent
large roast pork lunch:-)

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
Signature

Everything in Moderation - Except Laughter.

Trinity - 11 Mar 2006 02:35 GMT
>>How far apart is your dinner from your supper? Here, dinner and supper
>>mean the same meal.
[quoted text clipped - 26 lines]
> Cheers, Alan, T2, Australia.
> d&e, metformin 2x500mg
I bought a package of psyllium, but I haven't opened it yet. I've been
grinding about 2 tablespoons of flax seed and eating it with my cereal
in the morning. That has been having a tremendous laxative effect that I
think I'll donate the psyllium.

Cheers,
Trinity

Signature

trinitytype2@nospamyahoo.ca
remove nospam
dx Oct 2003, Type 2,
metformin 500mg/2xday
low dose aspirin 3x week
walking 30 min/day
A1C 5.4
40 lbs lost
next goal: gain muscle strength

Alan S - 11 Mar 2006 03:00 GMT
>I bought a package of psyllium, but I haven't opened it yet. I've been
>grinding about 2 tablespoons of flax seed and eating it with my cereal
[quoted text clipped - 3 lines]
>Cheers,
>Trinity

You have an interesting turn of phrase. I'm not sure that I
want a "tremendous laxative effect".

Normal is quite good enough for me:-)

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
Signature

Everything in Moderation - Except Laughter.

Trinity - 11 Mar 2006 17:10 GMT
>>I bought a package of psyllium, but I haven't opened it yet. I've been
>>grinding about 2 tablespoons of flax seed and eating it with my cereal
[quoted text clipped - 11 lines]
> Cheers, Alan, T2, Australia.
> d&e, metformin 2x500mg
Yes I'm sure that was quite eye catching wasn't Alan? :) Well, it has
made the difference! In that it's run, not walk to the loo.
Ok, I'm eating right now, so I'll stop right there........
Trinity

Signature

trinitytype2@nospamyahoo.ca
remove nospam
dx Oct 2003, Type 2,
metformin 500mg/2xday
low dose aspirin 3x week
walking 30 min/day
A1C 5.4
40 lbs lost
next goal: gain muscle strength

Nicky - 09 Mar 2006 13:27 GMT
> Being anal retentive that I am, I have had my 7th consecutive A1C in the
> 5's.

Woo-hoo! Nice ones : )

> Does it make a difference if I take 1 500mg pill at dinner vs. 2 250mg
> halves at breakfast, and then dinner?

I wouldn't have thought so. Don't think I could be bothered!

> OT: because I have terrible PMS symptoms, I've decided to try birth
> control pills to see if it helps. Is there weight gain with taking the
> pill? Also I told my spouse that I cannot get pregnant now..... hmmmm I a
> lesbian anyways HA! She just chuckled at that one!

ROFL! But who's the #3 in your trinity? : )  Birth control pills can make
you put on weight, but I'm sure some do and some don't, and I don't know the
mechanism : (

> I also just got promoted to a higher position at my company and I feel
> really good about it!

Yay! Well done!

Nicky.

Signature

A1c 10.5/5.4/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/74/72Kg

Jenny - 09 Mar 2006 14:11 GMT
> Being anal retentive that I am, I have had my 7th consecutive A1C in the
> 5's.

Great progress You should be proud!

With the pills watch out for mood swings and sudden onset depression,
which is something that the progesterone in the pills can cause in
susceptible people. For me BP pills were like PMS in a tablet! I never
could take them once they changed the formulation in the 70s to the "low
dose" kind. Progesterone also raises my blood sugar.

--Jenny

http://www.phlaunt.com/diabetes  Diabetes Info

http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
Sugar Under Control
Jenny - 09 Mar 2006 14:30 GMT
TYPO correction!  BC pills, not BP pills!
>> Being anal retentive that I am, I have had my 7th consecutive A1C in
>> the 5's.
[quoted text clipped - 13 lines]
> http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
> Sugar Under Control

Signature

--Jenny

http://www.phlaunt.com/diabetes  Diabetes Info

http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
Sugar Under Control

Trinity - 09 Mar 2006 23:25 GMT
> TYPO correction!  BC pills, not BP pills!
>
[quoted text clipped - 15 lines]
>> http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
>> Sugar Under Control

I got your jist. :) :)

Signature

trinitytype2@nospamyahoo.ca
remove nospam
dx Oct 2003, Type 2,
metformin 500mg/2xday
low dose aspirin 3x week
walking 30 min/day
A1C 5.4
40 lbs lost
next goal: gain muscle strength

Trinity - 09 Mar 2006 23:24 GMT
>> Being anal retentive that I am, I have had my 7th consecutive A1C in
>> the 5's.
[quoted text clipped - 13 lines]
> http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
> Sugar Under Control
Well I won't know until I try it. I do hope they work for me, cuz I
cannot stand the first 36 hours. And I have a new position that requires
presenting in front of people and that's all I need is to be in that 36
hour window. :(
Trinity

Signature

trinitytype2@nospamyahoo.ca
remove nospam
dx Oct 2003, Type 2,
metformin 500mg/2xday
low dose aspirin 3x week
walking 30 min/day
A1C 5.4
40 lbs lost
next goal: gain muscle strength

wmmckee@cox.net - 09 Mar 2006 17:08 GMT
> Being anal retentive that I am, I have had my 7th consecutive A1C in the
> 5's. I have reduced my metformin to 500mg 1x/day. When I first reduced
[quoted text clipped - 4 lines]
> I would prefer not to do the added work of splitting the pills, but????
> Any thoughts?

A very hearty congratulations to you, Trinity! I shouldn't think that
splitting a pill would be a bad idea, if you really have gone down to only
one. The only thought I would have concerning taking it once a day would
have to do with maintaining a consistent level of the drug in your system.
You might get more peaks and dips in your systemic levels of metformin,
thereby affecting the effectiveness of the medication you are taking.

Just a thought. Undoubtedly, there are some with better answers. It may be
not such a big deal, anyway, when I think how long it takes for the
metformin to start working.

Sorry, I cannot help you with the BC pills and PMS.... As a male, I am
gender challenged on that issue! ;-)

I wish you all the best.

Will, T2
Trinity - 09 Mar 2006 23:28 GMT
>>Being anal retentive that I am, I have had my 7th consecutive A1C in the
>>5's. I have reduced my metformin to 500mg 1x/day. When I first reduced
[quoted text clipped - 22 lines]
>
> Will, T2
As it is now, i do my workout in the morning which probably has positive
effects throughout the day, then I take the metformin with my dinner. I
hope that "covers" the basis. My fbg has been ok.

I look forward to others thoughts as well.
Cheers,
Trinity

As far as the BC pills, just cross your fingers for me that they'll work
ok. :)

Signature

trinitytype2@nospamyahoo.ca
remove nospam
dx Oct 2003, Type 2,
metformin 500mg/2xday
low dose aspirin 3x week
walking 30 min/day
A1C 5.4
40 lbs lost
next goal: gain muscle strength

Jennifer - 09 Mar 2006 19:42 GMT
Great work on your diabetes!!!

As for the PMS... I have been taking Depo Provera shots for seven years
now... because of extreme bleeding due to fibroids, my other options
were all surgical, so I thought I'd give this a try.   For the majority
of women, monthly bleeding stops all together.  That was the case for
me, ergo no more anemia due to bleeding out every month!  But the bonus
also was, my PMS, which was admittedly not crazy bad, but noticable, is
gone.  No weight gain, though some report that it does have that effect.

Just some info.

Jennifer

> Being anal retentive that I am, I have had my 7th consecutive A1C in the
> 5's. I have reduced my metformin to 500mg 1x/day. When I first reduced
[quoted text clipped - 22 lines]
>
> Trinity
Trinity - 09 Mar 2006 23:33 GMT
> Great work on your diabetes!!!
>
[quoted text clipped - 36 lines]
>>
>> Trinity

Thanks,
I'll keep that in mind if the pill doesn't work out. My dr. also
mentioned the use of an IUD that is implanted for 5 years.
Trinity

Signature

trinitytype2@nospamyahoo.ca
remove nospam
dx Oct 2003, Type 2,
metformin 500mg/2xday
low dose aspirin 3x week
walking 30 min/day
A1C 5.4
40 lbs lost
next goal: gain muscle strength

Nicky - 10 Mar 2006 09:00 GMT
> I'll keep that in mind if the pill doesn't work out. My dr. also mentioned
> the use of an IUD that is implanted for 5 years.

That's what I have. It's the same drug mix as Depo-Provera; I was on that
before, but it's being withdrawn in the UK in favour of the IUD, which is
lower dose. I still have no mood swings and no periods, and now no
injections every few weeks, so I'm very happy with it.

Nicky.

Signature

A1c 10.5/5.4/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/74/72Kg

Trinity - 11 Mar 2006 02:41 GMT
>>I'll keep that in mind if the pill doesn't work out. My dr. also mentioned
>>the use of an IUD that is implanted for 5 years.
[quoted text clipped - 5 lines]
>
> Nicky.

Thanks for sharing! I hope I find something that works, cuz it's really
been unpleasant for far too long!
Trinity

Signature

trinitytype2@nospamyahoo.ca
remove nospam
dx Oct 2003, Type 2,
metformin 500mg/2xday
low dose aspirin 3x week
walking 30 min/day
A1C 5.4
40 lbs lost
next goal: gain muscle strength

 
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