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Medical Forum / Diseases and Disorders / Diabetes / December 2007

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Late afternoon highs

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HelenHowesTextiles@googlemail.com - 12 Dec 2007 19:31 GMT
I am fine in the mornings, have no DP as far as I can measure and seem
to run OK on my various breakfasts (with good numbers) till lunch.  I
have home-made soup (veg) and one or 1/2 a slice of multigrain bread,
plus fruit if still hungry, and seem to be OK on 1 and 2 hours after
that <5 (<90) before and mostly around 6 (110) after 1 hour, back to 5
(90) after 2.  Then I have a snack around 3 pm, also OK readings.  But
by supper time I am ever so high, sometimes more than 10 or 11
(180-200). We eat earlier and earlier, and I don't want to eat much
before 6 as it makes the evening rather too long.. I know this is a
liver thing, but I don't know what to do about it..  I have tried
moving the snack, adding another, different sorts of snacks with and
without much carb, fat, etc... Any good ideas, folks? Exercise?
Suggestions for foods?  I am getting worried by this as all else seems
to be working pretty well.. My fbg  is generally around 4.5 (80)

Helen Howes
Ozgirl - 13 Dec 2007 09:40 GMT
Are you on any meds or insulin?

>I am fine in the mornings, have no DP as far as I can measure and seem
> to run OK on my various breakfasts (with good numbers) till lunch.  I
[quoted text clipped - 12 lines]
>
> Helen Howes
helen@raindropkites.co.uk - 13 Dec 2007 18:32 GMT
I have posted frequently, but will recap.  200mg Metformin, relatively
low carb diet and lots of exercise.  I am of normal weight and on
Prednisolone (prednisone) for Rheumatoid arthritis, so expect slightly
higher numbers over all

Helen Howes
helen@raindropkites.co.uk - 13 Dec 2007 18:44 GMT
On Dec 13, 6:32 pm, he...@raindropkites.co.uk wrote:
> I have posted frequently, but will recap.  200mg Metformin, relatively
> low carb diet and lots of exercise.  I am of normal weight and on
> Prednisolone (prednisone) for Rheumatoid arthritis, so expect slightly
> higher numbers over all
>
> Helen Howes

Sorry, 2000 mg Metformin
Jackie Patti - 13 Dec 2007 19:51 GMT
> I am fine in the mornings, have no DP as far as I can measure and seem
> to run OK on my various breakfasts (with good numbers) till lunch.  I
[quoted text clipped - 10 lines]
> Suggestions for foods?  I am getting worried by this as all else seems
> to be working pretty well.. My fbg  is generally around 4.5 (80)

I want to verify I understand what's happenning: you eat a snack at 3 PM
and have good 1 and 2 hour postprandials, then you eat dinner at 6 PM
and go high afterwards?

So at 3, 4, 5 and 6 PM, you're OK, then at 7 and/or 8 PM, you're high?

What would be a typical dinner for you?  And what time do you take the
metformin?

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helen@raindropkites.co.uk - 13 Dec 2007 20:18 GMT
> I want to verify I understand what's happenning: you eat a snack at 3 PM
> and have good 1 and 2 hour postprandials, then you eat dinner at 6 PM
[quoted text clipped - 4 lines]
> What would be a typical dinner for you?  And what time do you take the
> metformin?

No, I go high Before dinner, which will be protein and veg with a
little fat and very little carb, and which is not the problem. Mostly
I go down pretty rapidly afterwards but these spikes are much too
high.  All the rest of   the time I seem to be able to eat without
much in the way of spikes, and I have done Lots of tests... The highs
are getting me in the very late afternoon before I eat dinner, and no
amount of messing around with timings seems to help...

I take my Metformin in the morning and the evening, 1000mg each time.
I found that taking it any other way was worse, and made me extremely
gaseous.  I have tried moving the latter dose earlier, but no
difference in the bg levels.  I have found that Metformin is a very
"slow" drug, once it reaches body saturation then timings are not
nearly so crucial.  I was hoping to reduce my dosage as my IR was
obviously lowered, but I don't think I should do that yet...

Helen Howes
W. Baker - 14 Dec 2007 01:41 GMT
: No, I go high Before dinner, which will be protein and veg with a
: little fat and very little carb, and which is not the problem. Mostly
[quoted text clipped - 3 lines]
: are getting me in the very late afternoon before I eat dinner, and no
: amount of messing around with timings seems to help...

: Helen Howes

What do you snack?  as your dinner seems to quiet everything down, maybe
you need either a different, larger or later snack in teh afternoon.  Just
a guess on my part.

Wendy
Jackie Patti - 14 Dec 2007 03:13 GMT
> : No, I go high Before dinner, which will be protein and veg with a
> : little fat and very little carb, and which is not the problem. Mostly
[quoted text clipped - 7 lines]
> you need either a different, larger or later snack in teh afternoon.  Just
> a guess on my part.

I'd guess the same.

It's a bit hard to guess if it's a minor liver dump from going low or a
delayed bg rise.  If it were me, I'd try a carbier snack, and test each
hour until dinner; then try a less carby snack and do the same.

Helen, how high are you before dinner?

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Màck©® - 14 Dec 2007 11:00 GMT
>> I am fine in the mornings, have no DP as far as I can measure and seem
>> to run OK on my various breakfasts (with good numbers) till lunch.  I
[quoted text clipped - 19 lines]
>What would be a typical dinner for you?  And what time do you take the
>metformin?

correct me if I am wrong, but metformin is not something that has an
immediate effect on BG based on the time of day it is take.  It's
effect is based on a cumulative dose that is built up over time.  Type
2s correct or false?

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krom - 14 Dec 2007 13:05 GMT
It is SUPPOSED to take a day to work but is imediate for me..if i eat
somthing that unknoiwingly spikes me i can take a extra met and it drops
right away.

But thats my system and other might be different.

KROM

"Màck©®" <IAM@OneWithTheGoddess.org> wrote >
> correct me if I am wrong, but metformin is not something that has an
> immediate effect on BG based on the time of day it is take.  It's
> effect is based on a cumulative dose that is built up over time.  Type
> 2s correct or false?
Tiger_Lily - 14 Dec 2007 16:32 GMT
>>> I am fine in the mornings, have no DP as far as I can measure and seem
>>> to run OK on my various breakfasts (with good numbers) till lunch.  I
[quoted text clipped - 23 lines]
> effect is based on a cumulative dose that is built up over time.  Type
> 2s correct or false?

Metformin is cumulative, but it also to some degree blocks the
absorbtion of carbs in the gut

so....... yes, when you take it will impact your bg to some degree, then
the rest of it is cumulative

i take my metformin AFTER i eat a meal to reduce the stomach upset
feelings (i've never had them, i just don't want to get them either)

kate (double diabetes)
helen@raindropkites.co.uk - 14 Dec 2007 19:25 GMT
Tested again this afternoon. Was fine after lunch (veg soup and 1
slice, fruit) 3pm, scone with butter. Around 30g carb. After 1 hr 6.2
(111) after 2 hours 5.6 (100) at 6:30, just before eating, 11.2 (201)
AAArgh I wasn't even very hungry tonight... Ate fish pie with
mushrooms and cauliflower, sprouts, onion, usual moderate portion.
Hardly any carb and all vegetable based. After 1 hour (now) 9.1
(163).  I am going nuts over this..

I don't think it's what I'm eating, I think it's my liver.  So what do
I do? Run around?  Eat sooner?  Despair?
HH
 
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