[CookD]

I'm hoping that you who are more experienced than I can help point me in the right direction.
I am presently on 500 metformin and 1 glimepridie.
Trying to lose weight and keep BG above 70 after 30 minutes of exercise (power walking). I need to lose over 50 lbs.
I am having trouble balancing the amount of carbs to eat before walking. I'm afraid of dropping too low while out. Last time out BG was 50 when I got home.
In general my morning #'s start at 115 and start dropping so that by 12 noon with no exercise #'s are 75 to 80.
Please, any suggestions would be much appreciated.

[BrianSCohen]

Dee,

Everyone is different. Some find that after eating, they have some reactive hypoglycemia where their blood sugar drops too low after a meal. Some find they can drive their blood sugar too low with exercise. You are on amaryl, which will boost your insulin production, perhaps too much. Normally, your body will respond to low blood sugar by reducing insulin production and dumping blood sugar from your liver. If your insulin is chronically elevated you may not respond this way.

My suggestion is to discuss this with your doctor, if you really are 115 in the morning and 75-80 throughout the day, you are doing better than an A1c of 6.3 and you might consider reducing/dropping the amaryl. In the meantime, consider walking well after meals (after insulin is low and stabilized), or take some quick acting carbs along with you to boost your levels.

...brian

ps. 500 mg of Metformin is also a very small dose, marginally effective in most.

[Janlaton]

I also suggest a chat with your doc or nutrionist. You may be on too much meds or not enough carbs for your activity level. What is right for one of us ds is never right for another!!!!

I can swin for an hour and sugar be at 60. Walk the same hour and it is still at 100. So I just have to eat for the type of exercise I am going to do.

Pray you will bet it right soon.