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KarenRB53

When to take Metformin

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I'm so glad I found this site! I've been diagnosed with type 2

diabetes and put on Metformin. It gives me a lot of gas and diarrhea (sp). I thought I was supposed to take it just before breakfast and just before supper. What is the best way to take it, with food or without food? I was thinking of asking about the extended Metformin.

 

Thanks for any information,

Karen

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Definitely take it WITH food to avoid stomach upset. I always make sure I've had several bites to get something on my stomach before actually swallowing the pill! ;)

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Karen,

 

I always eat something, even if it's a piece of cheese before taking my Metformin. I have had a couple of unpleasant evenings when I took my Metformin in advance of dinner, talk about a rumbling tummy, it sound like there was a war taking place in there! Haven't had the problem since I started making sure to eat first. I have to admit that I am one of the lucky people not to have any other adverse reactions to Metformin.

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From one Karen to another......WELCOME!

 

Although I'm a type 1 pumper, I also take 500mg of Metformin twice a day. You're just starting out on it, so you're going to have a good month or so of stomach upset. When I was first dx'd 5 years ago, I always took the Metformin with my meal. I now take my morning dose with coffee as I'm leaving the house for work (7:20am) and eat breakfast (usually toast) at my desk between 8 and 8:30. I take my evening dose about 15 mins before dinner. Although this works for me, it may NOT work well for you.

 

Good Luck!

 

Karen

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I'm so glad I found this site! I've been diagnosed with type 2

diabetes and put on Metformin.

 

Thanks for any information,

Karen

 

Metformin also functions more efficently in the body when taken with food. The package insert, if you look carefully, states that.

 

How much metformin are you taking? In how many doses?

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Ah.. Metformin.. You need to take it with your meal.

 

And it takes a little while for your body to get used to it.

 

Sometimes it interacts with what you had to eat and you need to

be close to a bathroom.

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I take it and have for almost a year and I can't even begin to think about taking it in the mornings with my breakfast, it gives me the most horrible stomach ache. I take mine with my lunch, dinner and the last one at 1:00 AM. What I do is break mine in half and I take half of one those times mentioned and I eat half of what I am going to eat, take the pill and then finish eating. This way, at least for me, I have something in front of an behind it and it seems to pad it a little better.

 

I tried so hard to take it with my breakfast, but it didn't work no matter what I ate or what I did...... so I just can't take it in the mornings at all. So I do that one at 1:00 AM, with a few crackers or something very light.

 

I have a very low tolerence to pills of any kind and I have loads of stomach issues, so I have to be careful of anything I take because of this.

 

Oh and welcome. I'd love to not have to see you here, but if you have to join us in our "Club", then we are most happy you found this place, you are in very very good hands with these people, they have all but saved my life, literally. ;)

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Hi Karen,

Metformin was my worst enemy for the first week of taking it.I didnt get the tummy upsets, but it made me feel so spaced out and weird! Thank goodness that has now passed and I feel fine on it. I take it in the morning, once a day (500mg) right after my breakfast. My doctor told me to always take it with or after food.

Hope you settle down with it soon...and welcome! :)

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Welcome to the site Karen, hope you feel "at home" here :)

Awesome,informative friends here! You will learn more here, than anywhere else. :)

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Good evening, and welcome to the DF Karen ! on Metformin my-self, always take mind after a meal with orange juice, sugar free of course, don't seem to have a problem, hope you get on with this wonderful drug.

 

B/7 ESSEX UK.

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Hello all! I myself am on glyburide. I was diagnosed with Type 2 recently and they put me on Avandia. I've been researching about this and have found some sites that claim they found a cure for Diabetes

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Hello all! I myself am on glyburide. I was diagnosed with Type 2 recently and they put me on Avandia. I've been researching about this and have found some sites that claim they found a cure for Diabetes

Let me guess. Most of these sites claim they cure about anything that ails you. :eek:

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Hi Karen,

I take 5 Metformin a day - 2 with my breakfast, and 3 with my supper. I try to take them after food, as I too had the same symptoms as you do. After awhile, your body does seem to regulate itself to taking them (at least mine did). However, things still happen from time to time. It gets easier with time.

Good Luck,

Theresa

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I had a great deal of trouble with Metformin when I first started taking it. In fact, I took myself off it after three weeks. I was taking two 500mg tablets in the moring and two more in the early evening. I suffered from a constant headache, upset stomach and a general heaviness in my chest. My morning fasting numbers have been so high (always 200+) that I thought I had better give it another chance. Now I take one in the morning, one in the early evening and one at bedtime. My morning numbers are down considerably (150's) and while I still suffered the same symtoms I had previously, I think I am finally getting out of the woods. I don't get the headaches much anymore and I am generally tolerating the medication much better this time around. This is after three weeks so I am hoping my body is finally adapting to Metformin.

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I must be the exception to the rule. On doctor's orders, I'm easing into my Metformin dose. For the first week, I took only one in the morning. This morning, I started with 2 in the morning with my breakfast. Next week I will be up to my 3 each morning. So far, I haven't really had any side effects. I was worried about it but I must just be one of the lucky ones.

 

On the plus side, I've been monitoring for a couple of days now and my numbers are still very high but they're starting to come down. I haven't had a Dr Pepper or Mountain Dew in over a week now. I'm over the caffeine withdrawal now and I think I've kicked them for good.

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When I wass diagnosed as a T2 in April of 2006, I was in the hospital for a bout of cellulitis. Blood work showed a blood glucose level of over 400. They started me on the Metformin, 500 mg with each meal. Through trial and error of sorts, we determined that I get the best results from the medication if I take the pill WITH my meal. It seems to have the best therapeutic results this way. Luckily for me, I never got the stomach problems that others have mentioned !!

 

I'm not sure what my original A1c level was back in 2006, but I do know that my level in Feb. 2008 was 5.1. My FSB readings are usually below 100 and my level before dinner is also below 100. I only check twice a day. Dr. is even thinking about dropping the Metformin to 2X a day (breakfast/dinner).

 

In the beginning they also experimented with Glyburide. A dose of 5 mg in the morning was dropping my afternoon blood sugars into the 30's and 40's, with NO outward symptoms. They then cut it in half (2.5 mg) and it still happened.

 

What is weird, is that although I felt nothing when it dropped into the 30's and 40's with the Glyburide, if my blood sugar drops quickly (even if it is just 20 points), I feel that. I get the rapid heartbeat, cold sweats, etc. I check my sugar and if it is 20-30 points lower than my last reading, I drink a regular soda and within an hour it is back to being normal.

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Right now, I'm taking 3 500mg Metformin 3x per day. I usually take it right after eating, but I may try taking it with my meal and see what happens.

 

It occasionally causes mild nausea, but my main side effects have been gas and mild diarrhea. I've been taking it since Feb. 9, and the effects have diminished, mostly.

 

I started taking 3 a day when I suspected my oral contraceptives were interacting with the Met and my BG wasn't coming down like I wanted it to. It's still not where I want it to be, which is below 100 most of the time, and below 140 2 hours after a meal. But it is improving. The first time I checked it in the morning, in February, it was 157--same as it had been in the lab a couple of days before. This morning, it was 114.

 

I just want everything to happen NOW! I want to get this thing under control, keep it under control and go on with my life!!

 

And if UAB ever starts doing the diabetes surgery, I'm getting down there as fast as my short legs will carry me! LOL.

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You are right they FOUND a cure. Stop eating sugar of any kind( that includes refined, fruit, and starch ) and your blood sugar should be just fine thats according to the book about "all those cures they don't want you know about". Real simple right.

 

My question is who is the they that the book refers ?? Is it the they from John Carpenters movie or a new they

 

 

Back to reality I have heard that Astrozeneca is in third stage testing of a new diabetes medication that tackles the problem from a new angle. the stage one and stage two results look really good.

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Hello everyone. I am new to this forum on diabetes. I started taking metformin since 4 months and had a my doctor did a blood work (12 hour fasting) recently. I had fasting blood sugar level of 140 before he put me on 500 mg twice a day. In the recent exam it has come down to 104 and my hemoglobin A1c is down from 6.7 to 6.4. He wants me increase the dose by half tablet 2 times (500 plus half of that 2 times). Initially I had very minor side effects. He wants the fasting sugar level to be in the range of 69-99 and A1c to be below 6. I plan on getting checked in about 3 months again. Hopefully I will achive that by that time.

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Hi Everyone

 

I have been on Metformin for about 8 years, but I had a lot of stops and starts when I started taking it. It really disagreed with me and yes, tummy rumbles and diarrhoea were a real problem and were occasionally during the whole time I was on it.

 

I changed to the slow release metformin and took it at night with my evening meal and I tolerated that a lot better.

 

But I still had problems if I forgot to take a pill - I had diarrhoea the next day!!

 

I've recently commenced insulin and my first specialist wanted me to go off it, while the second specialist (second opinion) preferred I go back on it. After a week of being off the drug and then restarting it again - all **** broke lose in my system and I spent the day in the toilet.

 

So I have to introduce it again slowly - I'm wondering if I really want to go through all this again. :(

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I've recently started taking Metformin. My doctor has started me on a low dose, and after two weeks I will move up to a higher dose, so my body has time to adjust to the medication and I'm less likely to have side effects.

 

I take one with breakfast and one with supper. I take it in the middle of the meal, so I've already got some food in me when I take it. I haven't had any ill effects whatsoever.

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Hello everyone. I am new to this forum on diabetes. I started taking metformin since 4 months and had a my doctor did a blood work (12 hour fasting) recently. I had fasting blood sugar level of 140 before he put me on 500 mg twice a day. In the recent exam it has come down to 104 and my hemoglobin A1c is down from 6.7 to 6.4. He wants me increase the dose by half tablet 2 times (500 plus half of that 2 times). Initially I had very minor side effects. He wants the fasting sugar level to be in the range of 69-99 and A1c to be below 6. I plan on getting checked in about 3 months again. Hopefully I will achive that by that time.

 

djaganna,

 

Welcome to the forums. Metformin comes in two forms, Metformin and Metformin XR. The XR is long acting and is considered to have less gastric side effects. Often you can reduce the gastric side effects by taking the Metformin with a meal. If you take XR, you can take it once a day, otherwise you can take it twice a day. I believe your doctor has recommended you take 750mg twice a day, so just take it with morning breakfast and at dinner.

 

Good luck, let us know how it goes.

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I must be the exception to the rule. On doctor's orders, I'm easing into my Metformin dose.

 

I'm easing into mine too. For the first week I take 1 500 mg with breakfast. Next week I will be taking one with breakfast and one with supper. I'm also taking Amaryl 4mg with breakfast.

 

My doctor said easing into your dose is very important to avoid stomach upsets.

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Does anyone know if Glipizide causes stomach upset? I've had some horrible cramping since my dosage was increased. I take Glipizide ER.

I was told I would probably do better on Metformin and was thinking about calling my doc.

I am making an appt. with a nutritionist today and will sign up for a diabetes class at the Health Dept.

I appreciate all the advice I can get.

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