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PMRGCAuk
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What is metformin please?

As I am almost diabetic now thanks to my dalliance with up to 150 mg at one point of pred and then 75 as you all know, my blood sugar is neary10. I am living on frozen broccoli and frozen cauliflower baked with onions and tomatoes and the occasional egg or bit of lean chicken or tuna so no room for dietary improvement. Someone said to get metformin as it is not insulin and keeps us younger too. Really???????

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Metformin is used to treat people with type 2 diabetes. It is sometimes used in combination with insulin or other medications.

Thay would try to control with diet firast

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Thank you Rose. I don’t think diet changes are possible as I’m on no sugar and no carbs. Xxxxx

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Cannot help Linda, as I know nothing about Metformin, but I’m sure you will soon get some good advice from other members, I sure hope so .

I wish you well , keep us posted

Jean x

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Xxxxxxxxxxx

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hello. Hats off to you for keeping on the Pred rollercoaster. There are those who know quite a bit about this, but until then, here’s my penny’s worth. Pred does a marvellous job of making the liver make glucose from its stores of glucagon, even when you don’t need it, hence the raised blood sugar. Metformin does the opposite amongst other things like making some of your body tissues more sensitive to its own insulin. This is also handy because when you body keeps being faced with raised blood sugar it’s own insulin becomes less effective, called insulin resistance Therefore you have to have a functioning pancreas and insulin production for it to work. This is why type 1 diabetics can’t use it and have to have insulin. It isn’t a case of tablets good insulin bad either, it just means insulin is needed when poking the nest with a stick no longer produces any bees (where on earth did that metaphor come from!?). It can make you have a bit of an upset gut but doesn’t give you weight gain like some other. As for keeping you young, hmmm. It might be worth adding a bit more protein in because Pred causes muscle loss, but I’m not a dietician. Make sure you are taking supplements for all the vitamins and minerals you are missing out on from your necessarily restricted diet, like B vitamins and of course good old calcium and vitamin D, magnesium, etc.

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Snazzy what wonderful advice. I’m so grateful. I am printing it out. You explained it beautifully. It explains a lot that I didn’t understand. Very grateful to you Darling. I am hopeful you are ok? How are things with you? Much love Linda xxxxx

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My late hubby was on Metformin as are other diabetics I know.

Not the most pleasant of drugs to take, so if you can manage without I would! If your diabetes is Pred induced you may finds it rights itself anyway.

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Yes I think the rheum thinks it might settle. Sorry about your husband darling. Xxxxxx Linda xxx

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Did they measure your Hba1c too? It reflects the average BS level over the past 3 months and for patients on pred is a far better indicator of diabetes than just random BS levels. As Snazzy explained, pred makes your liver release random spikes of glucose into the bloodstream and if they happen to take the blood sample about then it will appear scarily high. If you really are diabetic - I'd be surprised if it were entirely due to the relatively short time you were on such high doses of pred. There was probably some level there anyway but it just hadn't been found.

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Yes I have the pathology request slip but not well enough to get to the lab which is frustrating. Thank you for the info. Much appreciated xxxxx

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Hi, I have been on Metformin 1x 850 twice a day for a number of years now with no apparent side effects unless night cramps are caused by it, but not necessarily as I take other Meds and it could be any one of them. I think taking the Metformin is much better than having high glucose levels which could cause more riskier side effects. I must say also that when I was put on the Metformin I was also put on a blood pressure tablet and although I am nowhere near high pressure in fact nearer to low, the Diabetic Nurse says it is possible that is due to the Candersarten? Good luck hope this helps. D

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Yes Dot it certainly does help. Info and education is what ultimately makes us strong managers of our own lives. Thank you for posting that. Very grateful. Linda xxxxx

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May I suggest that you may need to take in more protein and possibly healthy fat? Vegetables are carbohydrates, albeit generally speaking a healthier source than grains and sugar. Just make sure you have some protein with every meal, even if it's just a few nuts or, as you have been doing, a little meat or dairy. My daughter, who is a registered dietitian, told me when my blood sugar spiked early days on pred that I should always eat protein at the same time as when I had carbohydrates.

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Heron. Great advice!!! I think you could be right and my protein has been inadequate. That might be exacerbating the pain in my thigh muscles. My leggings were skin tight on my fat trotters and now they hang off me. I will heed your daughter’s advice and even if I cannot cook i can eat some nuts. We always have them. I used to live on a weird home made muesli with everything wonderful in it and Greek yoghurt. I can’t eat that now cos of the dreaded carbs. I’m sure I haven’t helped myself but it’s all so hard isn’t it. I’m very appreciative of your kind help. Linda xxxxxx

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Metformin tends to be the first drug offered if you are found to be type 2 diabetic. At nearly 10 it does sound you may be although I assume your doctor will not rely on just one check. It is always better if you can manage your diabetes with diet alone, but if you finding that you continue to have high blood sugar then Metformin would be the drug you might try first. There are new drugs coming out every so often. They do say with diabetes you should really cut back on egg yolks, egg whites are OK. I am not sure why!

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Oh golly not the poor old egg in trouble again piglette haha. It’s a shame as they are so handy. Was it Pam Ayres who said “if you’ve got an egg, you’ve got a friend “. Or am I getting muddled with her pome about teef? Thank you for the info and good wishes darling. Linda xxxx

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I am reading ‘Too many pills” by James le Fanu at the moment and it seems we were effectively lied to about saturated fats etc as a group of scientists knew they were not the main contributors to heart disease as long ago as the 1980s but they wanted to save face and presumably carry on lecturing on their theories. Quite an eye opener.

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Oh piglette it’s awful isn’t it. Like the tobacco industry lying. I’m like you I want to read and educate myself and so many of the studies are sponsored by drug companies you just don’t know how to trust them. Xxxxx

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And the politicians lying!

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Oh my gosh yes. I am embarrassed by our politicians here in australia xxx

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You mean people like Malcolm Turnbull? Looks like fun at the moment.

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The mob in canberra are a disgrace piglette. OUr poor farmers are committing suicide due to the drought and people can't afford to keep warm due to the price of electricity and all they care about is their fat pay packets. Don't get me started lol xxxx

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Actually - there is a sentence somewhere in a publication that Ancel Keys wrote saying that. He who "proved" low fat would stop heart disease. He must have known - since in the 7 country study he left out the countries that didn't fit his theory.

How old is the advice about diabetics not eating egg yolk? At one time they limited fat for diabetics because they thought that contributed.

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The egg yolk thing still seems to be active. A friend with diabetes has been given a leaflet on it. I am not sure why they are bad.

I have discovered it was not just Ancel Keys, but someone else had his own little group re saturated fats. They both had their own little groups who had been talking, writing and lecturing on it for ten years and did did not want to admit they were wrong, so the lie continued.

Also apparently Merck decided they could make more money treating the healthy as well as the sick and that was when statins became so “popular”. The most successful drug ever money wise. They also did the same with hypertension. I notice that the US are forever reducing the normal level, presumably egged on by the drug industry. Making the healthy, patients and letting the really sick fight for themselves!

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My GP said to me this morning "even the cardiologists are beginning to go off statins" - the cardiologist here wants me on a statin and I need to see her for something else so I wasn't enthusiastic in case the persuasion act switched in...

Exactly the same applies with bisphosphonates.

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Hopefully doctors are starting to be a bit more wary of statins, I think bisphosphonates may be further back in the queue though. It is in some people’s interests to keep the statin myth alive. Let’s make everyone a patient!

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I too feel your diet is a tad too restricitve. And agree about the protein and the carbs together together with some good fats like olive oil and dare I say butter! I had hit a low patch and on recommendation gathered together a cocktail of supplements and in just a few days I feel FAB! I think I am very lucky that they have had such a rapid and positive effect. So as well as the calcium and vit D, B12, another B vit pantothenic acid, co enzymeQ10. All these once a day then Vit C slow release 1000mg twice a day and magnesium twice a day. For sleep I started to take melatonin 2 hours before bedtime - and try to take at 8 for bed at 10pm. Lastly valerian when I hit the sack. I cannot tell you what difference a good night's sleep makes - how can we heal without it? It all hurt the budget but boy it's worth every penny. I have been told Melatonin is now prescribed on our local spinal injuries unit by the way, in place of any other sleeping meds. Not sure if any of this is of interest but it's helping me. Good luck and positive thoughts xx

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Mama Beagle what wonderful advice. I have already got some of the items that you mention and I take a tablet at night called Valdoxan. It is based on melatonin. I agree with you about done supplements especially whyon a restrictive diet. Just so happy they worked so speedily and well for you. It’s really good news. I know these things are not cheap. But for example a $15 pack of vitamin b works as well for me as a pharmaceutical tablet. Thank you xxxx

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You are so welcome. This advice came from an American friend who on her last trip over to the US osulted with a qualifiedMD also qualified in systemic wholistic medicine for her thyroid. He recommended the supplements which are good for yhe adrenal/cortisol issues. Are you able to consult or have you consulted one? Docs these days only seem to look at bits of you on a flow chart.....and it's so obvious from our lot of lovelies that one size don't fit all! Hope things are better for you soon Daisy xx

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Mama beagle you said what my husband always says. Docs are only interested in the one little bit of the patient that they specialise in. I love the advice your friend got. I know of a physician at a local hospital here who is much more open to looking at the whole person including diet etc. as soon as I can totter about I will make an appt. he specialises in endocrinology which is a good start. Thank you very much darling. Love Linda xxxx

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I didn't realise until I read another comment on your post that you live in OZ I think!?? It was the $ sign that threw me - jumped to conclusion - the wrong one! But the Doc you mention sounds he could be one to see. Do let me know how you get on won't you?

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Hello Linda,l cannot add to all the good advice from the previous posts,l just hope that you will come through all that has happened to you before too long,you have been through so much because of the high doses of Pred.,you were given and it has caused you a great deal of distress.l am keeping you in my thoughts and prayers,please keep letting us know how you are.xxx

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Grants the distress has been awful. That is why I will ask for short term Valium or similar. It’s lovely of you to keep me in your thoughts. I’m so grateful. Love Linda xxxx

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For what it's worth, my numbers were in the pre-diabetic range per the HbA1c test and my endo was concerned. I've been following Michael Mosley's 5:2 food plan. I'm down 29 pounds since February and my new HbAa1c test showed that my blood sugar levels are now normal. I eat better food than I ever have.

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I saw a show where he surprised himself by lowering his cholesterol through diet just as effectively as any medication - in a matter of a few days or a month or something. We truly are what we eat, and that I believe should be the foundation of all medical education, not just a casual add on.

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What diet? Do you know?

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Trust Me I'm A Doctor. It was the program described here:

bbc.com/news/magazine-33601171

Although we are now being told cholesterol isn't the bugbear we've all believed for so long....

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Do you think it is too much to hope that increasing almond intake and oats would do it for me? Bacon? In your dreams...

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Just realized I have no idea what my cholesterol levels are these days. Don't think they've been checked for years. There were three groups of volunteers who each did something different but Mosely did everything.

Bacon is, apparently, the very last meat that would be vegetarians are able to give up. I certainly found it that way. And to this day if I'm offered a bacon wrapped goody like angel - scallop, or devil - smoked oyster on horseback I will still accept.

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On the rare occasions I go out to breakfast I still have bacon. It's probably once every few months. Sometimes I think I should get one of those bacon-scented candles!

I so wish I wasn't allergic to tree nuts. All these healthy eating plans feature them. At least I love my oats.

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😀😉

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One year one of my kids had a bacon themed party. Even a jigsaw puzzle of bacon! I am feeling very hungry now. Will go pretend my prunes are wrapped in bacon!

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Should start by living here - bacon, what's bacon? Though I have found something that almost replaces it. They have cured pork which is wonderful - but it isn't BACON. And my friend's daughter said the same - bacon always tempted her. She did eventually go back to some meat for health reasons - even though she was really good about what she ate.

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What do they do with the part of the pig which is turned into bacon? Is it cured a different way?

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Salted, smoked and air dried (not sure which way round) and called Speck. In its own way - wonderful but it isn't bacon. But they also do "boiled Speck" - and a thick slice of that done in the pan and you could be convinced it is lightly smoked bacon! Satisfies OH at least!!!

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I've just had my monthly treat, my butcher son's dry cured back bacon and dry fried egg - delicious, no bread - hubby says got to have bread with it but I've trained myself and it gets me through! The house smells delicious!

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If you'd only said... :-)

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Sorry but you are welcome....

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Susan well done!!!! I am delighted for you. You must be thrilled. That is a fantastic achievement. I don’t know anyone who has used that method so thank you for sharing. Love. Linda xxxxx

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Metformin is the drug they give for type 2 diabetes. You can reduce your sugar levels with diet but if it doesn't succeed you will be given the tablet. If you are good with the diet you can overturn the diagnosis but you will always need to watch or the levels will rise again.

My hubby is type 2 and when first taking it it does cause bad gastric problems but they do pass, no pun intended, eventually. Diet is really important and you should have a diabetic nurse to advise and keep you on the right track. My husband is the worlds best food lover and has had to change his eating habits significantly, particularly as he is not mobile either and can't exercise! It is difficult as there are soo many diets and advice out there. It might be more difficult for you to get your head round, as you are at the moment with your pred, so seek help from your GP in the first instance and ask to see a diabetic nurse. It is difficult at first and you feel you can't do it but you can. Just something else you could do without. Take care xxx.

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