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10/10/09 05:32 PM

"Doctor reduced morning Met. from 500mg to 250mg, I eat breakfast, snack, getting readings<80 before lunch, help!"
Asked By: willibee  
Category: Oral Medications

Background Info Hide
I was diagnosed 07/21/2009 BGL was >300. weight was 246 height is 6'1" now weight 218 BGL daily avg 96.5 fasting avg 106, prelunch avg 85 predinner 93 prelate night snack 106 I have a weight loss averaging 2lbs a week. weekly avg BGL is dropping aprox. 5 points a week. metformin morn. 250/ night 500 my dietitian has me on this plan breakfast 60g carbs, snack 15g.carbs, lunch 60 g carbs, snack 15 g carbs, dinner 6 g carbs, late night snack 30 g carbs. allowance of 6 oz meat, 6 fats. with a margin of error of +/- 5 g carbs a meal. She will not give me a calorie number to shoot for, I consume average of 1850 cal a day. When I get the lows I've had aprox 75-80 g carbs from breakfast and morning snack. I noticed that it drops while I am cooking lunch. At first I thought it was hunger from smelling the food cooking anticipating the meal. But checking showed it was a drop. before doseage change my big low was 68, this week lows were 77 & 70. interval the large meals is 4 hr, snack at 2 hrs.

Expert Answers (1)

10/13/09 07:04 PM

Dear Willibee- You are doing a great job with your slow steady weight loss. I understand you concern about your lows and feeling poorly. I think your carb distribution is quite good. I have a suggestion though. Think about your breakfast and does it have enough carbs that are high in fiber. You want to slow down the release of the carbs to get you to the lunch hour. Evaluate your total fiber for your breakfast and try to increase it. Perhaps a Fiber one cereal or Kashi which is quite complex.

Also you did not mention when you are doing your exercise. Is morning the busiest time of the day? Please continue communicating with your dietician and show her your numbers and share with her how you feel. There may need to be another increase in protein and fat if the additional fiber doesn't work.

Great job staying on track for self management.

Answered By: Janet HowardDucsay
Accreditations: RN BSN CDE
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