Re: Re: My menu and numbers

[Guest guest]

In a message dated 4/22/05 9:21:07 AM Eastern Daylight Time, whimsy2@...

writes:

>I think a lot of doctors are unreasonably afraid of hypos, even mild

>hypos, and feel more comfortable advising their diabetic patients to

..keep well away from those numbers, even though there's really nothing

>terribly dangerous about a number of 60 or so. As someone who tries for

>tight control, I'm there fairly frequently - and sometimes even lower -

>with no ill effects whatsoever.

>>>>>>>.

I agree that doctors are sometimes unreasonably afraid of hypos, but also

remember that they fear this with good reason. One of the problems with

exogenous insulin is that it isn't like that produced by the pancreas. Once

you've

injected, there's nothing you can do about it but test and eat glucose tabs. If

you end up hating your meal and eat only a few bites, you might get into

trouble, if the walk you go on turns into something much longer, you might go

low,

etc.

Hypos apparently damage the brain, and severe hypos are just downright

dangerous.

It's my understanding that we don't actually know the full extent of what

damage might occur at BG of under 70. IT's probably a slow accumulation, just

as

it is with high BG.

My non-diabetic colleauge, who has a type 1 brother, says he's never found

his BG out of the 90s. It's usually in the 70s -80s, but he's never seen it

below 70. That tells me that 70 is the bottom of where I want to be. In a

dream

world, I'd like to stay below 100, but that hasn't been possible so far.

Stacey

[Guest guest]

In a message dated 4/22/05 9:21:07 AM Eastern Daylight Time, whimsy2@...

writes:

>And

>most doctors are used to seeing type 2s with out-of-control numbers.

>>>>>>>

And type 1s with out of control numbers as well.

The DCCT trials stated with type 1s, not type 2s, and, like type 2s, the

average type 1 doesn't have an a1c of 6.5 or below.

Stacey

[Guest guest]

In a message dated 4/22/05 9:21:07 AM Eastern Daylight Time, whimsy2@...

writes:

>And

>most doctors are used to seeing type 2s with out-of-control numbers.

>>>>>>>

And type 1s with out of control numbers as well.

The DCCT trials stated with type 1s, not type 2s, and, like type 2s, the

average type 1 doesn't have an a1c of 6.5 or below.

Stacey

[Guest guest]

In a message dated 4/22/05 9:21:07 AM Eastern Daylight Time, whimsy2@...

writes:

>And

>most doctors are used to seeing type 2s with out-of-control numbers.

>>>>>>>

And type 1s with out of control numbers as well.

The DCCT trials stated with type 1s, not type 2s, and, like type 2s, the

average type 1 doesn't have an a1c of 6.5 or below.

Stacey

[Guest guest]

On Thu, 21 Apr 2005 20:19:37 -0700 " whimsy2 " writes:

>

> If you give the Lantus a fair try and it still seems to be keeping

> you awake, you might consider trying Ultralente as your basal. Very few

>

Or taking the Lantus earlier might help but IMHO UL is not the

alternative.

I sound like a broken record but Lantus was put out as the alternative to

NPH, not UL.

> doctors ever prescribe this -- it actually doesn't even need a

> prescription since it's an old insulin, and it's a lot cheaper than

> Lantus.

Effectiveness should be th number 1 concern, not whether a prescription

is needed or the cost. If cost is a major factor then NPH doesn't require

a script and cost is the same as UL. BUT, Lantus has great advantages and

regardless of the manufacturer's admonitions to not alter bedtime dosing

or amount of shots, if you are taking larger doses of Lantus you might be

more effective by dplitting the doses into 2 12 hour shots. One in

morning and the other 12 hours later because it has been found that those

who use larger doses of Lantus do not get the full 24 hour duration.

> It has a reputation as being unpredictable but IMHO, this is

>

And IMO, that is a valid reputation. And it is, for many, more than just

unpredictable. I had an awful time with Lantus when I first used it. I

had hypos EVERY night for three solid weeks. For some reason I stuck with

it and tweeked it over and over again until it magically worked, for me.

Try spliting the dose or taking it in the morning or checking to see if

it works the whole 24 hours and with time and a little patience you might

overcome some if not all of the problems you are now having. No two DMers

are the same and you have to figure out what is best for you, regardless

of what the doctor, or the Lantus says.

> because most doctors don't understand how to use it to best

> advantage, i.e. twice a day, 12 hours apart.

This is what works for you Vicki and that is great that you found a way

to use UL but the problems, generally with UL is not that the doctors

don't understand it. With time and Novo bringing out detemir and then Eli

Lilly bringing out their version you will probably find that UL will be

discontinued like Lente was discontinued and the animal insulins. When

that happens you will find a way to work with Lantus or Detemir or

whatever they name Lilly's alternative.

>Also, it takes some

> experimentation to get the dosing correct.

No matter what insulin you choose, it takes some experimentation to get

the dosing correct. It's the side effects that become the problem.

When I was dx'd there were no choices, you either used beef or pork

insulin and that was it. I had the good luck to become allergic to beef

insulin and had to switch to pork. My mother was scared silly that if I

became allergic to the pork insulin there were no other choices. Human

insulin was a welcome alternative and it worked for a long time but now

there are new and IMO exciting alternatives that cost more and need a

script but in the long run are more effective.

> Very often the a.m. dose is half the p.m.

> dose. I get excellent basal control with it, as do quite a few others

> here.

>

I know of two other people who use UL and are on this list. I would be

interested in knowing just how many list members do use UL.

>

> Re: Re: My menu and numbers

>

>

> >

> >

> >

> >

> > >You know, Kat, what's really important is to take however much

> > insulin

> > you need to get your numbers lower -- whatever that is. You may

> have

> > high insulin resistance like Stacey so you simply need more

> exogenous

> > insulin than other diabetics. It certainly doesn't mean you've

> failed

> > or

> > anything like that.

> >

> > >It sounds like you might need a little attitude adjustment,

> then

> > hopefully everything else will fall into place.

> > Vicki

> > Yes, I am giving the Lantus another try. I have to increase it

> very

> > slowly and dread doing so because it keeps me awake most of the

> night

> > whenever I start it or increase it. I don't recall ever reading

> > anyone having this effect from insulin. After 2-3 nights of

> > sleeplessness, I adjust, and then am okay again. Then it's time

> to

> > increase it again. ugh

> >

> > Kat

[Guest guest]

On Thu, 21 Apr 2005 20:19:37 -0700 " whimsy2 " writes:

>

> If you give the Lantus a fair try and it still seems to be keeping

> you awake, you might consider trying Ultralente as your basal. Very few

>

Or taking the Lantus earlier might help but IMHO UL is not the

alternative.

I sound like a broken record but Lantus was put out as the alternative to

NPH, not UL.

> doctors ever prescribe this -- it actually doesn't even need a

> prescription since it's an old insulin, and it's a lot cheaper than

> Lantus.

Effectiveness should be th number 1 concern, not whether a prescription

is needed or the cost. If cost is a major factor then NPH doesn't require

a script and cost is the same as UL. BUT, Lantus has great advantages and

regardless of the manufacturer's admonitions to not alter bedtime dosing

or amount of shots, if you are taking larger doses of Lantus you might be

more effective by dplitting the doses into 2 12 hour shots. One in

morning and the other 12 hours later because it has been found that those

who use larger doses of Lantus do not get the full 24 hour duration.

> It has a reputation as being unpredictable but IMHO, this is

>

And IMO, that is a valid reputation. And it is, for many, more than just

unpredictable. I had an awful time with Lantus when I first used it. I

had hypos EVERY night for three solid weeks. For some reason I stuck with

it and tweeked it over and over again until it magically worked, for me.

Try spliting the dose or taking it in the morning or checking to see if

it works the whole 24 hours and with time and a little patience you might

overcome some if not all of the problems you are now having. No two DMers

are the same and you have to figure out what is best for you, regardless

of what the doctor, or the Lantus says.

> because most doctors don't understand how to use it to best

> advantage, i.e. twice a day, 12 hours apart.

This is what works for you Vicki and that is great that you found a way

to use UL but the problems, generally with UL is not that the doctors

don't understand it. With time and Novo bringing out detemir and then Eli

Lilly bringing out their version you will probably find that UL will be

discontinued like Lente was discontinued and the animal insulins. When

that happens you will find a way to work with Lantus or Detemir or

whatever they name Lilly's alternative.

>Also, it takes some

> experimentation to get the dosing correct.

No matter what insulin you choose, it takes some experimentation to get

the dosing correct. It's the side effects that become the problem.

When I was dx'd there were no choices, you either used beef or pork

insulin and that was it. I had the good luck to become allergic to beef

insulin and had to switch to pork. My mother was scared silly that if I

became allergic to the pork insulin there were no other choices. Human

insulin was a welcome alternative and it worked for a long time but now

there are new and IMO exciting alternatives that cost more and need a

script but in the long run are more effective.

> Very often the a.m. dose is half the p.m.

> dose. I get excellent basal control with it, as do quite a few others

> here.

>

I know of two other people who use UL and are on this list. I would be

interested in knowing just how many list members do use UL.

>

> Re: Re: My menu and numbers

>

>

> >

> >

> >

> >

> > >You know, Kat, what's really important is to take however much

> > insulin

> > you need to get your numbers lower -- whatever that is. You may

> have

> > high insulin resistance like Stacey so you simply need more

> exogenous

> > insulin than other diabetics. It certainly doesn't mean you've

> failed

> > or

> > anything like that.

> >

> > >It sounds like you might need a little attitude adjustment,

> then

> > hopefully everything else will fall into place.

> > Vicki

> > Yes, I am giving the Lantus another try. I have to increase it

> very

> > slowly and dread doing so because it keeps me awake most of the

> night

> > whenever I start it or increase it. I don't recall ever reading

> > anyone having this effect from insulin. After 2-3 nights of

> > sleeplessness, I adjust, and then am okay again. Then it's time

> to

> > increase it again. ugh

> >

> > Kat

[Guest guest]

On Thu, 21 Apr 2005 20:19:37 -0700 " whimsy2 " writes:

>

> If you give the Lantus a fair try and it still seems to be keeping

> you awake, you might consider trying Ultralente as your basal. Very few

>

Or taking the Lantus earlier might help but IMHO UL is not the

alternative.

I sound like a broken record but Lantus was put out as the alternative to

NPH, not UL.

> doctors ever prescribe this -- it actually doesn't even need a

> prescription since it's an old insulin, and it's a lot cheaper than

> Lantus.

Effectiveness should be th number 1 concern, not whether a prescription

is needed or the cost. If cost is a major factor then NPH doesn't require

a script and cost is the same as UL. BUT, Lantus has great advantages and

regardless of the manufacturer's admonitions to not alter bedtime dosing

or amount of shots, if you are taking larger doses of Lantus you might be

more effective by dplitting the doses into 2 12 hour shots. One in

morning and the other 12 hours later because it has been found that those

who use larger doses of Lantus do not get the full 24 hour duration.

> It has a reputation as being unpredictable but IMHO, this is

>

And IMO, that is a valid reputation. And it is, for many, more than just

unpredictable. I had an awful time with Lantus when I first used it. I

had hypos EVERY night for three solid weeks. For some reason I stuck with

it and tweeked it over and over again until it magically worked, for me.

Try spliting the dose or taking it in the morning or checking to see if

it works the whole 24 hours and with time and a little patience you might

overcome some if not all of the problems you are now having. No two DMers

are the same and you have to figure out what is best for you, regardless

of what the doctor, or the Lantus says.

> because most doctors don't understand how to use it to best

> advantage, i.e. twice a day, 12 hours apart.

This is what works for you Vicki and that is great that you found a way

to use UL but the problems, generally with UL is not that the doctors

don't understand it. With time and Novo bringing out detemir and then Eli

Lilly bringing out their version you will probably find that UL will be

discontinued like Lente was discontinued and the animal insulins. When

that happens you will find a way to work with Lantus or Detemir or

whatever they name Lilly's alternative.

>Also, it takes some

> experimentation to get the dosing correct.

No matter what insulin you choose, it takes some experimentation to get

the dosing correct. It's the side effects that become the problem.

When I was dx'd there were no choices, you either used beef or pork

insulin and that was it. I had the good luck to become allergic to beef

insulin and had to switch to pork. My mother was scared silly that if I

became allergic to the pork insulin there were no other choices. Human

insulin was a welcome alternative and it worked for a long time but now

there are new and IMO exciting alternatives that cost more and need a

script but in the long run are more effective.

> Very often the a.m. dose is half the p.m.

> dose. I get excellent basal control with it, as do quite a few others

> here.

>

I know of two other people who use UL and are on this list. I would be

interested in knowing just how many list members do use UL.

>

> Re: Re: My menu and numbers

>

>

> >

> >

> >

> >

> > >You know, Kat, what's really important is to take however much

> > insulin

> > you need to get your numbers lower -- whatever that is. You may

> have

> > high insulin resistance like Stacey so you simply need more

> exogenous

> > insulin than other diabetics. It certainly doesn't mean you've

> failed

> > or

> > anything like that.

> >

> > >It sounds like you might need a little attitude adjustment,

> then

> > hopefully everything else will fall into place.

> > Vicki

> > Yes, I am giving the Lantus another try. I have to increase it

> very

> > slowly and dread doing so because it keeps me awake most of the

> night

> > whenever I start it or increase it. I don't recall ever reading

> > anyone having this effect from insulin. After 2-3 nights of

> > sleeplessness, I adjust, and then am okay again. Then it's time

> to

> > increase it again. ugh

> >

> > Kat

[Guest guest]

In a message dated 4/22/05 10:47:51 AM Eastern Daylight Time,

skydancer9@... writes:

>

>I'm not yet taking insulin though I gather that it will eventually be

..necessary as time passes and my beta cells get worse. Is this so?

>>>>>>>

Maybe. There are a lot of variables. Genetics, ohw much damage was done to

your beta cells prior to diagnosis, what kind of damage, if any, happens with

aging, what kind of damage occurs even with good control. Some stay with

pills some eventually go to insulin. I went to insulin in 7 months. My

grandmother apparently had been on a sulf at first, but went to insulin pretty

quickly

too, and that was in the days before the good testing stuff we have available

now.

Stacey

[Guest guest]

In a message dated 4/22/05 10:47:51 AM Eastern Daylight Time,

skydancer9@... writes:

>

>I'm not yet taking insulin though I gather that it will eventually be

..necessary as time passes and my beta cells get worse. Is this so?

>>>>>>>

Maybe. There are a lot of variables. Genetics, ohw much damage was done to

your beta cells prior to diagnosis, what kind of damage, if any, happens with

aging, what kind of damage occurs even with good control. Some stay with

pills some eventually go to insulin. I went to insulin in 7 months. My

grandmother apparently had been on a sulf at first, but went to insulin pretty

quickly

too, and that was in the days before the good testing stuff we have available

now.

Stacey

[Guest guest]

In a message dated 4/22/05 10:47:51 AM Eastern Daylight Time,

skydancer9@... writes:

>

>I'm not yet taking insulin though I gather that it will eventually be

..necessary as time passes and my beta cells get worse. Is this so?

>>>>>>>

Maybe. There are a lot of variables. Genetics, ohw much damage was done to

your beta cells prior to diagnosis, what kind of damage, if any, happens with

aging, what kind of damage occurs even with good control. Some stay with

pills some eventually go to insulin. I went to insulin in 7 months. My

grandmother apparently had been on a sulf at first, but went to insulin pretty

quickly

too, and that was in the days before the good testing stuff we have available

now.

Stacey

[Guest guest]

--- Kathy wrote:

> This is good to know that it could possibly take

> that much insulin. My doctor never really suggested

> taking more Lantus after I got up to 25 units. She

> told me to take 8 units of Novolog with meals and I

> told her I took 20 units once and she looked at me

> horrified. <it didn't do anything> Do you increase

> your insulin on your own, or did your doc tell you

> take that much? I think my doctor is scared to

> death I will go low or something. And does the

> Humalog make you hungry? When I take Novolog, I

> have an uncontrollable appetite. I hate it.

> Kat

Kat, when I first started insulin I was using over 100

units a day and I was eating reasonably low carb..it

just took that at first. My endo wasn't horrified, he

knew I would adjust. And I did, DOWNWARD!!! But it

took time! Almost 6 months. And going on the pump

dropped it more. My average daily usage, pre pump was

54 units a day. Now, it's 34 units a day. And I am

TERRIBLY insulin resitant. I also take metformin cause

I have PCOS. Most type 2's and I say MOST, use more

insulin than type 1's on a daily basis.

May I ask what state you are located in? Liz

Type II, dx'ed Dec 1998, insulin since 6/02(my choice), pumping since

8/03. On glucophage, and other meds. Have neuropathy, PCOS, RLS, ET,

Fibro, and asthma.

[Guest guest]

This is very interesting to me. My Doc is very conservative with meds, when

I started with Lantus he told me to use 10 units before bed. You can guess

that did nothing at all, so he then said to raise it to 15 units. Again,

no real change. (He also has me on Glucovance 2X a day).

So after reading this list, I realized just how low my Lantus doseage was,

and changed it myself to 15 units in the morning and 25 at night. Now we

are getting somewhere! This gave me the kinds of numbers I want. I

reported this to the Doc and he said my numbers were too low (75 at fasting)

and wanted me back on 15 in the am and 15 at night. We go right back to

150-175 kinds of am and pm numbers. So without reporting to him, I have

gone back to my 25 units at night, 15 in the am. My fasting numbers for the

last three days are 101, 103, and 93. Its still less than many of you take,

and I feel it does what I need. So until there is a change, I will stay

there for a while and fight it out with Doc next time I see him.

Jo in Minnesota, where its cooold again!

Heaven goes by favor. If it went by merit, you would stay out and your dog

would go in.

Mark Twain 1835-1910

Re: Re: My menu and numbers

>

> Kat, I think your doctor is unreasonably afraid of hypos. Most type 2s

> on insulin takes WAY more than 25 units. If you were to take a survey on

> this list, asking how much Lantus the type 2s on insulin take, I bet

> you'd find most of them take a LOT more than 25 units. After all, type 2

> is a disease of insulin RESISTANCE.

>

> Well, maybe we could just do an informal survey right here. Q: Of the

> type 2s on this list who take Lantus, what is your dose?

>

> Maybe you need to find another doctor, Kat.

> Vicki

[Guest guest]

I think a lot of doctors are unreasonably afraid of hypos, even mild

hypos, and feel more comfortable advising their diabetic patients to

keep well away from those numbers, even though there's really nothing

terribly dangerous about a number of 60 or so. As someone who tries for

tight control, I'm there fairly frequently - and sometimes even lower -

with no ill effects whatsoever.

Of course, if your body is used to high numbers, you're going to feel

terrible when your BGs get anywhere NEAR normal numbers for a while. And

most doctors are used to seeing type 2s with out-of-control numbers.

Vicki

Re: Re: My menu and numbers

>

>

>>

>> Kat, I think your doctor is unreasonably afraid of hypos. Most type

>> 2s

>> on insulin takes WAY more than 25 units. If you were to take a survey

>> on

>> this list, asking how much Lantus the type 2s on insulin take, I bet

>> you'd find most of them take a LOT more than 25 units. After all,

>> type 2

>> is a disease of insulin RESISTANCE.

>>

>> Well, maybe we could just do an informal survey right here. Q: Of

>> the

>> type 2s on this list who take Lantus, what is your dose?

>>

>> Maybe you need to find another doctor, Kat.

>> Vicki

>

>

>

>

>

[Guest guest]

I think a lot of doctors are unreasonably afraid of hypos, even mild

hypos, and feel more comfortable advising their diabetic patients to

keep well away from those numbers, even though there's really nothing

terribly dangerous about a number of 60 or so. As someone who tries for

tight control, I'm there fairly frequently - and sometimes even lower -

with no ill effects whatsoever.

Of course, if your body is used to high numbers, you're going to feel

terrible when your BGs get anywhere NEAR normal numbers for a while. And

most doctors are used to seeing type 2s with out-of-control numbers.

Vicki

Re: Re: My menu and numbers

>

>

>>

>> Kat, I think your doctor is unreasonably afraid of hypos. Most type

>> 2s

>> on insulin takes WAY more than 25 units. If you were to take a survey

>> on

>> this list, asking how much Lantus the type 2s on insulin take, I bet

>> you'd find most of them take a LOT more than 25 units. After all,

>> type 2

>> is a disease of insulin RESISTANCE.

>>

>> Well, maybe we could just do an informal survey right here. Q: Of

>> the

>> type 2s on this list who take Lantus, what is your dose?

>>

>> Maybe you need to find another doctor, Kat.

>> Vicki

>

>

>

>

>

[Guest guest]

I think a lot of doctors are unreasonably afraid of hypos, even mild

hypos, and feel more comfortable advising their diabetic patients to

keep well away from those numbers, even though there's really nothing

terribly dangerous about a number of 60 or so. As someone who tries for

tight control, I'm there fairly frequently - and sometimes even lower -

with no ill effects whatsoever.

Of course, if your body is used to high numbers, you're going to feel

terrible when your BGs get anywhere NEAR normal numbers for a while. And

most doctors are used to seeing type 2s with out-of-control numbers.

Vicki

Re: Re: My menu and numbers

>

>

>>

>> Kat, I think your doctor is unreasonably afraid of hypos. Most type

>> 2s

>> on insulin takes WAY more than 25 units. If you were to take a survey

>> on

>> this list, asking how much Lantus the type 2s on insulin take, I bet

>> you'd find most of them take a LOT more than 25 units. After all,

>> type 2

>> is a disease of insulin RESISTANCE.

>>

>> Well, maybe we could just do an informal survey right here. Q: Of

>> the

>> type 2s on this list who take Lantus, what is your dose?

>>

>> Maybe you need to find another doctor, Kat.

>> Vicki

>

>

>

>

>

[Guest guest]

This is very interesting to me. My Doc is very conservative with meds, when

I started with Lantus he told me to use 10 units before bed. You can guess

that did nothing at all, so he then said to raise it to 15 units. Again,

no real change. (He also has me on Glucovance 2X a day).

So after reading this list, I realized just how low my Lantus doseage was,

and changed it myself to 15 units in the morning and 25 at night. Now we

are getting somewhere! This gave me the kinds of numbers I want. I

reported this to the Doc and he said my numbers were too low (75 at fasting)

and wanted me back on 15 in the am and 15 at night. We go right back to

150-175 kinds of am and pm numbers. So without reporting to him, I have

gone back to my 25 units at night, 15 in the am. My fasting numbers for the

last three days are 101, 103, and 93. Its still less than many of you take,

and I feel it does what I need. So until there is a change, I will stay

there for a while and fight it out with Doc next time I see him.

Jo in Minnesota, where its cooold again!

Hello Jo in Minnesota....... It's cooold again here in Illinois

too............. I am really starting to believe the reason I don't think

insulin works for me is that I am not taking enough. I have considered trying

it in the am and pm and after reading your post I think I really will give it a

try. Right now I just got myself back on 20 units in the pm. Maybe I will try

something low like 5 units in the am and see what happens. Kat

[Guest guest]

Thanks, Bea - and Rick too. Wow, you're really on the ball!

Vicki

Re: Re: My menu and numbers

>

> Vicki wrote

>> There's a website with the UL action curve on it...I'll have to

>> search

>> through my archives to find it though, no time right now.>

>

> Lilly has a series of pages on insulin - this one shows the time lines

> for

> different types of insulin.

>

>

http://www.lillydiabetes.com/using_insulin/what_types_of_insulin.jsp?reqNavId=3.\

3

>

> Bea

>

>

[Guest guest]

Thanks, Bea - and Rick too. Wow, you're really on the ball!

Vicki

Re: Re: My menu and numbers

>

> Vicki wrote

>> There's a website with the UL action curve on it...I'll have to

>> search

>> through my archives to find it though, no time right now.>

>

> Lilly has a series of pages on insulin - this one shows the time lines

> for

> different types of insulin.

>

>

http://www.lillydiabetes.com/using_insulin/what_types_of_insulin.jsp?reqNavId=3.\

3

>

> Bea

>

>

[Guest guest]

Thanks, Bea - and Rick too. Wow, you're really on the ball!

Vicki

Re: Re: My menu and numbers

>

> Vicki wrote

>> There's a website with the UL action curve on it...I'll have to

>> search

>> through my archives to find it though, no time right now.>

>

> Lilly has a series of pages on insulin - this one shows the time lines

> for

> different types of insulin.

>

>

http://www.lillydiabetes.com/using_insulin/what_types_of_insulin.jsp?reqNavId=3.\

3

>

> Bea

>

>

[Guest guest]

>Rick, are you taking any other diabetes meds? Some have had success with

taking the metformin and/or actos/avandia at night rather than in the morning

or

with dinner.

>I split my metformin into two doses of 1000 mg each, morning and bedtime. I

can't say I've noticed any effect whatsover with changing timing, but YMMV.

I split my doses of Glucophage XR into two doses of 750mg each , morning and

bedtime also. I mostly did it for stomach upset. I can't see any difference

with my morning numbers though. Kat

[Guest guest]

>Rick, are you taking any other diabetes meds? Some have had success with

taking the metformin and/or actos/avandia at night rather than in the morning

or

with dinner.

>I split my metformin into two doses of 1000 mg each, morning and bedtime. I

can't say I've noticed any effect whatsover with changing timing, but YMMV.

I split my doses of Glucophage XR into two doses of 750mg each , morning and

bedtime also. I mostly did it for stomach upset. I can't see any difference

with my morning numbers though. Kat

[Guest guest]

>Rick, are you taking any other diabetes meds? Some have had success with

taking the metformin and/or actos/avandia at night rather than in the morning

or

with dinner.

>I split my metformin into two doses of 1000 mg each, morning and bedtime. I

can't say I've noticed any effect whatsover with changing timing, but YMMV.

I split my doses of Glucophage XR into two doses of 750mg each , morning and

bedtime also. I mostly did it for stomach upset. I can't see any difference

with my morning numbers though. Kat

[Guest guest]

>I just uploaded a picture which is a screen shot of my glucose trend. It's

in the pictures section of the diabetes_int web-site. I put

it there so you can see how my aggressive attack on the high bgs resulted

in much better numbers reasonably quickly.

Thank you Rick. That is very encouraging. I definitely am going to give this a

try.

Kat

[Guest guest]

>I just uploaded a picture which is a screen shot of my glucose trend. It's

in the pictures section of the diabetes_int web-site. I put

it there so you can see how my aggressive attack on the high bgs resulted

in much better numbers reasonably quickly.

Thank you Rick. That is very encouraging. I definitely am going to give this a

try.

Kat

[Guest guest]

>I just uploaded a picture which is a screen shot of my glucose trend. It's

in the pictures section of the diabetes_int web-site. I put

it there so you can see how my aggressive attack on the high bgs resulted

in much better numbers reasonably quickly.

Thank you Rick. That is very encouraging. I definitely am going to give this a

try.

Kat