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Re: New here, starting on GlucophageFrom: Audrey (anonymous@obgyn.net)Tue, 28 Mar 2000 20:23:01 -0600 (CST)
At Tue, 28 Mar 2000, Suzanne wrote: > >Is metformin really necessary along with a low carb diet? > >Belle wrote: > >> What do you really need to know about taking Glucophage/metformin? >> >> I am glad you asked! (I am going to yell) GO SLOW! Start out very >> slowly. This drug has a side effect of GI problems. You may have >> nausea, diarrhea and general upset stomach. If your dr wants you to >> take 1500 mg, work up to it over at least three weeks. You should never >> start with more than 500 mg a day. You can even start with 1/2 pill or >> 1/4 of a pill. If you start taking the met and find that you are having >> problems, decrease the dosage. It is not a contest to see how much you >> can take at a time, the goal is to take the correct amount for you. Hi to one and all, I started on met. very slowly with a careful eye from my endo. He had me come in for consultations before going up the next level. He also advised me to have some one around just in case the worst happened (ie severe illness). I started on a weekend to get things under control before work. I first staarted taking the met. in the middle of my meal with milk. My grandmother who was a nurse--also told me "If it says take with food----go with milk." I noticed this helped me. I had very light rounds of neausa, but did have the other symptoms. I am now taking the met. at the start of my meals with milk. I started on "The Zone" by Berry Sears,PHD and started walking a mile and a half with my walking friend. I walk three to five times a week, but most often three or four. I started with a diet. and recently started on the dietabetic way of eating. To date--with drug changes, eating style changes,exercise and will power 22 pounds. I have 15 more to go---but I am not alone and I can do it! >> would suggest that you take 1 pill (with your largest meal of the day) >> the first week, then the second week take 1 pill with your largest meal >> and one pill with the next largest meal, then the third week, take a >> pill with all three meals. If you are prescribed 4 pills a day then you >> would take two pills with your largest meal during your fourth week. >> When I started, I took one pill a day for about a week then I took 1 1/2 >> pills for the next 3-4 days then 2 pills for a few days then 2 1/2, etc. >> Never start the next amount until you can handle the previous amount. >> Remember you can go lower if you neeed to. >> >> Before I started, I read a woman's suggestion to take a multivitamin >> with it because it really helped her nausea. I have done that from the >> beginning. I do not know if it actually works because I was too much of >> a chicken to try. You should take a multivitamin anyhow if you are low >> carbing. >> >> Always, always, always take met with food. Some women have better >> results if they take it before meals, others better after meals. You >> can experiment and do what works best for you. >> >> Some women have found that they get an upset stomach if they take met >> with a really high carb meal. You may want to keep an eye on this. >> >> After you reach your prescribed dosage, the side effects should go away. >> It just seems like they won't. :-) >> >> If you need to lose weight, a low carb diet seems to work best for us. >> Many women have found that just by using the diet, they regain their >> periods. I read the Zone, Heller's Carbohydrate Addicts and Adkin's >> diet plan. I go with the areas where they were all in agreement. I >> stay away from artificial sweetener. I drink mostly water (with lemon). >> You may find that one of these works well for you or you may decide to >> take the information and create your own plan. I have found that there >> are a couple of books I use more frequently than the others. They are >> "The Diabetes Carbohydrate and Fat Gram Guide" and "Calories and >> Carbohydrates". I found these books in the nutritional section of my >> local bookstore (Barnes & Noble). I have learned a great deal even >> though I have been supposedly trained in nutrition. >> >> It is great that you went in with the proper information and knew what >> the proper treatment was. As always I find that knowledge is the best >> defence. >> >> -- >> Hope this helps, >> >> Belle >>
-- Audrey
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