Guest guest Posted July 3, 2006 Report Posted July 3, 2006 The metformin help the cell to abosrb insulin. In other words, metformin tackle the porblem of the cells being insulin resistant. I advise taking the metformin at night to keep a steady sugar level throu the night. Victor ð\- Metformin and Glyburide > To anyone on the group that takes both these meds, I'm curious if your > experience is similar to mine. I take Metformin with each meal and am > supposed to take a Glyburide tab in the morning, and also take one with the > evening meal, unless I notice a pattern where sugars drop too low with the > Glyburide, in which case I skip that med for the night dose. > > In my experience with these two meds, Metformin seems to be OK except I hate > taking it three times a day, and Glyburide is rather fast-acting but when I > take it in the evening my sugar can dive sometimes way too low, requiring me > to bounce back half a glucose tablet. It's like I'm constantly playing > tug-o-war where some days control is easy and other days it almost seems > like I have a hard time keeping the sugar up enough before it b ottoms out, > usually during things like a long workday or when it gets really hot. > > And remember not too long ago I wrote about my experience where I'd be out > somewhere and my sugar would just suddenly drop for no reason, and I'd solve > it by taking half a glucose tablet? It turns out that yes, as I suspected, > the sugar would actually drop rather suddenly down to levels between 45-55 > and a glucose tablet rescued me. But one time when this happened I took a > Metform pill instead just to see if this made any direct difference rather > than the glucose tablet, and same thing, my sugar level ROSE just enough to > be out of harm's way. I have not seen my doc since that episode yet but > intend to bring this up to him. What does the Metformin actually do here in > order to balance out the sugar problem? I would have thought it just helped > to lower the sugar but was surprised it had the opposite effect when I > substituted it for the glucose tablet. It gave me a nice reading of 78 after > less than 15 minutes and 90 before half an hour. I don't get that one. > > When I switched from Actos to Glyburide/Metformin, I was hoping this would > help me lose weight and keep good control of my sugars but it's a lot more > work keeping control with these two meds than with Actos. But of course > Actos isn't fully covered by Medicare Part D as you pay a high copay for it. > Back to square one. > > Now I should point out one thing I do like about Metformin is that if I go > out for a late-night snack with friends, I do know that would up my sugar > too much come morning time but if I do take a snack, then take a Metformin, > my morning fasting sugar is normal at 100 or below. > > Any thoughts on this? > > Thanks, > > Mister Bill > > > Quote
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