>Been reading and reading,, trying to learn and do as much as I can.
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>
>
>That's my intro now the details, then the questions.
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>
>
>Oct 2006 diagnosed as T2, General Chems were
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>fasting
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>Glucose 197
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>Chol 217
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>Trig 183
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>HDL 31
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>LDL 149
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>CHD risk 7.
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>Weight was 252
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>A1c 7.9
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>Average whole 177
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>Started Metformin 500 x 2 Oct.
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>
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>Also Started lowcarbing in Oct, took off 20lbs by Jan,
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>
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>January switched to Fortamet 1000mg once day started excersie 3 x weeks by joining the YMCA.
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>Took off 25 more pounds between Jan and March.
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>
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>Feburary's A1c 6. and Average Whole 122.
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>
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>That was details, now the questions.
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>
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>Currently 215lb with AM blood fastings 160.
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>My mid day and night readings are typically around 100.
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>
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>I did a 3:00 AM testing and it was 94. but by 7:30 AM it was 154.
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>I have tried different snacks at night. I have read what I can find. I believe I understand why this happens but don't' know how to prevent it.
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>
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>I know these numbers are not high but I have been really working at keeping tight control because if I have any starches at all my number shoots up to 190's even with the 1000 Fortamet. I have seen 280's but not since before Christmas.
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>
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>Any suggestions? I"m reading Dr Bernsteins book, what do most you think about his writings? I'm female, 50 years old and teach preschool, I'm young in my head,, but this body is telling me to pay attention.
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>
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>Thank you ever so much, and I'm happy to have found this newsgroup.
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>Cheryl
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>
>
> Hi Cheryl

Welcome. You've done well; congratulations on the weight loss and the lab improvements. You're certainly heading in the right direction.

I don't know Fortamet so I looked it up on www.rxlist.com . It appears to be extended release Metformin. So 1000mg is exactly the same dose as 2x500mg metformin, just extended release.

Were you having side effects from the standard metformin? Just wondering why the change was made.

I'd suggest a couple of things to experiment with. First, try a late night snack. What you eat may not be terribly important - experiment. People here range from a glass of red wine, through pure protein or fat (say, cheese), to my own snack of muesli, nuts, psyllium and milk. So, no guarantees but a little experimentation may give some improvement.

The other possibility is to change the timing of your Fortamet dose, or going back to the metformin so you could try splitting it into a morning and bedtime dose to see if that helps. You would need to discuss any changes like that with your doctor.

Have you read this explanation of dawn phenomenon: http://www.diabetic-talk.org/dp.htm ?

Cheers, Alan, T2, Australia. d&e, metformin 1000mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com/ http://loraltravel.blogspot.com/ latest: Epidaurus