Originally Posted by mamaduck
I was diagnosed three weeks ago and began Metformin immediately (500 mg in the morning). I began taking my blood sugar two weeks ago. My question is when will the Metformin kick in? I am told to only take my sugar when I wake up and then before dinner. That's all. The numbers are all over the place. I have had lows from 62 to highs of 174. I don't see a pattern at all. I go next week to the diabetes education class for instruction on diets, etc.
(Another gripe I have...why couldn't I have all this done at once. I say begin treatment immediately. My first diabetes class one month after diagnosis. Ridiculous.)
Thanks for any input and answers.
It's not unusual for blood sugar numbers to vary as much or even more than yours are even with medication. Your range is actually fairly moderate. My husband's would vary form mid-60's to high 300's when he was first diagnosed.
It took a couple years for him to get the diet and medications right. And even so, his numbers still vary as much as yours do, and our doctor is happy with them.
At one time, it was considered "good" for a diabetic's blood sugar to be under 200 (I remember as a kid, those were the target numbers for my uncle and grandmother who were diabetic). Now of course, doctors want them lower, but it can take a while to get there.
My husband also got his first class session after he'd been on meds for about a month also. The doctor and diabetic educator both said it was because the lessons and recommendations would be based in part on how well the medications were working. Most insurances only allow a small number of hours of diabetic/nutrition education (some insurances allow a one time visit only, some insurances allow a few hours every year), so apparently this was one way to save time.
I can sort of understand it. I think it could be confusing to hear "ignore what I told you last time, now that I see your medication is working this way, I want you to do this other stuff instead."
But on the other hand, there were diet changes he could have been making for a month already.
Personally, I think the diet counseling should begin day one, and should be ongoing, at least for the first year, but insurance companies don't see it that way, and medicine is insurance-driven. Our doctor agrees that more diet counseling should be covered, but it isn't - and it's very expensive out-of-pocket.
When you go, ask the the diabetic educator for a reading list or at least some book recommendations, because you'll probably want to know more than he or she will be able to share in the time alotted (if your insurance allows you more than a couple sessions, you're very lucky)