Increase Metformin Dose


#1

When I wake up in the morning, I am in the 140’s. My Dad, who is T2, has the same problem. My old endo said it could be genetic and I might just be one of those people who wakes up higher. I only test 2x and my second reading is always in range 75-110. I was put on 500 mg of Metformin 2x daily. I have since moved and have a new endo. At my last appointment, my doc said my numbers are good but she wants to increase my Metformin to 1000mg 2x daily. I am still waking up in the 130-140 range. I am not noticing a change in my morning numbers with the increased dose. I’m just kind of curious as to why the dose was increased. Do I have the Dawn Phenomenon?


#2

Yes it’s probably dawn phenomenon. The only way you will really be able to get answers though is with frequent testing or a CGM so that you can see the trace and pinpoint when you start to rise.


#3

I also have this sometimes but i consulted my doctor and she said its normal.

Hope this helps.
Regards,
Shane.


#4

from various sources I have adduced FBGL is a different kind of problem from post prandial BGL. differing causes. I went from FBGL to around 125 on average to 130 to I dunno, 150 right now but my PP’s are below 140 -150. haven’t a clue why. same diet, same exercise. 500 mg metformin once at night. only thing different is I am older.

“Diabetes Update” talks about tiny basal insulin secretions taking place round the clock. I dunno how authoritative it is. google “diabetes update; understanding fasting blood sugar”. I don’t put the link in because I am not telling you this is authoritative .