u/fallfol

Metformin issues

I've (60sF) been officially T2D for at least 7 to 9 years. My a1c is always 6.5, doesn't change, went to 6.6 over 1 winter, dropped to 6.4 during a short residency in FL where I walked tons but otherwise stuck at 6.5. About 11 or 12 years ago before I hit 6.5 I managed to reduce my A1c from 6.4 to 6.0 in 3 mos on diet alone. Also lost 15 lbs then. But now I can't lose weight and can't get my A1c to move. I also take 10mg of atorvastatin since 2009. I even switched to pravastatin for a year as it is supposed to be better in terms of insulin resistance but didn't help and my cholesterol #s slightly increased. I started ER metformin in late March, 500mg. At first my am #s showed some days of lower blood sugar, 105, 115, 120, but then went back to 130s, 140s. When I first went up to 1000mg I started sweating a lot so with dr approval dropped down to 500 and then after a few weeks went back to 1000. My dr has prescribed for me to gradually go up to 2000mg of Metformin. But after a week of being back to 1000mg I'm still seeing the higher am numbers of 130s, 140s. Really my numbers weren't any worse with no medication. And the last couple days I'm having lightheadedness. So:

  1. When can I expect some movement on blood sugar numbers? After 2mos of at least 500mg shouldn't I be seeing a decrease?
  2. What are people's experience with Metformin ER and feeling lightheaded? Does it last? Does it go away?

Sorry for the long post but thanks for your input.

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u/fallfol — 5 days ago