Type 2 having low blod sugars

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type2dave Posted: Sat, Jul 20 2013 1:34 PM

I am hoping someone can help me figure this out or have suggestions.  I am a type 2 first diagnosed in 2007.   I have struggled with having great control to not having any control.  This seems to go back and forth and some does have to do with my eating.  I

The last A1C I had was an 8.3  I was at one point up to a 9.7 then down to a 5.4 and seemed to vary  After the lastest reading my dr took my off of glipizide and moved me to glimepride.


I am currently taking 750 mg of metformin ER 3 times a day(2 in the morning 1 before bed!).  I also take 2 mg of glimepride 2 times a day (1 in the morning and 1 at night).  Since taking the glimepride well it was good news.  My sugars went from running in the 200's to being controlled.  However after a few weeks of the glimepride I have now started experiencing bouts of low sugar, particularly before dinner and sometimes waking up in the middle of the night.


I have also noticed on the occasions now I eat some pizza, white bread, or something higher in carbs, that even doing this with taking the glimepride my numbers stay in normal range or go low.  If i don't eat the extra carbs I start to have extreme lows.  I am just confused as the issue for me has always been the carbs. 


My GP had me cut to 1 glimepride a day and still experiencing the lows.  I am just baffled at why I would suddenly be having lows.  I get them back up by eating extra carbs.  However the problem with the extra carbs is I am now having weight gain which is what I do not want. 


ANyone know what the cause might be of the low sugars and the best way to deal with this.  Any suggestions would be appreciated.

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amrad replied on Mon, Jul 22 2013 10:42 PM

I would see if you can go on insulin therapy, much more predictable than the pills, and you can regulate based on your carb intake.

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