In article 9>,
Wayne Boatwright <wayneboatwright_at_gmail.com> wrote:

> Following up to my own post... Thanks to both Nicky and Priscilla for
> their resplies.
>
> I should probably have been more specific in my questions about carbs.
>
> I've been a well-managed T2 for several years, taking both glucophage and
> glyburide. My diabetes is weight related, and I've managed to lose nearly
> 60 pounds since this past January, putting me at very near normal weight.
>
> As a consequence, my doctor took me off glucophage about 2 months ago and,
> more recently, had me reduce the dosage of glyburide to 2.5MG/day. I am
> now frequently getting sudden low BG readings in the low 50s and high 40s.
>
> I meter at last 4 times a day, more if I feel a BG drop. It may well be
> that I need to eliminate the glyburide altogether at this point, but short
> of that I definitely need to take in some carbs when my BG drops.
>
> I guess it's time to talk with my doctor again.
>
> Thanks again!

I'd have gone off the glyburide and kept the glucophage. The sulphs can
stress the beta cells and, IIRC, have been associated with increased
rate of heart attacks. Glucophage, OTOH, is cardio-protective
regardless of how tightly one controls one's BG.

I'm glad you're doing better! The YMMV and "check your mileage with
your meter" still applies. It's just that you can probably "get away
with" more these days.

Priscilla