Medication, Measuring & Carb Counting

Your medication Before starting the low carbohydrate way of eating you may need to adjust your medication for lowering your blood glucose.

Metformin- no change needed

Other drugs:
Sitagliptin- halve your dose
Gliclazide- halve your dose
Canagliflozin, dapagliflozin, or andempagliflozin- stop them before you start low carb.

Insulin- consult your doctor first- but dose usually goes down to half or even to a third of what it is on a higher carbohydrate way of eating, depending on your blood glucose.
Any other medication like BP drugs – please ask your GP. Your BP may well go down.

Your blood glucose testing Get a machine from your practice nurse or the Internet.

If on any drug above, apart from metformin, you will need to check your blood sugar every 2 hours and even in the middle of the night at first to ensure it is stable. Don’t forget to check 1-2 hours after meals, and especially if you deviate from the recommended foods – see what happens so you know-and go easy on yourself, you are learning.
Learn what happens with different foods, so you can make further changes as needed. Write the blood glucose results and foods/meals down in a book or spreadsheet to help you see what happens over time. Alter what you do to keep your blood glucose between 4 and 7( 4 ‘is the floor’)

Your carbs I recommend no more than 30g carbs a day, which you can work out from the Carbs and Cals book or app. Carbs are best divided 6/12/12, but could be 15, 15, or 10,10,10. Don’t forget to count and adjust for any snacks or drinks.

Measure and get measured

HB
Hba1c
Lipids, liver function, kidney function
Weight
Height, & waist or hip
Photo before and after
BP

Dr McCormack 14.8.2018