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What Did Your BG Do After Skipping A Dose Of Janumet 1000/50

A DiabetesTeam Member asked a question 💭
Johannesburg, ZA

I found that I skipped a dose of my Janumet and my BG went to 7.1 mmol the next morning instead of the normal reading of 5.5 mmol - Arise of 1.6 mmol. If you are on Janumet 1000/50 x 2 please share your BG numbers after a missed dose. I would like to determine how high it would go without medication. Could I reduce my medication and compensate with more diet and exercise?

August 5, 2016
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A DiabetesTeam Member

Gordon, Now that's using your head.

August 10, 2016
A DiabetesTeam Member

Hi LuGleasont. Thanks for your concern, the intention was not to lower my medication without consulting with my doctor, the missed dose was purely by mistake.

I was trying to figure out the numbers and what the effect would be if no medication is available for any reason and to what extent could a person with similar dosage could do to survive.

I am however interested as this was only a modest rise in BG, I really expected a greater increase. This then begs the question, how high will my BG rise over what time period and if it could be managed on exercise and diet alone.

Hence, I would like other people to share their experience who accidentally did not take their medication.

I was diagnosed at 24 mmol with a HBAIC of 18% and dropped to 7mmol on average and a HBAIC of 7% within three months with the correct medication.
After three years I am now at 5.4% HBAIC and average mid 5 mmol.

Unfortunately I only discovered over time what we need to do to reduce our BG numbers.
I discovered that:
By cutting out carbs dropped my average BG by 2 mmol from 7.5 to 5.5 mmol and my HBAIC at least 2.2% from 7.6% to 5.4%.
A gym session of 1 hour will reduce my average fasting reading by 1 mmol for 2 to 3 days. .
I know 300 cal of cycling will drop my before and after BG by 2 to 3 Mmol.

What I don't know is would I head back to the 24 mmol minus the 1 mmol for exercise minus the 2 mmol for diet which then should equal 21 mmol. Would it be fair then to assume that medication made the 15.5 mmol difference and that is where I would ultimately rise to if medication was withheld.

If this is the case medication makes a 71% improvement. I would also assume that the higher the BG number is the bigger the effect of exercise and diet is in reducing the BG number.

August 10, 2016
A DiabetesTeam Member

@A DiabetesTeam Member, Again, we diabetics try to figure out the numbers game. NO,do not reduce your meds; call your dr.

August 6, 2016

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