Hi, I have been a Type II diabetic for the past 4 years. Up until recently I used Metformin 500mg twice a day. My A1Cs were always less than 6. Now they are over 6. My worst time of day is a couple hours after lunch….I become tired and irritable. I tried 1000 mg twice a day and the nausea and diarrhea was really bad. I am now trying 500 mg three times a day: with breakfast, with lunch and with dinner. This seems to have helped the first couple days, but I do not have much experience with this dosage. Does anyone have experience with using Metformin three times a day?
How about, my MD has suggested starting Januvia. Is the combination of Januvia and metformin common? what is your experience? Thanks.