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Question: From Van Nuys, California, USA: I am a 38 year old female who has had type 2 diabetes for three months, and because diet and exercise didn't lower my blood sugar, my doctor put me on Glucophage twice daily. I had high morning fasting readings so we increased to three times per day, but my morning readings are still high. I know it's not the dawn phenomenon because I tested for three days at 3:00 am and did not experience a low, so its also not a rebound effect. Should I take a fourth Glucophage just before I go to bed to keep the medication in my system on a 24-hour basis? Does Glucophage only work when eating a meal (i.e., lunch or dinner)? Answer: It is unlikely that the Glucophage [metformin] is not at high enough concentrations in your blood. Given just twice a day, this should be adequate. In addition, the manufacture of Glucophage has now made an extended release version of the drug that can be given only once a day. If your dose is over 2 grams per day, it is probably appropriate to add an additional agent. This should be discussed with your physician. JTL DTQ-20030421232337 Original posting 16 May 2003 Posted to Pills for Diabetes

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

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