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I have been on metformin for 6 years started at 500 mg per day. Now at 1,000 mg twice per day. Was holding glucose level at 135 with a A1C of 6.4 but my A1C keeps going up more at 7.2 now. Doctor said to now take glipizide 2.5 mg in addition to 2,000mg of metformin to bring A1C down. Have now been on both medicines for about two weeks. I had a very bad drop in glucose to 73 first day in a four hour span after eating. I drank juice to bring up glucose level. Next day it was worse glucose dropped to 51. Had very bad side effects, ate some jelly and 4 oz juice. Next day I decided to not take metformin with breakfast only 2.5 mg glipizide. Sugar held good for 6 hours but then dropped to 69. Ate supper early - this worked.
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