Just my .02 here - I was on Glipizide and metformin for about
4 months and was always falling into the high 50's and low 60's. I had to keep eating carbs to get my number up to where I wasn't shaky and headachy. I had big swings in bg levels (50's - 100 or so) on a daily basis and I felt tired and sick all the time - but my A1c was 5.5 - YAY? NOT
After telling my doctor, I was quitting the glipizide (I need to lose weight and eating all the time to raise my sugar level was not helping me)- we decided to try Januvia- and it is the perfect choice for me. My numbers are stable now- always in the 80's-90's (usually 100 or less 2hours after eating) and even after exercising (when I used to crash on the glipizide). My last A1c was 5.0 (and ZERO lows for 3+ months!)- so it can be done without going low.
I wear my medic alert bracelet all the time. I bought it when I was taking the glipizide after I had an episode in Sam's club (it wasn't pretty).
As Warren pointed out, I'm not in any real danger in my current condition now that my meds are in line with my metabolism, but I paid a LOT of $$$ for a lovely 14kt gold bracelet, and if I should have a situation where I can't talk- I don't want to be hooked up to a bag of sugar in an ER somewhere.
sandy