I was on regular Metformin twice a day. Just recently in the last 2 months really started getting serious with low carb. Within 2 weeks I got my fasting blood sugar to 120 (per blood test at the dr) A1C was 10.9 but had only been doing Keto for 2 weeks. At home it was coming down after meals. Never went over 200. I switched to Metformin Extended Release a few weeks ago and noticed my vision getting blurrier again (it was clearing up a bit) and peeing more. Been checking my blood sugar and it’s between 250 and 270. Still eating very low carb. The only other changes I have made is taking iron and ferritin pills due to anemia. Could those cause a spike or is it the change in Metformin. It can’t be the food. I am eating well, drinking water (forcing it since I haven’t been as thirsty while eating low carb) and exercising.