New here with question

Go Back   The Diabetes Forum Support Community For Diabetics Online > Diabetes Forum Start Here > Diabetes Forum Lounge

Diabetes Forum Lounge The Diabetes Forum lounge is the more social area of the community. Please feel free to drop in, and discuss anything thatís on your mind. Use this area for off topic discussions, making friends and being social.


Like Tree6Likes

New here with question


Closed Thread
 
Shared Thread Thread Tools
Old 07-03-2012, 02:11   #1
Active Member
 
Join Date: Jun 2012
Location: United States
Posts: 15

Member Type
Type 2
Diagnosed in 2012

15 likes received
19 likes given
Default New here with question

I was diagnosed last week (over the phone) with T2 and have started LCHF'ing. I have my first visit with my doctor tomorrow morning and I'm wondering what sort of questions I should ask? Do most people get insulin right away? Are there meds I can take that will help but are safe while breastfeeding? Any particular med that has more side effects than others? I don't want to walk in there showing my ignorance.

My FBS that got me diagnosed was 305, A1C 10.8. Since starting LC, my FBS dropped to 177-188, and my 2 hour after meal readings vary from 135-172. At this point, I'm really nauseous with no appetite but I'm trying to keep up with scheduled meals/snacks. I'm guessing the nausea is just from the change in diet?

TIA!

KindaCrunchy is offline  
Old 07-03-2012, 03:29   #2
Senior Member
 
Miss_Blue's Avatar
 
Join Date: Apr 2009
Location: Chicago, IL
Posts: 561

Member Type
Type 2
Diagnosed in 2008

526 likes received
478 likes given
Default

Many doctors prescribe Metformin as a first line of defense because of its low incidence of hypoglycemia and other side effects. The most common side effect is gastrointestinal distress (diarrhea, stomach cramping) and the extended release version of the drug can help. My guess is that you'll be put on Metformin at minimum, probably a low dose at first. Usually doctors like to work their patients up to a larger dose.

Your doctor may want to add a supplementary medication, but I'd suggest you avoid any medication in the sulfonylurea class since they can cause severe hypoglycemia. Those would be drugs like Glyburide. Glyburide dropped my blood sugar into the 20s (mg/dL) and I was on a small dose once a day. Haven't been a fan since, needless to say.

You might be put on insulin, but your blood sugar has come down significantly since your diagnosis just through diet. Metformin might be enough.

To give you my own backstory, my A1c was 11.3%, random blood sugar 346. Metformin was enough to help me control my blood sugar, especially with some weight loss. I'm on 1500 milligrams per day, lowering my dose incrementally.

Also, some doctors don't have a good sense of what meds cost and so they can prescribe some pricey ones, like Victoza. I specifically asked for "Target or Wal-Mart's $4 list only, please!" Look into your insurance co-pays and budget what you can afford so that you can steer your doctor away from budget-buster drugs.

KindaCrunchy likes this.
Miss_Blue is offline  
Old 07-03-2012, 03:37   #3
Junior Member
 
Join Date: Jul 2012
Posts: 3


Default

Quote:
Originally Posted by Miss_Blue
Many doctors prescribe Metformin as a first line of defense because of its low incidence of hypoglycemia and other side effects. The most common side effect is gastrointestinal distress (diarrhea, stomach cramping) and the extended release version of the drug can help. My guess is that you'll be put on Metformin at minimum, probably a low dose at first. Usually doctors like to work their patients up to a larger dose.

Your doctor may want to add a supplementary medication, but I'd suggest you avoid any medication in the sulfonylurea class since they can cause severe hypoglycemia. Those would be drugs like Glyburide. Glyburide dropped my blood sugar into the 20s (mg/dL) and I was on a small dose once a day. Haven't been a fan since, needless to say.

You might be put on insulin, but your blood sugar has come down significantly since your diagnosis just through diet. Metformin might be enough.

To give you my own backstory, my A1c was 11.3%, random blood sugar 346. Metformin was enough to help me control my blood sugar, especially with some weight loss. I'm on 1500 milligrams per day, lowering my dose incrementally.

Also, some doctors don't have a good sense of what meds cost and so they can prescribe some pricey ones, like Victoza. I specifically asked for "Target or Wal-Mart's $4 list only, please!" Look into your insurance co-pays and budget what you can afford so that you can steer your doctor away from budget-buster drugs.


I am also taking metformin and and glyburide. Seems to be working.

ecurtis1 is offline  
 
Old 07-03-2012, 04:22   #4
Senior Member
 
Miss_Blue's Avatar
 
Join Date: Apr 2009
Location: Chicago, IL
Posts: 561

Member Type
Type 2
Diagnosed in 2008

526 likes received
478 likes given
Default

Quote:
Originally Posted by ecurtis1 View Post
I am also taking metformin and and glyburide. Seems to be working.
Don't get me wrong. Glyburide works just fine. Glyburide lowered my blood sugar significantly. Then I lost a little weight. The hypoglycemia was so bad that 3-4 hours after I took it, I would start shaking uncontrollably, barely able to make it to my stash of candy. After several incidences of blood sugar in the 20s and 30s and almost daily occurrences of blood sugar in the 40s-50s, I just had to go off the medication. Another problem is all the sugar and food in general I had to eat to combat the hypos. Naturally, I gained weight.

Miss_Blue is offline  
Old 07-03-2012, 06:00   #5
skb
Diabetic
 
skb's Avatar
 
Join Date: Dec 2011
Location: Mumbai, INDIA
Posts: 2,680

Member Type
Type 2
Diagnosed in 2007

4080 likes received
2435 likes given
Default

Hi Tia,
It is best to be at your ignorant best when you go to your doctor. Insulin is not the immediate therapy for Type 2s. There are many oral drugs to get the BG under control and metformin has been along for several years and is considered pretty safe. I suggest that you take a drug/diet/exercise approach to your D management in the immediate & drop the drug as you gain control. Reading a lot here will put you safely in that direction.

KindaCrunchy likes this.
__________________
A1c ~ 5.4
Follow LC/HF diet since Aug 2010
Control only with diet/exercise. No meds.

Blog - Metabolically Challenged
skb is offline  
Old 07-03-2012, 12:55   #6
Senior Member
 
Join Date: Jun 2009
Location: North East Ohio, USA
Posts: 4,368

Member Type
Type 2
Diagnosed in 2007

1790 likes received
1507 likes given
Default

Welcome to our group. I think you will have to ask your doctor specifically what drugs would be safe while breastfeeding. Normally they start you off with metformin and then add other things if that doesn't work. My HbA1c was similar to yours when I was dx'd 5 years ago. They didn't even prescribe any meds at first, they just told me to diet and exercise more. After 3 months my bgs were still in that 160-200 range so I asked for metformin. Some doctors like to start with insulin to give the pancreas a rest for awhile. Usually they start with a long acting insulin like Lantus. Make sure at your appointment you ask for some testing for Type 1, like GAD 65 testing and C-Peptide testing. It is always good to rule out Type 1 rather than be misdiagnosed. I'm so glad you found us.

KindaCrunchy likes this.
__________________
diagnosed Feb 2007
metformin-2550
low carb organic diet
3 T of Coconut Oil daily
moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

HbA1c 5.3 3/11
HbA1c 6.1 5/12

Age 62
jwags is offline  
Old 07-03-2012, 14:49   #7
Active Member
 
Join Date: Jun 2012
Location: United States
Posts: 15

Member Type
Type 2
Diagnosed in 2012

15 likes received
19 likes given
Default

Thanks for the replies! I'm back from the doctor with a prescription for Metformin, 500mg 2x/day. I have to say that I although I really like the doctor I see, I don't agree with their recommended BS numbers. Their goal for diabetic adults is to be under 180, 2 hours after a meal. That seems awfully high! I have my own goal to be under 140. She wants me to start checking before my meals and skip the after meal readings since those have been consistent but wouldn't it be wise to do them after eating as well, especially since I'm starting a new med?

eta: she did also want to start something like Glyburide to start with (can't remember the name, though) but I talked her out if it. I think she wanted to go with that because I took that during my pregnancy. Like others, it gave me some really bad lows, like in the 30's, so it's not my drug of choice.


Last edited by KindaCrunchy; 07-03-2012 at 14:51.
KindaCrunchy is offline  
Old 07-03-2012, 14:57   #8
Senior Member
 
Join Date: Dec 2009
Posts: 24,394

Member Type
Type 2
Diagnosed in 2009

23930 likes received
32255 likes given
Default

Yes please - it's the after meals readings that show us what's going on. Not sure what her logic is, but I hope you'll continue testing after meals, and maintain under 140 throughout. Doctors are very caught up in fasting readings, etc., but what really proves how our bodies process carbs is the tests done after we've eaten, which also give us information we can ACT on - as soon as the next meal rolls around.

And nice work talking her out of the glyburide!




Shanny is offline  
Old 07-03-2012, 14:59   #9
Moderator
 
mbuster's Avatar
 
Join Date: Sep 2011
Location: SW Arkansas
Posts: 9,206

Member Type
Type 2
Diagnosed in Feb. 2012

11107 likes received
6346 likes given
Default

It just makes good sense to eliminate as much of the source of the problem as first line of offense - reduce carbs

Sent from my iPhone using Diabetes

Patdart and skb like this.
__________________
Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.2 (07/2019)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
Supplemental vitamins and electrolytes
64 YY Love the LCHF diet. The cheese goes well with my whine

updated 02//20
mbuster is offline  
Old 07-03-2012, 16:54   #10
bps
Active Member
 
Join Date: Jan 2011
Posts: 49

Member Type
Type 2
Diagnosed in 2011

28 likes received
9 likes given
Default

Quote:
Originally Posted by KindaCrunchy View Post
Thanks for the replies! I'm back from the doctor with a prescription for Metformin, 500mg 2x/day. I have to say that I although I really like the doctor I see, I don't agree with their recommended BS numbers. Their goal for diabetic adults is to be under 180, 2 hours after a meal. That seems awfully high! I have my own goal to be under 140. She wants me to start checking before my meals and skip the after meal readings since those have been consistent but wouldn't it be wise to do them after eating as well, especially since I'm starting a new med?

eta: she did also want to start something like Glyburide to start with (can't remember the name, though) but I talked her out if it. I think she wanted to go with that because I took that during my pregnancy. Like others, it gave me some really bad lows, like in the 30's, so it's not my drug of choice.

You're doing great by figuring some things out early. Your goals are much better than what the dr is recommending. You'll find out that this is kind of a constant battle, although having a good dr that will listen will make all the difference. I am lucky enough to have one that listens, and has become a believer after seeing my results (thanks to this forum and others). Just remember that its your body and you make the final call about what to do and what to take. This forum and sites like blood sugar 101 can help you make those decisions.

You do need to test after meals as that's the only way to know how your body reacted. You'll also find that you are different from others and can tolerate some things others can't, and that you can't tolerate some things others can. Congrats on a great start to figuring out D and what you can do about it.

Bernard

__________________
dx 1/7/2011 FBG 283 A1c 11.9
3/31/2011 FBG 113 A1c 6.8
5/24/2011 A1c 5.7
7/19/2011 A1c 5.9
11/1/2011 A1c 5.3
01/31/2012 A1c 5.5
09/20/2012 A1c 5.4
05/02/2013 A1c 5.4
12/11/2013 A1c 5.3
bps is offline  
Closed Thread

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off


LEGAL NOTICE
By using this Website, you agree to abide by our Terms and Conditions (the "Terms"). This notice does not replace our Terms, which you must read in full as they contain important information. You must not post any defamatory, unlawful or undesirable content, or any content copied from a third party, on the Website. You must not copy material from the Website except in accordance with the Terms. This Website gives users an opportunity to share information only and is not intended to contain any advice which you should rely upon. It does not replace the need to take professional or other advice. We have no liability to you or any other person in respect of any content on this Website.


All times are GMT +1. The time now is 13:54.




Powered by vBulletin®
Copyright ©2000 - 2020, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2020 DragonByte Technologies Ltd.
User Alert System provided by Advanced User Tagging v3.1.0 (Pro) - vBulletin Mods & Addons Copyright © 2020 DragonByte Technologies Ltd.