Game Plan - No meds

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Game Plan - No meds

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Old 06-30-2012, 02:52   #1
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Default Game Plan - No meds

I'm still really new to all of this, but my goal is to one day be able to control my diabetes with diet and exercise. Is this something that is decided based on A1C results? Would I have to suggest it to my health care practitioner? How does one make the change from meds to med free and what are the deciding/mitigating factors?

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Old 06-30-2012, 03:16   #2
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I've been able to reduce my blood sugar, as well as my cholesterol & blood pressure by using the ketogenic way-of-eating. This is a low-carb/high-fat method and you'll see it discussed at quite some length around here.

Even if you weren't ready to go as far as getting into ketosis, you can utilize the low-carb/high-fat way-of-eating with great success. Here is the best primer I've found: LCHF for beginners |

Since your doc placed you on a statin to lower your triglycerides, you could ditch the statin & lower them faster yourself by using this way-of-eating. Carbs are what raises triglycerides, and statins have no effect. Statins may help LDL, but not trigs.

The Januvia is doubtful too . . . I think increasing the metformin and ditching Januvia would be a better plan, because Januvia can damage the pancreas, and has even been known to cause fatal pancreatitis. Metformin is much safer, because it does not stimulate the pancreas to produce insulin - it works in the liver to reduce release of excess glucose into the bloodstream, and it also affects insulin receptors in the cells to help them access the insulin already available.

So there are two meds you could do without already!

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Old 06-30-2012, 03:25   #3
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^^^ What she said!

My numbers were higher than yours, and I did bring them down rather quickly via diet and metformin. I took glipizide for a couple of weeks (a pancreatic stimulant) but both my endo and I wanted me off of it.

I started on 2,000 mg metformin regular, switched to 2,000 metformin extended release (XR/ER) due to gastric distress, and decided to cut it in half as an experiement when my A1C was 5.6. I then told my doc who was fine with it. Now, I think I could cut it out completely, but have been maintaining it because of its anorectic effect and I need/want to lose more weight.

But I'm going to be experimenting w/ more diet changes, and if that's successful and leaves me not hungry, then I'll cut back/drop the metformin.

It's definitely doable for many of us, and I think as you learn more and settle into a program that's working for you, you'll know when the time is right to reduce it.

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Dx'ed Feb 2011 w/ BS > 600
A1C: . . . . . . . . . . . . . . . Other Stuff
2/13/11 .. 14.7 . . . . . . Trig/HDL ratio .. 5.5 to 2.2 in 6 mo
5/23/11 .. 6.2 . . . . . . . Low-carb/high healthy-fat diet
9/8/11 .... 5.6 . . . . . . . No meds, No statin
2/24/16 .... basal/bolus insulin 2-3 days/wk due to steroids

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Old 09-01-2012, 10:19   #4
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My late father was able to go off meds and control diabetes through diet. All I can say is that from day one from the diagnosis, he followed all medical suggestions regarding diet.

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Old 09-01-2012, 11:15   #5
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At outset my figures weren't too bad and it took me three months to reach the point where I felt able to dispense with the basal insulin I had been using.

My decision wasn't driven directly by my HbA1c, but by my morning blood glucose numbers. Effectively, I was able to keep the number consistently below 4.5 mmol/L.

Subsequent HbA1c tests merely confirmed that I was still on track.

So, yes your game plan is achievable but the price is constant attention to diet, exercise and blood glucose numbers. But since, as a diabetic, you'd be doing all that anyway - go for it! My only warning is that some of the official diet guidance is highly suspect. Your meter is a much better guide to what you can safely eat.

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Old 09-01-2012, 11:31   #6
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I'm not aware of which medicines you rely on. Shanny seems to know and her plan seems pretty spot on. I've been drug free for over a year now and yes I took the A1c into consideration to take that step forward.

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

Blog - Metabolically Challenged
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Old 09-01-2012, 13:00   #7
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I think whether or not you can get off meds is going to depend on your endocrine system. Some find losing weight or adding exercise may help. Others of us are at our normal weight or lower and still have problems without meds. I think you have to look carefully at your bgs especially when not eating. Many of us have signaling problems that force our liver to dump glucose so we maym to be able to get off meds.

diagnosed Feb 2007
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

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Old 09-01-2012, 14:04   #8
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When I was dx I had no game plan. My doc told me to take metformin so I took it. After reading what other people did on forums I decided to stop meds. I'm in my 3rd year of no meds. I exercise and eat low carbs meals and that has worked for me. My plan is in my signature.

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less than 80 carbs per
3 or more walks
20 to 60 min bike ride
Dx off the chart
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