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-   -   Why don't docs prescribe lantus instead of januvia etc.? (https://www.diabetesforum.com/diabetes-treatment/77074-why-dont-docs-prescribe-lantus-instead-januvia-etc.html)

mbuster 01-24-2016 22:09

Being as how glucose is necessary for about only 5% of our cells and the body can convert amino acids to glycogen, no carbs are either necessary or preferable. Continuing to eat carbs (because we don't want to quit) and covering higher BG numbers with basal and/or bolus insulin is not wise. Insulin does more than just help transport glucose into the cells, and it's not always good stuff.

SugarFreeMe 01-24-2016 22:30

You'll see in my other post to you... I just took myself off of levemir by lowering carbs and upping fat. I hate how levemir makes me feel... And that it increases my appetite. The other drug I'm on in addition to met is invokana... Kicks excess sugar out in your pee. Not sure how others here feel about it, but I'm happy with my dose, no side effects.

Daytona 01-25-2016 01:29

I'm a T2 and its been a fight to find a doctor willing to prescribe insulin. They all want to start with Januvia and other stuff. I insisted that when Metformin doesn't cut it, I want the next safest drug and that's insulin.

I don't think my doctor is that unusual in that she would rather see me with high BG (~150) than what she sees as too low. So insulin is something to be afraid of in her book. But I'm with the others, stick to the law of small numbers and you should be okay.

Also maybe insulin doesn't get as much cute pharmacutical rep time as the new drugs. So it's more familiar to them? It's all seems silly to me.

div2live 01-25-2016 15:43

"I don't think my doctor is that unusual in that she would rather see me with high BG (~150) than what she sees as too low. So insulin is something to be afraid of in her book."

Be advised that the slow acting insulins like Lantus has a very low incident of causing 'lows'! Most doctors will start with a slow acting insulin, just for that reason. You have to watch out for using fast acting insulin that is taken right before you eat, those can cause dangerous lows and require the user to be well trained and diligent is calculating dosages based on eating habits.

Bunjee 05-04-2016 23:17

It's because your doctor is not paying for it. I think that's the prime reason. They often have no clue about the cost of these other drugs. Most don't appear to know that Walmart has generic insulin at WAY less cost. I think they figure that if you are willing to shell out for Lantus, you would happily shell out for this other thing that is not going to give you dangerous lows. If you have insurance, you have a deductible up front cost. BUT, if you have Medicare, you have a donut hole to be concerned about. You may get your Lantus for $60/month and then suddenly it's $600-800 a month when you hit the donut hole. Now, what do you do?

Ok..that said, my doc did have two things to say about it. He avoids giving insulin to those who live alone (due to the concern for lows). He also said many of his patients (including me) who either do not lose weight or can't keep it off gain weight on insulin. This is because insulin turns the loose glucose in the bloodstream into fat instead of funneling it off into urine. However, it sounds like combining low amounts of metformin and insulin may avoid this issue, so both the diabetes educator and I are researching that as an option.

Bunjee 05-08-2016 18:21

Quote:

Originally Posted by skb (Post 1065010)
Scientifically, there is no option 2. If you go deeper in your research into glycolysis you will come across AGEs (Advanced Glycation Endproducts). That should convince anyone on the benefits of low carbing, which 100gm/day isn't. Option 1 is natural, it's better for all round health, it's my only option.

I agree that 100 gm/day isn't low carbing. Call it 'lowish' carbing. My daily ceiling is 90 gm/day and I know it's not low carb, but low carb, unfortunately for me, causes worsening acid reflux over time which affected my breathing.


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