AC1 and confused - Page 4

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AC1 and confused - Page 4

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Old 10-30-2011, 01:16   #31
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Originally Posted by MsTCB View Post
Glad you clarified what you meant because I interpreted it the same way several others did, i.e. that you were saying Insulin should be used BEFORE trying oral meds.
Yup, I personally believe it should be Metformin, low-carb diet and exercise.

If that doesn't work, up the metformin, go LOWER carb (like Dr. Bernstein's 6/12/12 plan) with moderate protein intake (because protein can be used for gluconeogenesis and contribute to BG levels) and exercise.

FYI, I'm fairly sure now that protein levels should be customized to each patients needs. You want to have enough for your metabolic needs, and for muscle-building/tissue-repair etc., but not so much that it contributes to BG's via gluconeogenesis. Men would (on average) need more than women due to our larger percentage of lean muscle-mass.

If that STILL doesn't work ... I'd rather see insulin looked at before something with major side-effects like actos or glyburide.

If you're truly on a very low-carb diet, and metformin alone isn't doing it, it's very likely you have extremely impaired pancreatic beta cell function, and you're not producing much (if any) insulin. Tests can show this for sure, but even Dr. Bernstein often starts patients on insulin, even before waiting for metformin, diet and exercise to 'kick in' ... why not lower blood glucose NOW, he says...

Doctors are WAY too quick to prescribe... and we know some of them get kickbacks, etc... when you see things like this...
Originally Posted by someone with a scary Dr...
"My blood levels have been high lately and my doctor added januvia to the metorformin and glyburide that I have been taking, but didn't seem to do the trick. So then he added actos. I have been on actos before and experienced severe weight gain. I am a little uncomfortabe taking 4 medications for my diabeties. He keeps adding medications. I feel he should take away the januvia since it didn't work or try different combinations."
... we know there's a problem.

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47 yr. old Male
Alberta, Canada

Dx'd T2 Dec 19, 2010 - Fasting BG: 14.8 (267), A1c: 12.1, Wt: 290lb (over 320lbs at my heaviest)

As of Apr 23, 2013: 14-day Avg Fasting BG: 4.7 (85), A1c (Dec21): 5.1%, Stats: 230lb, 6'3" now with 37" waist

Low-Carb (Usually < 45-60g per day on a 3,000+ calories daily diet)

On Metformin only for meds. Exercise 6 days a week.
Supplement only with: Men's Multi-Vitamin, Vitamin D 2000iu/day, Aspirin 81mg, Cinnamon Extract and Fish Oil all 1x per day

Last edited by beefy; 10-30-2011 at 01:18.
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Old 10-30-2011, 04:38   #32
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The original posts were fairly straightforward, in my opinion.
Originally Posted by Peter_V View Post
When I was first diagnosed they had me on Metformin, Actos and Gliburide. I would go hypoglycemic daily unless I ate every two hours. I had a reading as low as 39 once when a meeting ran long kept me from eating for 3 hrs.
Beefy's response quoted Peter's post, and even iterated the three drugs in what he wrote. Not sure how that came to be misunderstood.
Originally Posted by beefy View Post
I'm stunned that a physician would put you on Met, Actos and Glyburide WITHOUT trying insulin first...

Last edited by Shanny; 10-30-2011 at 04:51.
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