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Old 06-20-2011, 22:48   #1
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Join Date: Jun 2011
Location: USA
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Diagnosed in 1995

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Hi Everyone,

I've been a Type 2 diabetic since 1995. Started out on low doses of Glucophage. Later added Amaryl. Morning readings were getting higher >200, so Dr. added Lantus insulin once-a-day. Changed to an Endo last year and he kept me on 2000mg Glucophage XR, stopped my Lantus & Amaryl, and started me on Byetta. I took Byetta 5 for two months, then moved up to Byetta 10. Started out having the normal Byetta side affects of slight nausea and stomach discomfort, but my A1C's were running in the mid-6s with morning readings around 110. Problem started early this spring, when I started having severe nausea with occasional vomiting and bad stomach pains. After several attempts to regulate Byetta side affects, my Endo took me off Byetta last week and has started me on Victoza (along with the 2000mg Glucophage XR daily). So far I have not had any side affects, but it is not keeping my readings down. I started out at 0.6 per day and moved up to 1.2 per day three days later. Morning readings are over 200, with 3 hours after meal readings running 180-240. I really want the Victoza to work and like having no side affects, but I can't continue having readings this high. Endo wants me to wait another week before moving up to the maximum dose of 1.8, but in all the forums I've found most everyone started having good results even with the low starting 0.6 dose. Has anyone experienced my situation? Anyone with any sugestions?

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Old 06-20-2011, 23:22   #2
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Join Date: Mar 2011
Location: Perth, Western Australia
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Diagnosed in Feb 2011

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WOW!

Hi there.... you sound like you have certainly been through the wringer with your meds...

WHile I can't offer any advice on the meds...can I ask about what sort of diet you are eating? MAny people on this forum find that while medication itself can assist, low carb way of eating is the true factor in bringing down the BGs...

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2000mg slow release metformin per night and Lipitor
1mg Glimepiride and Coversyl (blood perssure) each morning

Living Low Carb and Loving it
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Old 06-20-2011, 23:30   #3
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Diagnosed in 1995

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Quote:
Originally Posted by Tiggletaggle View Post
WOW!

Hi there.... you sound like you have certainly been through the wringer with your meds...

WHile I can't offer any advice on the meds...can I ask about what sort of diet you are eating? MAny people on this forum find that while medication itself can assist, low carb way of eating is the true factor in bringing down the BGs...
Low carb mostly. No refined wheat flour products. Only whole grain & in moderation.

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Old 06-21-2011, 01:33   #4
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I would recomend that you try eliminating the whole grain products for awhile and see if they make a differnce in your bg. It made a huge difference to my bgs. I also eat low carb about 10 -15 carbs per meal. I don't eat whole grain or fruit. Once in awhile if my bgs are below 90 I will eat some sprouted grain bread. I like to keep bgs pretty low after meals, below 110-115 or so. Diabetes can be progressive and if you don't treat it aggressively it can destroy beta cells. Once that happens Insulin is your best bet.

__________________
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
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Old 06-21-2011, 01:49   #5
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Whole grains & fruit are off my menus too . . . they just can't get past my meter! But I eat high-fiber vegetables - celery, broccoli, cauliflower, asparagus, artichoke hearts - these have so much fiber their carb content is usually a wash.




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Old 06-21-2011, 04:44   #6
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Smaller portions, less carbs

__________________
SWM/42/NY
DxT2: 1/26/2010: 6'2" 268lbs. A1C 7.8, FBG 266
A1C: 1/2010: 7.8 ; 6/2010: 4.7 ; 9/2010: 5.1 ; 12/2010: 5.2 ; 4/2011: 5.3 ; 9/2011: 5.3

Completely Off Medication December, 2010.

9/2011 Lab Work Results (4/2011 in parenthesis)
A1C: 5.3 (5.3)
Cholesterol: HDL 134 (133) LDL: 53 (53)
Triglycerides: 29 (30)
Current Weight: 195

I am sometimes too "harsh". I feel that sometimes one must be "harsh" to get the point across.
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Old 06-21-2011, 14:20   #7
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an over simplified answer would be:

with morning readings around 110

and your BS should stop at 140 mg/dl

but you go to 240 mg/dl which would be 100 mg/dl too high

then at 5 mg/dl per carb you are eating 20 carbs too many in that meal

so eat a lot less carbs, eat more meat, fish, cheese, and low carb veggies to fill you up

very simple and some what true

using something that dropped your BS down to 80 mg/dl before you ate might help also

have you considered a bolus ( fast acting ) insulin to cover your meals?

you can buy ReliOn Humulin Regular insulin at Walmart without a prescription here in Michigan for $25 per 10 ml vial.


Quote:
Originally Posted by smsgt178 View Post
Hi Everyone,

I've been a Type 2 diabetic since 1995. Started out on low doses of Glucophage. Later added Amaryl. Morning readings were getting higher >200, so Dr. added Lantus insulin once-a-day. Changed to an Endo last year and he kept me on 2000mg Glucophage XR, stopped my Lantus & Amaryl, and started me on Byetta. I took Byetta 5 for two months, then moved up to Byetta 10. Started out having the normal Byetta side affects of slight nausea and stomach discomfort, but my A1C's were running in the mid-6s with morning readings around 110. Problem started early this spring, when I started having severe nausea with occasional vomiting and bad stomach pains. After several attempts to regulate Byetta side affects, my Endo took me off Byetta last week and has started me on Victoza (along with the 2000mg Glucophage XR daily). So far I have not had any side affects, but it is not keeping my readings down. I started out at 0.6 per day and moved up to 1.2 per day three days later. Morning readings are over 200, with 3 hours after meal readings running 180-240. I really want the Victoza to work and like having no side affects, but I can't continue having readings this high. Endo wants me to wait another week before moving up to the maximum dose of 1.8, but in all the forums I've found most everyone started having good results even with the low starting 0.6 dose. Has anyone experienced my situation? Anyone with any sugestions?

__________________
ColaJim, Age 73
Type 2 (very advanced Metabolic Syndrome ) for about 15 years but "insulin/oxygen resistant" for about 40 years
HbA1c 6.4 October 2014


now taking:

Novolog as required
.
'Guessing is a scientific method" ~ Richard Feynman

I am not your librarian! Do your own research!. ~ ColaJim

Success consists of going from failure to failure without loss of enthusiasm. ~ Winston Churchill
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Old 06-21-2011, 15:41   #8
Jen
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It seems as though you might consider dropping the other meds and going with full-on insulin therapy (basal and bolus). That will allow you to specifically target your problems. Have you discussed this with your Endo?

Jen

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