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Old 04-05-2018, 12:09   #1
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Hi all. I am not sure if I should be on here or not. I am a 70 yr old, obese Australian woman. A couple of weeks ago my doctor informed me my blood sugar was "a little elevated" and prescribed Janumet (sitagliptin phosphate monohydrate/metformin HCI) with the aim of lowing my sugar levels. After discussing things I need to do I said - as I have no desire to become diabetic I will do all you have instructed at which point he said "you are already diabetic" which seems to be contradictory to "a little elevated.
I am now having problems with nausea, vomiting, headaches and clouded thinking. These symptoms are apparently known side effects of this drug so I've decided to stop taking it for now. I will of course go back to my doctor to discuss this with him.
I joined this site because if I am diabetic or heading that way I thought I might be able to learn ways of handling it.

Thank you for reading my message
effieh

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Old 04-05-2018, 12:15   #2
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I can't work out how to edit the original post. My fasting blood test reading was 10

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Old 04-05-2018, 14:22   #3
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Welcome, effieh!

Though I'm not a doctor, in my experience with other people posting on this site, Janumet rarely is the first choice of medications offered diabetics whose blood glucose is "a little elevated".

There is little doubt that, with an A1c of 10, you are diabetic. So you need to address that. But Janumet -- in fact, medication in general -- is not the only possible first approach to take at this point. Many of us here have reduced our blood glucose levels even to non-diabetic levels through diet and exercise. Others have found that diet helps reduce their need for medications.

I would suggest you look at a couple of Web sites. One is Blood Sugar 101 which explains how the body uses glucose. The other is the Diet Doctor site, which explains how what you eat makes a difference. Since diabetics can't process carbohydrates like non-diabetics, restricting carbohydrates makes a lot of sense to managing blood glucose levels.

Please review that information and let us know what you think!

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Old 04-05-2018, 15:10   #4
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Welcome Effieh

I know you'll find the information and personal experiences from this forum very helpful, and enlightening. While we are all different, we all have one thing in common - a determination to gain good control over our diabetes.

As you read through the threads here you'll find that the majority of us, and especially with T2s, diet is our first and most effective method for lowering blood sugar - or more specifically - the reduction of the type of foods that cause blood sugar to rise in the first place - carbohydrates

Many will also begin with Metformin, which helps reduce insulin resistance (the part of the combo drug you were prescribed that caused your symptoms)

Do visit us often and ask any questions you may have. The links itissteve gave you contain a wealth of information about diabetes and a low-carb way of eating to help control it.

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Old 04-05-2018, 17:54   #5
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Quote:
Originally Posted by effieh View Post
Hi all. I am not sure if I should be on here or not. I am a 70 yr old, obese Australian woman. A couple of weeks ago my doctor informed me my blood sugar was "a little elevated" and prescribed Janumet (sitagliptin phosphate monohydrate/metformin HCI) with the aim of lowing my sugar levels.
Thank you for reading my message
effieh
Hello there Australia from Prince Edward Island. With a fasting Blood Glucose level of 10 mmol/l - that's a bit elevated. I suspect the Metformin had something to do with how you were feeling as some people have a tough time with that drug and are eventually prescribed something else.

I'm a Type 1 diabetic so my experiences with Type 2 come from some of my Type 2 friends and people on these forums. I'm not giving medical advice but just my thoughts.

You should take a careful look at your diet and try to cut down on the carbs. This will likely have a impact on your fasting BG levels.

As you head down this path don't hesitate to post questions on the forums. There are a lot of very experienced people on these forums that have lived with Type 2 and Type 1 diabetes for years.

They are an open minded friendly bunch of people. All the best and I hope things improve.

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Last edited by rsfletcher; 04-05-2018 at 17:59.
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Old 04-05-2018, 18:47   #6
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Welcome, effieh,,

Sorry for what you are going through with your drugs. You have just surrounded yourself with a very large group of fellow diabetics (Yes, your blood sugar reading of 10 indicates you are diabetic). Once a diabetic you are always a diabetic, that is the bad news as they so far have no cure. But you can take control of this disease....and that's the good news! Most of us on this website have walked down the same roads you are now walking. So we can relate our experiences and offer suggestions and support as you learn to TAKE CONTROL of your diabetes.

The first big step you need to make is learning about this disease and how you can deal with it. Knowledge is important to your success...so do look at the websites noted above by itissteve....that's where you must start to gain the basic knowledge!

I am a 67 year old diabetic male that was, by medical definition, morbidly obese when I found this website in 2015. After reading all the website information and learning that what we eat is a primary factor in controlling blood sugars, I got very interested! What we do is not like a traditional diet, you do not have to cut caloric intake or starve yourself, therefore, you do not get hungry! I thought to myself 'I can do that'!

On April 2015 I started following the Low Carb High Fat lifestyle (LCHF). And as promised, I did not get hungry! At first I did crave potatoes, sweets, etc. but when I craved I ate something that was high in fat, like bacon, fried pork rinds, avocados, almonds, pecans, or Walnuts....that always stopped my cravings. I carefully watched my daily intake of carbs, keeping it below 100 daily! It did take me a while to get good at this and develop a list of foods and recipes that worked for me and my diabetic control goals......

In the first six months my blood sugar went from 7.0 down to 6.0! A big win, but an unexpected benefit, my weight dropped by over 50lbs (65 as of this morning)....and all of my health indicators like blood pressure, etc. drastically improved.....AND I WAS NEVER HUNGRY! My doctor calls me his 'Poster Child for old guys'

What's not to like? It works, most all of us on here had similar experiences....
do the reading on the websites, put a plan together and join us......

By the way, before I started LCHF...I was on metformin and a once a day insulin injection.....And I recall, adjusting to the metformin took a few weeks with stomach cramps, etc. but it did pass....some on here have gone to another type of metformin that is slower acting and they say it is easier to adjust to....so you might ask your doctor about that....as for the Janumet, like others noted, it is unusual to see this added early like this....but if you learn how to follow the LCHF protocols...you probably will need nothing other than metformin....some longer term LCHF tell us they are off of all drugs and use only the LCHF model to manage their diabetes.....

Good luck...

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Last edited by div2live; 04-05-2018 at 18:57.
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Old 04-05-2018, 19:29   #7
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Welcome effieh! When I first was diagnosed, I remember my doctor's office called and told me to come in because the doctor was concerned about my levels being a "little elevated." When I went in the next day, the doc had my read-out, and said that all my levels were good except for my blood glucose. He told me that my diabetes was out of control. What??? Diabetes? I told him that I wasn't diabetic, and his reply, "Yes, you are." It's always hard hearing those words. Luckily I found this place!

I hope you continue to post. Everyone here is so helpful and supportive.

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Old 04-05-2018, 22:19   #8
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Hi effieh, welcome to the forum.

Yes that sounds contradictory to me too. Being a little bit diabetic is like being a little bit pregnant. There is a term they call pre-diabetic, that is the early stages of diabetes where BG number is elevated between what they say is normal and what they say is diabetic.

I think you will find on this forum, lots of people, including me, who came here to learn to handle diabetes. Others have already mentioned the first and foremost thing is diet. Carbohydrates are converted to glucose, doesn't matter what they are called, good, bad. low glycemic index, they all raise your BG. I think you will also learn here that diabetes can be better managed from the recommendations here on the forum than by following what the diabetes associations recommend, which is where most doctors get their information.

Many people here are able to manage their diabetes without medications. Some cannot, but if you have to take meds, it is best to learn about the meds that are prescribed. In the Blood Sugar 101 link that itissteve gave you, there is a section about diabetes drugs that you may want to read before talking to your doctor about the reaction to the med you had. It pays to be educated about drugs, for diabetes or anything else, and it is up to you to decide if the benefits of any drug are worth the risk associated with it.
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Old 04-05-2018, 22:47   #9
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Thank you all for your replies, it is good to know I have found a place where people understand what I'm going through and are so friendly.

Thank you itissteve for the links. I will certainly be going there to learn as much as I can.

Right now I'm trying to get my head around the fact that I've allowed myself to get to this state of affairs but I do know that changes in my diet are the most essential starting point.

effieh :0

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Old 04-05-2018, 23:31   #10
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Quote:
Originally Posted by effieh View Post
Right now I'm trying to get my head around the fact that I've allowed myself to get to this state of affairs but I do know that changes in my diet are the most essential starting point.
effieh, do not beat yourself up about this. There are many many people who don't eat well, get little exercise, and have other health risk factors -- and never are diagnosed diabetic. And there are many who are lean, eat "normally", are fit -- and diabetic. There's much we don't know about why some people become diabetic and others do not.

Just know that, starting now, you can make better decisions about your health. Many of us here will tell you that our diagnosis of diabetes was not the end but the beginning of us concentrating on our health and managing it successfully. That can be you, too.

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