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Topic: RE: Oral alternative to metformin
Talk to your endocrinologist and let them figure out what works best for you. If you are not tolerating something well, there are other options. I am sure you know you have to be patient and willing to try a few things and document how they are working for you. I know that process can be frustrating at times, but a good doc will work with you to figure all of this out.
Topic: RE: a1c 12.5 scard
You do realize that with 500 + blood sugers you should be in the Hospital right?
you WILL destroy your body in a year or two with sugers like that. you need alot more insulin.
You are commiting Sucide with your mouth right now. If that is what you want then continue what you are doing. If you want to live you must change.
it is that simple. there are no other ways to look at this.
I was taking 100 units of Lantus twice a day and 80 Units of Humalog with meals and had an A1C of 7.6
after VSG and loosing 86 LBS I now take 70 Units of Lantus once a day and no Humalog at all.
A1C is now 7.0 and Dropping.
I also found that going Low Carb helps too.
Your Choice
eat what you want when you want and DIE
take control and LIVE.
you WILL destroy your body in a year or two with sugers like that. you need alot more insulin.
You are commiting Sucide with your mouth right now. If that is what you want then continue what you are doing. If you want to live you must change.
it is that simple. there are no other ways to look at this.
I was taking 100 units of Lantus twice a day and 80 Units of Humalog with meals and had an A1C of 7.6
after VSG and loosing 86 LBS I now take 70 Units of Lantus once a day and no Humalog at all.
A1C is now 7.0 and Dropping.
I also found that going Low Carb helps too.
Your Choice
eat what you want when you want and DIE
take control and LIVE.
Topic: RE: Type 1 diabetic-what to eat for lows
Taking some steps to prevent and control diabetes. Take right diet and food is very important for diabetes patients. A diabetes diet is simply a healthy eating plan that is high in nutrients, low in fat, and moderate in calories.
Topic: Oral alternative to metformin
Prior to surgery I was taking Glipizide and Actos, which controlled my bg well, with A1C around 6.0
I stopped all meds after surgery, and now bg ranges 140-170 and A1C went up to 6.8
Doctor put me on 500 mg Metformin HCL, but it hasn't made a difference with bg and I don't tolerate it well -- bad diarrhea. I take a diruetic in the morning that has me peeing all the time, and then the meformin has me running for other issues. I spend my whole day in the bathroom and I'm sick of it.
Any suggestions? Would prefer an oral med, although I've been on Byetta before and didn't mind it, but am on a tight budget and want to stick to generics if I can.
I stopped all meds after surgery, and now bg ranges 140-170 and A1C went up to 6.8
Doctor put me on 500 mg Metformin HCL, but it hasn't made a difference with bg and I don't tolerate it well -- bad diarrhea. I take a diruetic in the morning that has me peeing all the time, and then the meformin has me running for other issues. I spend my whole day in the bathroom and I'm sick of it.
Any suggestions? Would prefer an oral med, although I've been on Byetta before and didn't mind it, but am on a tight budget and want to stick to generics if I can.
Topic: RE: A1C Levels QUESTION PLEASE HELP
Under the new recommendations, which are revised every year to reflect the most current available scientific research, an A1C of 5.7 – 6.4 percent would indicate that blood glucose levels were in the prediabetic range, meaning higher than normal but not yet high enough for a diagnosis of diabetes. That diagnosis would occur once levels rose to an A1C of 6.5 percent or higher.
I seriously wouldn't be too worried about it right now, just keep an eye on it and see what happens at your next lab appt. An A1C of 6 is really not that bad. Mine is currently 9.9, but I'm pre-op and currrenlty working very hard to get it down. :(
Peace & Blessings... Kelly 
HW 292 / CW 191 / GW 130
Topic: RE: a1c 12.5 scard
My PCP was just telling me about intestinal sleeves. While they are still in the early research stages, the results have been very good: resolution of DM2, weight loss not quite on par with bypass, but better than the band. Oh, and it's non-surgical, done endoscopically. Not sure where you are located, but were I you I would not only speak with an endocrinologist, but seek out a bariatric program at a teaching/research hospital. They would probably be best to inform you of procedures or trials that could be helpful considering the inability to control your diabetes with meds and other comorbidities.
http://articles.latimes.com/2011/apr/05/news/la-heb-diabetes-bariatric-sleeve-20110401
"...In the meantime, Kaplan suggested a one-year respite from diabetes could be valuable for obese diabetic patients who need to improve their metabolic function before they can undergo needed surgery or radiation therapy."
also see
http://www.weightlosstriumph.com/endoluminal-sleeve-non-inva sive-alternative-to-gastric-bypass-to-treat-obesity-and-diab etes.html
http://articles.latimes.com/2011/apr/05/news/la-heb-diabetes-bariatric-sleeve-20110401
"...In the meantime, Kaplan suggested a one-year respite from diabetes could be valuable for obese diabetic patients who need to improve their metabolic function before they can undergo needed surgery or radiation therapy."
also see
http://www.weightlosstriumph.com/endoluminal-sleeve-non-inva sive-alternative-to-gastric-bypass-to-treat-obesity-and-diab etes.html
Topic: RE: a1c 12.5 scard
Hey Jen:
I didn't mean to cause you to question your type. It's just that there is so little out there about the type 1.5's (LADAs), especially regarding the connection with WLS. When I found out that for certain that I had type 1.5, it stopped me for a few months and made me realign my expectations for the surgery.
I did the surgery for one reason - to improve my health and diabetes control. The weight loss is an added benefit that it more visible to me and to others. But the numbers that matter most to me are the ones on my glucose monitor!
Good luck - sounds like your surgery is coming up soon. You will feel SO relieved when you are on the other side of it.
Best to you!
I didn't mean to cause you to question your type. It's just that there is so little out there about the type 1.5's (LADAs), especially regarding the connection with WLS. When I found out that for certain that I had type 1.5, it stopped me for a few months and made me realign my expectations for the surgery.
I did the surgery for one reason - to improve my health and diabetes control. The weight loss is an added benefit that it more visible to me and to others. But the numbers that matter most to me are the ones on my glucose monitor!
Good luck - sounds like your surgery is coming up soon. You will feel SO relieved when you are on the other side of it.
Best to you!
Topic: RE: a1c 12.5 scard
I've always believed I was Type 2 along with insulin resistance. I was also diagnosed in my early 30's, though, and I do have diabetes on both sides of my family.
I haven't heard of latent autoimmune diabetes before. I'm going to go do some research on it now so I can see what tests I need to have done!
Thanks for the information!!
Jen
I haven't heard of latent autoimmune diabetes before. I'm going to go do some research on it now so I can see what tests I need to have done!
Thanks for the information!!
Jen
HW: 330 SW 314 CW 262 GW 130
(deactivated member)
on 11/30/11 5:58 am - Woodbridge, VA
on 11/30/11 5:58 am - Woodbridge, VA
Topic: RE: a1c 12.5 scard
For most type 2s, "smart carb" diets are not enough. I was actually on South Beach when I was diagnosed with my type 2 - my fasting was in the 200s and A1C was 9.5. Those "smart carbs" were just as bad for me as a candy bar! The body will convert whole wheat bread to glucose just as it will a cup of apple juice or a handful of jellybeans.
I'm assuming you're a type 2 since no WLS will "cure" type 1...
And just as a point of information, the DS has the best long-term resolution rate for type 2 diabetes (approximately 98%), followed by the RNY (about 85-90% short-term, but about 10-20% of those resolved see their diabetes return at 3+ year after surgery). The VSG long-term stats are still up in the air since there aren't any long-term VSG stats available.
I'm assuming you're a type 2 since no WLS will "cure" type 1...
And just as a point of information, the DS has the best long-term resolution rate for type 2 diabetes (approximately 98%), followed by the RNY (about 85-90% short-term, but about 10-20% of those resolved see their diabetes return at 3+ year after surgery). The VSG long-term stats are still up in the air since there aren't any long-term VSG stats available.
Topic: RE: a1c 12.5 scard
Jen: Do you know what diabetes type you have? About 10% of those diagnosed with Type 2 are NOT Type 2 - they are what the literature and docs call Type 1.5 (or LADAs - latent autoimmune diabetes in adults). The age of onset is usually around 30 and there are blood tests you can have to determine whether this is you or not.
The reason I mention this is that WLS surgery can greatly improve your overall control, but you will still function like a Type 1 diabetic and likely need insulin, albeit in smaller doses with better results.
I was diagnosed at 29 and have had diabetes for 25 years now. I just had RNY in September and found out just about a year ago that I had LADA, not type 2. I have gone off a lot of my oral meds and reduced my insulin. But, I still need it. My endocrinologists always thought that I didn't quite "fit" the Type 2 diagnosis, and frankly, I never really did. I initially hoped that WLS would take this all away, but once I learned that I truly was a Type 1.5, I had to readjust my expectations for outcomes. I'm glad I knew it before the surgery.
Totally agree with your statements that WLS is the only way to go for any type of metabolic intervention that can impact diabetes. I never even considered Band surgery - it does nothing to change the way the body metabolizes food/calories.
Best of luck to you!
The reason I mention this is that WLS surgery can greatly improve your overall control, but you will still function like a Type 1 diabetic and likely need insulin, albeit in smaller doses with better results.
I was diagnosed at 29 and have had diabetes for 25 years now. I just had RNY in September and found out just about a year ago that I had LADA, not type 2. I have gone off a lot of my oral meds and reduced my insulin. But, I still need it. My endocrinologists always thought that I didn't quite "fit" the Type 2 diagnosis, and frankly, I never really did. I initially hoped that WLS would take this all away, but once I learned that I truly was a Type 1.5, I had to readjust my expectations for outcomes. I'm glad I knew it before the surgery.
Totally agree with your statements that WLS is the only way to go for any type of metabolic intervention that can impact diabetes. I never even considered Band surgery - it does nothing to change the way the body metabolizes food/calories.
Best of luck to you!
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