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Blood sucking and review booked, :)

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P

pav

Well-Known Member
Relationship to Diabetes
Type 2
I have now booked another 3 monthly review and tests at the end of the month.

Think I can predict some of the results. HbA1c up, caught more of the potential hypos before they went hypo. Weight has gone up, confirmed last week on another hospital visit, gone up by around 7 kilos in a year after being on gliclazide, I did loose 12 lb at one stage.

Still a swinger, one day was 5.6 before breakfast, had 3 slices of wholemeal bread toasted and a snack of an apple a bit later, 2 1/2 hours later 14.3 :(

Another day 10.7 after the meal, 1 hour 25 mins later hypo of 3.9. :( :(

One thing to be discussed will be me asking for a change in meds, the xpert course runners suggested I definitely need my meds looking at. 🙂
 
Hope it goes well Pav. Have you considered asking to go onto insulin? It would give you a lot more fine tuned control because you could match your insulin to your needs/food intake, whereas tablets are more of a blunt instrument. Just a thought! 🙂
 
Asking about going on insulin will be the number one question. As you say can inject for the carbs taken, and not the tablets kicking the pancreas randomly into over or under producing insulin.
 
If you did get the ok for insulin makes me wonder if they would put you on mixed insulin like me Alan, if they did please say NO!!!! 🙄
 
jalapino said:
If you did get the ok for insulin makes me wonder if they would put you on mixed insulin like me Alan, if they did please say NO!!!! 🙄
Click to expand...

Absolutely! Mixes suck!
 
jalapino said:
If you did get the ok for insulin makes me wonder if they would put you on mixed insulin like me Alan, if they did please say NO!!!! 🙄
Click to expand...

Seen yours tales of it, and mixed does suck. Not sure which to ask for, rapid or what?

If I get it right I appear to be producing insulin although its random in the amounts I produce with the tablets.

Advise on what to ask for would be much appriciated.
 
Well it depends, Pav ! LOL

On whether for instance if you had your tea about 7 o'clock, went to bed that night and got up again in the morning with not much happening to your BG, or if you say got up, had no breakfast and your BG was OK at lunchtime, or missed lunch and was OK before tea, or missed tea and it was alright by bedtime - then you probably would need no added basal insulin.

With all the examples given above incidentally, the key is not what your BG actually is, just that it doesn't change, up or down, by very much in the interim between tests.

However, that's probably unlikely although I wouldn't say it can't happen.

On the assumption that yes it does change, then you might need both - in which case they will probably try Humulin I first. It's very much cheaper for starters, but to be absolutely fair to both sides of the argument - it can and DOES work well for some people. But not all - and you have no idea which category you fall into until you try, and neither have they !

So if they want to stick you on it and then not bother you again for eg 6 months - resist! It will need reviewing before that - say possibly 6 weeks for an interim review just to see generally (unless you have mega stega probs in which case you would want to phone and say so!) , and then a proper one with a new A1c after another 6 weeks.

Or whatever, if it doesn't sound reasonable, you'll have to say. Don't have to be confrontational - just say you are a bit surprised they would leave it 'that' long - you thought maybe it should be sooner? and see what reaction you get. You know it's a bit like being first diagnosed - they should review it, to see how you are coping.
 
I will give my new DN her dues, she is so far willing to look at various options and wants me to get the highs down and reduce the hypos. 🙂

When I asked about going on Victozia she went through the conditions that one needs to be put on it, which at the time I did not meet. Though now might meet as weight has gone up.

Just hope she is helpful when I ask about insulin.

Meals are a pain with me, breakfast is always the same and around the same time, lunch time can vary a bit, tea time is a hit and miss at what time I have it, due to family problems and other commitments / problems.

Meals are generally the same, with some minor variations, hypos and driving throws spanners in the works, as I don't to go lower than 5.0 while driving. Thankfully never been hypo when driving, always make sure and test before and often when driving, never wait the 2 hours, always test within an hour, rather play safe.

I have skipped the lunch time gliclazide a couple of times to see what happens, if I then take the old normal dose 80 mg instead of the 40 mg at tea time (still totaling my daily 120 mg), found it won't bring the night time levels down to reasonable numbers.
 
Hope it good news, as I have a docs appointment next week, might be worth asking then about switching to insulin.
 
pav said:
Hope it good news, as I have a docs appointment next week, might be worth asking then about switching to insulin.
Click to expand...

End of the day Alan the medication is clearly not helping you and is making things worse for you so you must insist that you WANT to change your medication so you can control it rather than it controlling you!.....I hope you have better luck than me and maybe try to stand your ground unlike me I no! 😱
 
Tomorrow is D day with the DN, will be asking for an alternative to gliclazide as just hate the stuff.

Any bets on if I get anywhere with the request.
 
Good luck tomorrow Pav, will be thinking of you. Hope it goes well and you get the help you need. 🙂
 
Good luck Pav, hope it pays off for you.
 
Yeah, good luck. 🙂 Let us know the outcome.
 
Did not go well, HbA1c 46, full blood count up for once to 127, weight up as I already knew, kidney function down. :( :( :(

Told to loose weight, cut portion sizes again, BP not checked, told to do more exersise, though not at the moment due to bad back.

Another prescription for the infection, which both of us forgot about at the end.

Still on the gliclazide, got to try and judge when and how much to take.

As if I am not already struggling with finding foods that I like without salt.
 
Bah! Sorry to hear you've moved no further forward pav :( Surely gliclizide isn't that flexible? 🙄
 
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