Libreview

[Safran]

Last September 2021, after many arguments with my gp and local diabetics nurse, decided to invest in libreview and dare I say, ignored diabetics nurse advice.

Using the libreview sensor, it became apparent I exhibited early morning symptoms of pandrials. Which meant no matter when I had hba1c tests they would always be high. I then had a lot of discus with medical centre staff to obtain pandrial medication. Unfortunately my request was met with derision. I then referred myself to the diabetic clinic at our local hospital.
Thankfully they were aware of the problems I was experiencing as type 2 diabetic , and prescribed replaglinide.
Since then and with many sensor testing, I have managed with a mix of replaginide and metformin tablets, morning noon an night, have just managed this week to get early morning spikes to below 9, and most of my levels to average of 7 and 96% of time being between 3 and 7. The use of a sensor has made a vast difference in keeping track of where I am at in the control of t2d.

 

[everydayupsanddowns]

Glad to hear that you have found Libre so helpful.

I confess I’m not quite sure what you are meaning by ‘pandrials’

I only know prandial (as in ‘related to meals‘) but those aren’t symptoms. Was it a mealtime medication you were after?

Your results sound great though. Whatever you are doing, keep going!

 

[Safran]

Glad to hear that you have found Libre so helpful.

I confess I’m not quite sure what you are meaning by ‘pandrials’

I only know prandial (as in ‘related to meals‘) but those aren’t symptoms. Was it a mealtime medication you were after?

Your results sound great though. Whatever you are doing, keep going!

Thank you for your response. Excuse my spelling for prandials. However prandials occur due to early morning syndrome before eating, and are attributed to food. My concern was with the early morning syndrome as there is nothing you can do about it, if you are susceptible to them. That is why regardless upon whether you do early morning fasting your pics will always be high, this only became apparent when using the sensor.
Therefore it was not medication relating to eating. However, it has become apparent, that taking replaginide as soon as I wake up it reduces the levels of spiking in the morning.
As a consequence I now take replacing before every meal, subsequently bringing down my levels across the board.

S

 

[Safran]

Note replacing should read replaganide.

 

[Bruce Stephens]

Note replacing should read replaganide.

Or repaglinide? https://bnf.nice.org.uk/drugs/repaglinide/

That web page suggests it's a drug intended to be taken before meals so what you're doing sounds like it's probably right.

 

[everydayupsanddowns]

However prandials occur due to early morning syndrome before eating, and are attributed to food.

I think you are referring to Dawn Phenomenon (the release of glucose from the liver in the early hours or immediately after rising from bed). This is part of the natural circadian rhythm, and affects some people more than others.

Prandial means ‘related to meals’. So a post-prandial rise is a rise after food. And a post-prandial walk is exercise taken after eating.

Hope that helps 🙂

 

[Yedak]

I think you are referring to Dawn Phenomenon (the release of glucose from the liver in the early hours or immediately after rising from bed). This is part of the natural circadian rhythm, and affects some people more than others.

Prandial means ‘related to meals’. So a post-prandial rise is a rise after food. And a post-prandial walk is exercise taken after eating.

Hope that helps 🙂

It is difficult to lump everything as a post prandial.
The dawn phenomen increase levels significantly until you have eaten. The quicker you eat the better the results.
The Replaglinide taken as soon as you wake up helps to reduce the overall affect prior to eating breakfast and after.

This may be how I cope with it, but through a constant change of reps and mets, have been able to keep (prandials) peaks to below 9mmols, have tested my theory in all sorts of ways with taking more or less, but will stick with my current
regime.
All this is only due to using s sensor, and test very frequently to monitor reactions.

Thank you for your replies.
S