Medication issued

[Clsea1]

Hi was diagnosed with type 2 last year, started on metformin after couple of months had to come off due to severe diarrhoea. Dr changed me to Dapaglifloxin been taking for two months now have thrush, thirsty all the time and have to get upon the night for loo (all of which never had before starting medication)
Any one else had this and will it settle down or should I ring GP again?
Thanks
Carol

 

[Nayshiftin]

Always good to let Gp know, they do administer and each individual reacts differently, they will not know unless you tell them. I have not been on that one but i should practice what I preach `as`

 

[helli]

@Clsea1 are you able to measure your blood sugars?
Thrush, thirsty and getting up for the loo are all symptoms of high blood sugars.
I agree with Nayshiftin that you should talk to a doctor. High blood sugars are not good.

 

[Clsea1]

No I do not measure them, no one has ever suggested I do this. Will look into it thanks x

 

[Nayshiftin]

My bloods are always really worse at night . Those are the signs . I most definitely thing you need to see Gp or nurse and at least get professional advice. Blame us if you feel you don’t want to say we said best check. They cannot know and it could be the difference of you feeling better.

 

[Clsea1]

My bloods are always really worse at night . Those are the signs . I most definitely thing you need to see Gp or nurse and at least get professional advice. Blame us if you feel you don’t want to say we said best check. They cannot know and it could be the difference of you feeling better.

Thanks will call GP tomorrow

 

[EllsBells]

Hi @Clsea1 - just as a matter of interest, have you been losing weight unintentionally?

Also, what dietary advice were you given at the point of diagnosis?

I ask because if you're type 2, and you haven't adjusted your diet and just taken medication, this may be what is doing the damage. The other possibility is that (if you are also losing weight without trying to) you may not be Type 2 at all.

Do call GP as soon as and request an HbA1c blood test.

 

[Clsea1]

No I haven't been losing weight but watching what I eat. Waiting for an Xpert course. Blood test due in May

 

[rebrascora]

The Dapagliflozin can increase the risk of thrush and urinary infections as it encourages the removal of excess glucose into the urine. If you have high glucose levels then the kidneys will have to work harder to remove it and that will make you wee more and be thirsty and the urine will have high levels of glucose which is an ideal breeding ground for a yeast infection.... thrush.

You say you are watching what you eat but perhaps you don't know what to watch for? Most people assume that diabetes is all about sugar but it is actually all carbohydrates.... both sugars and starches.... and they are in a huge range of foods, some of which are considered quite "healthy" like fruit and porridge and wholemeal bread and pasta and brown rice and potatoes. So if you are still eating normal portions of these starchy foods and fruit then you are putting more glucose into your system as your kidneys are trying to remove it. Unfortunately NHS dietary advice for diabetics often encourages eating these "healthier" carbs, but they break down in our digestive system into glucose just like while bread and pasta and white rice and if your body is not able to cope with that amount of carbohydrate due to diabetes then it will build up in your blood stream and cause problems. The medication you are on uses the kidneys to filter out as much of that glucose as they can but that puts the kidney's under pressure and by far the best course of action is to reduce the amount of glucose going into the blood stream in the first place, but reducing your carb intake.
If you give us an idea of what you currently eat and drink for breakfast, lunch and evening meal and any snacks, then we might be able to suggest lower carb alternatives.

We also advocate that people get themselves a Blood Glucose meter and start testing at home so that they can see the effect different foods have on their Blood Glucose levels and use that information to tailor their diet to avoid the foods which cause their BG levels to rise too high.

If you want more info on home testing and recommendations for reliable and affordable meter kits please ask. It is unlikely that your GP will prescribe you one, but no harm in asking.

 

[Clsea1]

Thank you for your advice. Going to call GP tomorrow and look into low carb or keto diet.