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Medication
- Thread starter Knowlesy
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Kaylz
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I wouldn't class the Liraglutide as in insulin, insulin is the first 2 that you inject as you aren't making any/enough, liraglutide is a glucagon-like peptide-1 receptor agoinst, so it increases insulin release from the pancreas but it isn't actually an insulin in itself xx
trophywench
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Well - does it matter how many different drugs other than 'Does it work for you?'
Obviously other things have been added to the list as you've needed more help - but are the drugs you were on before the last one was added actually still doing anything for you? And what are you doing to help yourself eg eating less carbohydrate and taking more exercise?
Obviously other things have been added to the list as you've needed more help - but are the drugs you were on before the last one was added actually still doing anything for you? And what are you doing to help yourself eg eating less carbohydrate and taking more exercise?
rebrascora
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Hi and welcome.
How long have you been diagnosed and how did you come to be diagnosed... ie were you symptomatic or was it diagnosed via a blood screening for something else?
As @trophywench asks, have you altered your diet to lower your carbohydrate intake (sweet stuff and sugar and fruit/fruit juice but also bread, pasta, rice potatoes and breakfast cereal). Doing so will reduce your need for so much medication.
Increasing your level of activity/exercise should also help, even if it is just a brisk 10-15 min walk each day, if you are able.
How long have you been diagnosed and how did you come to be diagnosed... ie were you symptomatic or was it diagnosed via a blood screening for something else?
As @trophywench asks, have you altered your diet to lower your carbohydrate intake (sweet stuff and sugar and fruit/fruit juice but also bread, pasta, rice potatoes and breakfast cereal). Doing so will reduce your need for so much medication.
Increasing your level of activity/exercise should also help, even if it is just a brisk 10-15 min walk each day, if you are able.
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As others have said - the bigger question is How are your results on those meds, and more importantly... how do you feel?
if it’s a burden taking that mix of meds it could well be worth asking your hospital/GP if they are all still necessary.
and also to make sure that your diet is supporting your BGs alongside the meds - which may not mean the ‘standard’ healthy eating advice - you may need to experiment to ensure that you are eating levels and types of carbohydrate that specifically work for you as an individual alongside the meds you are taking.
if it’s a burden taking that mix of meds it could well be worth asking your hospital/GP if they are all still necessary.
and also to make sure that your diet is supporting your BGs alongside the meds - which may not mean the ‘standard’ healthy eating advice - you may need to experiment to ensure that you are eating levels and types of carbohydrate that specifically work for you as an individual alongside the meds you are taking.
Hi. The fact that you are using Liraglutide implies you may be a bit overweight? If that is the case it is important to keep the carbs down so you can control weight and hence gradually reduce the need for at least some of the injectables. Taking insulin when you may have insulin resistance thru excess weight can be a circular exercise. Apologies if I'm wrong about the weight and do discuss med changes with the GP but do give priority to keeping the carbs down adjusting the dosage if needed to match BS needs.
Would you advocate for totally cutting out carbs in a situation like this, Dave?
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rebrascora
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It is nigh on impossible to cut carbs totally and if someone is on a carb heavy diet to start with then it is unreasonable, in my opinion, to expect them to go very low carb straight away, but maybe reduce it to 150g carbs a day for a few weeks and then reduce it further if necessary after that. It would really depend on the current diet of the person concerned and the meds they are taking. Obviously if they are on insulin, as in this case, then they would need to be careful and possibly scale back the insulin with the carbs.
trophywench
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I'm obviously not Dave - but that's virtually impossible to do, bearing in mind there are carbs in even lettuce and cucumber! (though a negligible amount unless you eat about half a ton of either, equally impossible)
I'd say cut down on the worst offenders, ie the starchy carbs - most of em are white - sugar, wheat, so flour and anything at all with flour in it, other cereals, rice, spuds. The fact that eg bread is wholegrain and brown makes no difference to most people because your body is colour blind - it just goes Oh goody - carbs! and converts em all to glucose willy nilly. Slow release carbs are a misnomer really - they are simply carbs that wreck your blood glucose for a lot longer than fast release ones!
No idea how carb rich your diet is - but aim for a 10% reduction and once your body has got used to that - another 10% etc until you get to a better place that isn't so onerous.
I'd say cut down on the worst offenders, ie the starchy carbs - most of em are white - sugar, wheat, so flour and anything at all with flour in it, other cereals, rice, spuds. The fact that eg bread is wholegrain and brown makes no difference to most people because your body is colour blind - it just goes Oh goody - carbs! and converts em all to glucose willy nilly. Slow release carbs are a misnomer really - they are simply carbs that wreck your blood glucose for a lot longer than fast release ones!
No idea how carb rich your diet is - but aim for a 10% reduction and once your body has got used to that - another 10% etc until you get to a better place that isn't so onerous.
Hi Berkley,
You may get more appropriate responses by starting your own new thread. Unless you are on exactly the same drugs & doses and with the same Glucose levels and the same side-effects (if any).
However, it would be very dangerous to cut carbs drastically when on Insulin. It needs to be done in a slow and measured way, with the GP reducing the Insulin dosage so it stays appropriate to the carbs in the diet.
Perhaps this will help understanding of how pervasive carbs are. This is a NICE approved set of 'infographics' showing the equivalent amount of teaspoons of sugar in common foods (when eaten). https://phcuk.org/sugar/
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