Meds change

[Pollyanna]

Hi Everyone. I am just a bit unsettled. I have been on Empagliflozin 10mg for several months, it was added to my twice daily metformin. The itching got worse and I had a check up with an Advanced Clinical Practitioner, between us we decided that I come off Empagliflozin, and the Diabetes nurse is ringing me on Monday to talk about what to do, I am anxious as today my usual readings of 7 - 7.2 are 9.3 as this morning was the first morning off it. I will test each day now and hopefully it won't go higher and be extra careful with what I eat.
I am surprised it was a sudden stop but I also wanted the symptoms to stop too.

I use the Dr Wolf products.... especially the daily wash. I haven't had an itchy attack since it was recommended to me by a friend of my sister 2 years ago.
People think it's funny but it's no joke. I would sit crying clenching and unclenching my legs. I started trimming my nails right down and wearing cotton gloves to bed as I would rake myself stupid in my sleep to the point of bleeding. All the GP ever gave me was anti fungals
My advice is try it and hopefully it will work as well with you as it does me.

 

[Myrtle_11]

I use the Dr Wolf products.... especially the daily wash. I haven't had an itchy attack since it was recommended to me by a friend of my sister 2 years ago.
People think it's funny but it's no joke. I would sit crying clenching and unclenching my legs. I started trimming my nails right down and wearing cotton gloves to bed as I would rake myself stupid in my sleep to the point of bleeding. All the GP ever gave me was anti fungals
My advice is try it and hopefully it will work as well with you as it does me.

Thank you.

 

[goodybags]

Hi @Myrtle_11 some of us react differently and are effected by different meds

Like yourself Empagliflozin wasn’t good for me I ended up with a bad I think they said UT infection that took a few courses of antibiotics to shift

They did send me the warnings that the NHS provide to diabetics that are on SGLT2 medication, but what suprised me was not only how quickly it came on and changed things for me, but how long it took the antibiotics to put my water works back to normal, a constant at the hospital has recently suggested I might benefit from the re-introduction of a small amount of Empagliflozin (something unrelated to my Diabetes control) I’m not so keen

If you do need a different medication there are all sorts your HCT could try you on

 

[Leadinglights]

Hi @Myrtle_11 some of us react differently and are effected by different meds

Like yourself Empagliflozin wasn’t good for me I ended up with a bad I think they said UT infection that took a few courses of antibiotics to shift

They did send me the warnings that the NHS provide to diabetics that are on SGLT2 medication, but what suprised me was not only how quickly it came on and changed things for me, but how long it took the antibiotics to put my water works back to normal, a constant at the hospital has recently suggested I might benefit from the re-introduction of a small amount of Empagliflozin (something unrelated to my Diabetes control) I’m not so keen

If you do need a different medication there are all sorts your HCT could try you on

One of the problem with UTIs can be the first line antibiotic is neither the correct one nor given for a long enough course so the infection although less severe is not eliminated so rears it head pronto especially if blood glucose levels remain high and medications will be encouraging the kidneys to be excreting the excess.
It is always important the GP sends a sample to the lab so antibiotic sensitivity testing can be done and the correct antibiotic prescribed.

 

[Drummer]

@Myrtle_11 I suspect that the problem really is the carbs - you do have to count all of them - with porridge, bread and fruit such as grapes and bananas the numbers add up very quickly, and although the number 130gm is often quoted as a daily intake of carbs, my own intake to get to normal number is more like 30gm.

 

[goodybags]

One of the problem with UTIs can be the first line antibiotic is neither the correct one nor given for a long enough course so the infection although less severe is not eliminated so rears it head pronto especially if blood glucose levels remain high and medications will be encouraging the kidneys to be excreting the excess.
It is always important the GP sends a sample to the lab so antibiotic sensitivity testing can be done and the correct antibiotic prescribed.

was quite strange for me as at the time, I was already using CGM as well as FP testing, my sugars weren’t actually that high, Empagliflozin was introduced as another medication I had been on was no-longer available, at that time having quite a few night time hypos and needed insulin reduction, sometimes it’s like juggling at the same time as spinning plates

 

[Myrtle_11]

I had managed it not too badly for a while but then it worsened, maybe a blood sugar thing, i'd had enough, this cream is doing well so far, but i'm still coming off it and will see what the nurse says on monday, and my blood test results after tuesday. Re the carbs, I am so grateful for the replies here, I will definately be making changes immediately, much less carbs....my meal tonight was chicken breast fillets and salad, not many carbs at all.

 

[Myrtle_11]

I got 6.4 first thing this morning, i am happy with this, i am going lower carb with my eating, i really think for my body too many carbs were an issue, i did a general add up and was having 120g daily...yesterday was lower.
Thank you everyone, i will get the carbs balanced out.

 

[Myrtle_11]

I spoke with the nurse today and have stopped the empagliflozin and am happy with the replacement. Also happier that I have ditched porridge lol and enjoy the yoghurt instead, better numbers for sure. Thank you all for your replies.