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Hi Inka I'm on 2x500mg Metformin daily. I were also on Victoza until it ran out in February. They did try me on Alogliptin but had a reaction and took me off it. Last month March I were told they would try me on insulin Humulin 1 but still awaiting prescription. Iv been told by my diabetes nurse I hope to be put on Mounjaro soon. I'm seeing her Monday next so we will see.
 
Wonnie said:
Hi Inka I'm on 2x500mg Metformin daily. I were also on Victoza until it ran out in February. They did try me on Alogliptin but had a reaction and took me off it. Last month March I were told they would try me on insulin Humulin 1 but still awaiting prescription. Iv been told by my diabetes nurse I hope to be put on Mounjaro soon. I'm seeing her Monday next so we will see.
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Are you also following a particular dietary regime to help manage your glucose levels as if you are using a low carb approach you may need to be more careful once you start insulin. I hope you will be given plenty of advise about how many carbs you should have for whatever insulin type and dose you are prescribed.
 
Leadinglights said:
Are you also following a particular dietary regime to help manage your glucose levels as if you are using a low carb approach you may need to be more careful once you start insulin. I hope you will be given plenty of advise about how many carbs you should have for whatever insulin type and dose you are prescribed.
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I'm trying to watch the carbs but if I'm honest finding it difficult to get satisfactory numbers like I were when my Victoza ceased to be available. As you say I would have to be careful if I start on insulin. I'm hoping mounjaro is going to be prescribed as they the NHS have said it will be. Will wait and see
 
Wonnie said:
I'm trying to watch the carbs but if I'm honest finding it difficult to get satisfactory numbers like I were when my Victoza ceased to be available. As you say I would have to be careful if I start on insulin. I'm hoping mounjaro is going to be prescribed as they the NHS have said it will be. Will wait and see
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In the meantime have a look at this link to see if you can trim a few more carbs off your meals as that will help with your blood glucose levels.
lowcarbfreshwell.com

Freshwell Low Carb Project - Home

lowcarbfreshwell.com lowcarbfreshwell.com
Are you testing 2 hours after meals so you could see what foods are too carb heavy, you would be aiming at no more than a 2-3mmol/l increase from before you eat or no more than 8-8.5 after 2 hours.
Diet can be more powerful than meds for some.
 
Wonnie said:
Hi Inka I'm on 2x500mg Metformin daily. I were also on Victoza until it ran out in February. They did try me on Alogliptin but had a reaction and took me off it. Last month March I were told they would try me on insulin Humulin 1 but still awaiting prescription. Iv been told by my diabetes nurse I hope to be put on Mounjaro soon. I'm seeing her Monday next so we will see.
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I don’t know anything about Mounjaro but the insulin will help if your blood sugar is high.
 
Leadinglights said:
Diet can be more powerful than meds for some.
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Quite right.

@Wonnie, which carbs figure in your diet in a typical week? Are you vegetarian or vegan? Are you getting enough protein (meat, fish, eggs, dairy, lentils, beans, etc )?

Maybe a few simple adjustments will help.

Here is one GP's diet sheet for his T2D patients. Many of them go into remission. How does your diet compare?
 
Welcome to the forum @Wonnie

Sorry to hear the meds that were working for you aren’t available any more :(

Mounjaro is in the class of medications that has been plagued by supply problems for a while. It is supposed to be available, but I suspect the ongoing shortages of other GLP receptor agonists is likely to have an overspill effect unfortunately.

It does seem to be taking an interminable time for them to get these medications reliably available again :(

You can read updates about the shortages here:

www.diabetes.org.uk

Our response to serious supply issues of drugs for people with type 2 diabetes

The global shortage in supply is partly due to a surge in off-label prescriptions of the drug semaglutide being issued for weight loss, which is exceeding supply. Previously (since the summer of 2023) all stocks of GLP-1 RAs had to be reserved for those already using these medications, meaning...
www.diabetes.org.uk www.diabetes.org.uk

And also here

FAQs – GLP-1 RA shortages

UPDATE, 20 MARCH 2024: NHS England has announced that Mounjaro can be prescribed to people living with type 2 diabetes if they are unable to access their GLP-1 RA medication and to people being newly initiated on a GLP-1. We are pleased to see the opening up of Mounjaro as a treatment for...
www.diabetes.org.uk www.diabetes.org.uk
 
Well it's two months now that Victoza became unavailable to me and Iv been managing on two 500mg Metformin daily which I have always always been prescribed. This has had a detrimental affect on my blood glucose but I'm pleased to say Iv got an appointment on Monday 22 with diabetes nurse for Mounjaro. Because I have reduced kidney function some alternative prescriptions are not suitable ie more Metformin.
 
Wonnie said:
Well it's two months now that Victoza became unavailable to me and Iv been managing on two 500mg Metformin daily which I have always always been prescribed. This has had a detrimental affect on my blood glucose but I'm pleased to say Iv got an appointment on Monday 22 with diabetes nurse for Mounjaro. Because I have reduced kidney function some alternative prescriptions are not suitable ie more Metformin.
Click to expand...
Did you find anything useful in the Freshwell link that could help you rather than relying on increased medication.
 
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