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Cazza64

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Hello Everyone

I've had diabetes Type 2 since 2005 which was kept under control by medication, I am now taking Metformin 850 mg 3 times a day, Glicazide twice a day and have been on Sitagliptin once a day for the past 12 months, unfortunately my last results were not good my mmol has risen to 78 as my diet isn't good, my doctors have put me on Rybelsus and taken my off the Sitagliptin, i've read the leaflet enclosed with the meds about side effects etc and they have left me frightened to take them, has anyone else taken all these meds together, i'm also on another tablet for high blood pressure, my diet has greatly improved over the last month
 
Cazza64 said:
Hello Everyone

I've had diabetes Type 2 since 2005 which was kept under control by medication, I am now taking Metformin 850 mg 3 times a day, Glicazide twice a day and have been on Sitagliptin once a day for the past 12 months, unfortunately my last results were not good my mmol has risen to 78 as my diet isn't good, my doctors have put me on Rybelsus and taken my off the Sitagliptin, i've read the leaflet enclosed with the meds about side effects etc and they have left me frightened to take them, has anyone else taken all these meds together, i'm also on another tablet for high blood pressure, my diet has greatly improved over the last month
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Welcome to the forum
I don't know about the medication but I'm sure there are people who do take those combinations but one thing would be to look more carefully at your diet as medication can only do so much and it is no good taking more and more medication but still eating foods which will increase your blood glucose. Some of the meds do need people to eat some carbohydrates but usually around 130g carbs per day is OK
This link may give you some ideas for modifying your diet especially if you are concerned about the other medication.
lowcarbfreshwell.com

Freshwell Low Carb Project - Home

lowcarbfreshwell.com lowcarbfreshwell.com
 
Hi @Cazza64 and welcome to the forum.

I find the leaflets in medicines are a bit of a two edged sword. I have been taking all sorts of medications to try and control neuropathy and the list of possible side effects on most of them are long and very off putting. I did not get put off, I was grateful for the list because it meant that I was forewarned and could quickly identify if any adverse effects could be due to the medication and stop taking it. Just about everything I have tried I have had to stop because it was having no effect on the neuropathy before the side effects, conveniently listed on the leaflet, began to kick in.

So I would go with the suggested change in medication and see what happens. If you do get side effects, and generally those listed under "common side effects" are usually quite tolerable, then live with them if the medication is actually doing its job.

What do you think is not good about your diet? Maybe we can help with understanding how diet affects blood glucose and give you some ideas about things you might try.
 
Thank you for your reply Leadinglights, I will look at that, when I was first diagnosed I lost 6 stone and results have been ok but my diabetic nurse is concerned as my results have been high for the last 2 years, now the weather is improving i'm also planning on upping the exercising and getting myself into a good routine.
 
Hi Docb and than you for the reply.

My diet has been bad over the past 2 years, i've had my mother in hospital long term with daily visits whilst working full time and I haven't really planned my diet very well, i've been snacking on biscuits at work and eating sugary sweets and chocolate, also processed meals or stopping at the Chinese/chippy on way home from hospital for a quick tea, she is now settled into a home so am not visiting as frequently and I am trying to plan my meals and daily routines properly, my biggest fear is having a hypo whilst I'm driving, i've never had one so not quite sure why i'm so nervous, I'm starting the new medication in the morning, i have to have it as soon as I get up, half an hour before breakfast/food and before I take any other medication, I've read it is also an appetite supressent
 
@Cazza64 - sometimes life just gets in the way doing what is best.

Having a planned meals and daily routines is my way because it fits in well with my lifestyle. I have found it allowed me to focus much more easily. In particular I found that I could eliminate snacking - the biscuit or two when I had a brew, the slice of cake when out for a coffee, a bag of peanuts with a drink etc, etc - which made quite a difference in my carb intake.

As for hypo's, again my experience is that I have never been anywhere hypo territory despite taking meds designed to promote insulin production. It is theoretically possible but highly unlikely - bit like the rare side effects on your patient information leaflet. Do you have a blood glucose monitor? If you have, then you can bring blood glucose monitoring into your regime and use that to monitor progress and to keep your blood glucose within reasonable bounds.

Good luck with the new med. Lets hope you are one of the vast majority who get the benefit with no downsides.
 
@Docb - thank you, I do have a monitor but haven't used it in a while, i'll start again though, i'm feeling more inspired now as have had a good read round the forum and you certainly realise you are not alone.
 
Cazza64 said:
@Docb - thank you, I do have a monitor but haven't used it in a while, i'll start again though, i'm feeling more inspired now as have had a good read round the forum and you certainly realise you are not alone.
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If you haven't tested in a while then make sure your strips are in date. If only just then it may not make a huge difference while you get new ones.
 
Hi @Cazza64 and a warm welcome from me 🙂 . There are lots of friendly Type 2 members her with their own experiences of managing the condition so you're definitely not on your own!
 
I'd like to welcome you to the forum too, @Cazza64 !
As Docb has said - life gets in the way sometimes, and it's easy to slip into that 'survival mode' for a while, doing things on auto-pilot just to go through the day and take care of the most important parts, which at that point to you were your work and your mother. Now, that things have calmed down, I'm glad to hear that you're trying to do better for yourself and take care of you. Be kind to yourself, you need to find a routine that works for you, be that meal prepping over the weekend, being more conscious of what you're snacking on or whatever else that might be. Start bit by bit, small changes that you can build on. Speak to your doctors as well, they might give you some advice, and there might be a DN service in your area, so you could discuss your worries and what's available to you with them. And if you'll have any questions in the mea time - just ask away here :star:
 
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