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Saw my DSN

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Rosiecarmel

Rosiecarmel

Well-Known Member
Relationship to Diabetes
Type 1.5 LADA
My appointment today was with the DSN at my surgery. She comes once a month as she goes to the other surgeries too. She was brill. She's lowered my metformin to 2 a day because I don't tolerate it well. Split my gliclazide to 80mg morning and 80mg tea as apparently it shouldn't be taken in one go. She also added 200mg canagliflozin once a day. I've never heard of this one but apparently it's good?

She looked through my meter and stated my numbers are "what she'd expect" but she going to work with me to lower them.

She's making me an appointment with the specialist diabetic dietitian near me and she also wants to see me again in a month.

She was really good and really helpful. I'm feeling more positive for the future of my blood sugars!

I also received a letter asking me to book my diabetic eye screening so I've done that too! Waiting for an appointment to be sent out
 
Sounding very positive Rosie, I hope the dietician turns out to be a helpful one, and not one of those that tells you to fill up on carbs! 😱 Canagliflozin is used by a couple of our members, to my knowledge, and seems to work well. It forces more of the glucose to be peed out - however, you do need to have kidney function assessed regularly and watch out for any side-effects (as you already know! 😉)
 
Hi Rosie. I have experience with Canagliflozin. It's a great tablet in my opinion. You will likely be going the loo a bit more frequently for a wee but you'll be passing out any excess sugar, preventing it from sitting in your bloodstream. I've seen great results in weight loss and glycaemic control. Also, another positive, it is known as an SGLT2. Other SGLT2 tablets are single doses. Canagliflozin comes in different doses so can be adjusted if needed, and not just stopped like with other ones if that makes sense? Good luck!
 
Sounds really positive Rosie, im so pleased for you. Well done you! I'm glad you have such a good DSN!
 
Thanks! I also hope they don't tell me to eat more carbs! The DSN was very helpful re carb counting!

DiabetesNerd how often did you go to the loo on it? I got warned about thrush and things as apparently It may have to stop or dose be reduced if I get frequent UTIs on it
 
Hi Rosie, I haven't used it myself. Just seen a fair amount of people on it and the results from it.

UTI/Thrush are the common side effects just because you are passing out glucose which can potentially be irritable. However a lot of the time, if this arises, if you get treatment for the UTI/Thrush, it more often than not wont flare up again, however I'm sure you know how individualised diabetes is!
 
All sounds positive for you Rosie. Fingers crossed those numbers will be on the way down soon.
 
Sound really positive Rosie :D
 
Hi Rosie. That's great news. Always good to hear someone has a helpful appointment and the new dosage and medication will hopefully make a big difference 🙂
 
Yes Sue - in does tell you to be v careful if taking it with a secretagogue, doesn't it? - and you are Rosie, the Glic.
 
trophywench said:
Yes Sue - in does tell you to be v careful if taking it with a secretagogue, doesn't it? - and you are Rosie, the Glic.
Click to expand...

Is this due to the increased risk of hypos?
 
Rosiecarmel said:
Is this due to the increased risk of hypos?
Click to expand...
Some MEDICINES MAY INTERACT with canagliflozin. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Insulin or other oral diabetes medicine (eg, repaglinide, glipizide) because the risk of high or low blood sugar may be increased
  • Angiotensin-converting enzyme (ACE) inhibitors (eg, lisinopril), angiotensin receptor blockers (ARBs) (eg, losartan), or diuretics (eg, furosemide, hydrochlorothiazide, spironolactone) because the risk of low blood pressure or high potassium levels may be increased
  • Phenytoin, phenobarbital, rifampin, or ritonavir because they may decrease canagliflozin's effectiveness
  • Digoxin because the risk of its side effects may be increased by canagliflozin
This may not be a complete list of all interactions that may occur. Ask your health care provider if canagliflozin may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
 
I'd suggest having a word with your pharmacist Rosie, they are often better aware of drug interactions than GPs or nurses 🙂
 
Yup - Hypo risk with the Glic and the new one - so double whammy if the dose is too strong of either.

You know, it wasn't without some thought (even though some stuff we use today hadn't been invented way back when they did it) that the British Diabetic Association (now DUK) called their magazine "Balance" LOL

Just means you need to test more until your body gets used to it, and be prepared for any hypos at the drop of a hat - but you should already be doing that anyway since you've been on the Glic.

Welcome to 'our' world ! - a brief insulin-users guide LOL
 
As soon as my dr put me on the glic he said beware of hypo's!
 
Hi. You mention carb-counting but aren't on insulin? Do you mean just counting the carbs during the day and keeping some control of them? Yes, beware NHS Dieticians. Some may be good but there are too many still proffering the dated and dangerous 'have loads of carbs' mantra.
 
DaveB said:
Hi. You mention carb-counting but aren't on insulin? Do you mean just counting the carbs during the day and keeping some control of them? Yes, beware NHS Dieticians. Some may be good but there are too many still proffering the dated and dangerous 'have loads of carbs' mantra.
Click to expand...
Reducing the amount of carbs in your diet can have a marked effect on blood glucose levels purely because our bodies turn carbs into glucose with alarming speed. A number of our members (me included - so I'm hardly on the sidelines here) have tried it and noticed definite improvements as a result.
 
Well - when I was diagnosed - all diabetics were advised to do it by everyone in the NHS .

It always WAS good advice and still is!
 
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