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Type 2 hypo issues

kazleesi

New Member
Relationship to Diabetes
Type 2
Hi. I've been a diagnosed Type 2 for 16 years. I developed it just after my 40th birthday. Type 1s run on my Dad's side of the family and type 2 on my Mum's although neither of them had it.
My diabetes journey has been eventful. Despite trying everything known to man it has got progressively worse to the point that I've got early signs of retinopathy.
My mmol was averaging 17. My consultant put me on mounjaro 6 weeks ago. After a few days my mmol was about 5. I was over the moon.
Last week at about 3pm I suddenly felt ill. I did a test and I was at 2.9. I had some of my DiLs full fat coke and felt better about 30mins later. My reading was then 3.8.
The next morning I did my usual reading and it was 3.1.
This has been the pattern ever since. How do I deal with this?
I'm looking for advice on how to stop this happening.
I'm making an appointment with my diabetes nurse later but....well who knows when I will see her.
 
Hi. Yes I'm on Gliclazide 160 twice daily and Metformin 1000mg twice daily.
I think that some people have found that when they have another medication added like the mounjaro then the dose of other medications may need adjusting so that is something to discuss urgently with your GP/ nurse.
You gliclazide may now be too much for the carbs you are eating especially if the mounjaro has depressed your appetite.
 
Then it might be that your other meds need adjusting @kazleesi See here:


When taken on its own, Mounjaro does not usually cause blood sugar levels to become too low. However, hypos are more likely to happen when you take it with other diabetes medications such as insulin or a sulphonylurea.
Your healthcare team may advise reducing the dose of your sulphonylurea or insulin medicine when you start taking Mounjaro to reduce the risk of hypos.
 
Hi and welcome.

Soirry to hear you have been having some nasty hypos. It sounds like the Mounjaro is doing it's job but unfortunately you are now over medicated with the Gliclazide, so it may be that the Glic dose needs reducing. This may be an ongoing issue where eventually you will be able to manage without Gliclazide altogether, but I imagine they will want to reduce it slowly.

If you are able to do an econsult with the diabetes nurse you might get a quicker response as it often takes several days to get in person appointments and this needs prompt action if you are having regular hypos like this.
 
Hi. Yes I'm on Gliclazide 160 twice daily and Metformin 1000mg twice daily.
Agree you need to ask a professional to reduce or stop the gliclazide
 
Totally agree with the previous comments, I’m on the 7.5mg Mounjaro dose and have had to drop both basal and bolus insulin, just confirms that other meds may need adjustment, consult your diabetes nurse
 
Hi @kazleesi, as others have already posted you will most likely need to (after speaking to your DSN / GP)
need to reduce the Glicazide

I’m thinking on its own Glicazide can sometimes be a hypo causing medication

obviously now your benefiting from the Mounjaro that is most likely why you had the low sugar event
 
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