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Pre-insulin medication, type 2
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<blockquote data-quote="Unbeliever" data-source="post: 189870" data-attributes="member: 30851"><p>I had just agreed with my DSN that as my HBA1C was at least stable at 8 we would leave matters as they were as they were unless they went higher . This was nostly because i was very much against going onto insulin although it was practice policy to ge everyone onto insulin sooner rather than later when Idue to an accident I was unable to exercise for months and knew that my next HBA1 C would be sky high.</p><p></p><p>As bringing my blood sugars down or changing my medication has a drastic effect on my macular oedema I was reluctant to change anything. The only option I was offered would have been one of the glitazones and its cousin Rosiglitazone is credited with causing the macular oedema.</p><p>I had never even heard of januvia.</p><p></p><p>i ook a visit to the hospital 's diabetic clinic organised by my opthamology specialist to have me prescribed januvia as a last resort before insulin.</p><p></p><p>It worked immediately but did cause hypos so i have been able to reduce my maximum dose of amaryl and may be able to stop taking it alogether. The consultant offered o let me stop it immediately but experience has taught me to be wary f sudden changes o my medicatoion.</p><p></p><p>I am currenly rying to balance either one or 3 2mg doses daily with exercise. because i still have hypos from time o timee. I think this makes the gP very uncomfortable but to me it is similar </p><p>to how insulin users have to treat their diabetes.</p><p></p><p>I am a little bit worried abou he next hbA!c as I have experienced hypos on several occasions but my levels are now almost always between 4 and 5 with no spikes.</p><p></p><p>I find Januvia does make me droewsy so I take it in the evenings . occasionally I suffer slight headaches but only for short periods. I was afraid it might nake my hay fever worse as it can cause upper respiraory problems but it has been fine</p><p></p><p>anuvia and low carbibg with the abikity to exercise again have all the HCP's telling me that I am </p><p>a long way from insulin now. I hope that this iis the case for the foreseeable future.</p><p></p><p>The downside has been that reducing my bg levels has caused increased retinal bleeding. well you can't win them all! I am looking forward to my avastin injecions theis week{not} At least i know what to expect.</p><p></p><p>All this does make me wonder about he HBA1C/ Ok its he best hey've got but if they want to make it the "be all and ebd all " for t2s then they should be more prepared o accept variations </p><p>due to life events and not just react like robots to numbers.</p><p></p><p>Two years on they are sill holding up as a shining example he 2 very low HBA1c#s which resulted from the rosiglitazone kicking in siddenly {and doing its bes o blind me} Not something I am inclined o applaud I say to because I actually had 2 hnaics within a week of each other because of an admin error . In spite of the fact that I have explained it numerous times hey will persist in alluding o this period as some "golden age" You can' believe how irritating I find it.</p><p></p><p>Forunately I have my excellent ophalmic consultant to thank for the fact he dreaded rosiglitazone dod not have it all her own way..</p><p></p><p>I think I am prepared o risk taking Januvia although the long term effects are not yet fullu known/</p><p>Although it is expensive if it replaces other drugs and is actually effective it must be worthwhile.</p></blockquote><p></p>
[QUOTE="Unbeliever, post: 189870, member: 30851"] I had just agreed with my DSN that as my HBA1C was at least stable at 8 we would leave matters as they were as they were unless they went higher . This was nostly because i was very much against going onto insulin although it was practice policy to ge everyone onto insulin sooner rather than later when Idue to an accident I was unable to exercise for months and knew that my next HBA1 C would be sky high. As bringing my blood sugars down or changing my medication has a drastic effect on my macular oedema I was reluctant to change anything. The only option I was offered would have been one of the glitazones and its cousin Rosiglitazone is credited with causing the macular oedema. I had never even heard of januvia. i ook a visit to the hospital 's diabetic clinic organised by my opthamology specialist to have me prescribed januvia as a last resort before insulin. It worked immediately but did cause hypos so i have been able to reduce my maximum dose of amaryl and may be able to stop taking it alogether. The consultant offered o let me stop it immediately but experience has taught me to be wary f sudden changes o my medicatoion. I am currenly rying to balance either one or 3 2mg doses daily with exercise. because i still have hypos from time o timee. I think this makes the gP very uncomfortable but to me it is similar to how insulin users have to treat their diabetes. I am a little bit worried abou he next hbA!c as I have experienced hypos on several occasions but my levels are now almost always between 4 and 5 with no spikes. I find Januvia does make me droewsy so I take it in the evenings . occasionally I suffer slight headaches but only for short periods. I was afraid it might nake my hay fever worse as it can cause upper respiraory problems but it has been fine anuvia and low carbibg with the abikity to exercise again have all the HCP's telling me that I am a long way from insulin now. I hope that this iis the case for the foreseeable future. The downside has been that reducing my bg levels has caused increased retinal bleeding. well you can't win them all! I am looking forward to my avastin injecions theis week{not} At least i know what to expect. All this does make me wonder about he HBA1C/ Ok its he best hey've got but if they want to make it the "be all and ebd all " for t2s then they should be more prepared o accept variations due to life events and not just react like robots to numbers. Two years on they are sill holding up as a shining example he 2 very low HBA1c#s which resulted from the rosiglitazone kicking in siddenly {and doing its bes o blind me} Not something I am inclined o applaud I say to because I actually had 2 hnaics within a week of each other because of an admin error . In spite of the fact that I have explained it numerous times hey will persist in alluding o this period as some "golden age" You can' believe how irritating I find it. Forunately I have my excellent ophalmic consultant to thank for the fact he dreaded rosiglitazone dod not have it all her own way.. I think I am prepared o risk taking Januvia although the long term effects are not yet fullu known/ Although it is expensive if it replaces other drugs and is actually effective it must be worthwhile. [/QUOTE]
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