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SGLT2i - a traveller takes the first steps on a long journey - forxiga/dapagliflozin
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<blockquote data-quote="LittleGreyCat" data-source="post: 2694868" data-attributes="member: 6467"><p>As mentioned elsewhere, I am now started on my next escalation of medication.</p><p></p><p>I am already on 4 * 500 mg Metformin a day.</p><p>Also on Vipidia/alogliptin 25 mg once a day.</p><p>I have not been able to get my HbA1c down below 7.5% and it seems to be around 7.8% to 7.9%.</p><p>This is partly due to poor self control, but also because I don't seem to be regulating my BG on a day to day basis being good (keto) or being bad (chips, chips, chips..)</p><p></p><p>The surgery know I have been doing low carb/keto for a long time and up until the last few years it has worked for me.</p><p>They were concerned about starting me on this new medication because LCHF/keto is considered a risk factor for diabetic ketoacidosis with no warning from high BG.</p><p>I agreed that I would up my carbohydrates. [<img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite37" alt=":happy:" title="Happy :happy:" loading="lazy" data-shortname=":happy:" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite44" alt=":joyful:" title="Joyful :joyful:" loading="lazy" data-shortname=":joyful:" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite8" alt=":D" title="Big Grin :D" loading="lazy" data-shortname=":D" /><img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite58" alt=":singing:" title="Singing :singing:" loading="lazy" data-shortname=":singing:" />].</p><p>You might guess that this wasn't a major hardship.</p><p></p><p>Anyway I am on my 3rd day of the pills.</p><p>forxiga 10 mg once a day.</p><p>They even have the days on the packaging.</p><p></p><p>Complicating factor - I have an infected sebaceous cyst on my back and am on Flucloxacillin 500 mg 4 times a day.</p><p>I don't often have to take antibiotics but when I do they knock me out.</p><p>This may be why my BG is worse than before I started the forxiga - antibiotics can upset BG control - but this isn't a good start to a new drug regime.</p><p></p><p>I will keep this thread updated as best I can, but I do hope that the full effect kicks in after a couple of weeks.</p><p>I had high hopes for this drug.</p></blockquote><p></p>
[QUOTE="LittleGreyCat, post: 2694868, member: 6467"] As mentioned elsewhere, I am now started on my next escalation of medication. I am already on 4 * 500 mg Metformin a day. Also on Vipidia/alogliptin 25 mg once a day. I have not been able to get my HbA1c down below 7.5% and it seems to be around 7.8% to 7.9%. This is partly due to poor self control, but also because I don't seem to be regulating my BG on a day to day basis being good (keto) or being bad (chips, chips, chips..) The surgery know I have been doing low carb/keto for a long time and up until the last few years it has worked for me. They were concerned about starting me on this new medication because LCHF/keto is considered a risk factor for diabetic ketoacidosis with no warning from high BG. I agreed that I would up my carbohydrates. [:happy::joyful::D:singing:]. You might guess that this wasn't a major hardship. Anyway I am on my 3rd day of the pills. forxiga 10 mg once a day. They even have the days on the packaging. Complicating factor - I have an infected sebaceous cyst on my back and am on Flucloxacillin 500 mg 4 times a day. I don't often have to take antibiotics but when I do they knock me out. This may be why my BG is worse than before I started the forxiga - antibiotics can upset BG control - but this isn't a good start to a new drug regime. I will keep this thread updated as best I can, but I do hope that the full effect kicks in after a couple of weeks. I had high hopes for this drug. [/QUOTE]
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