Thank you for your help; sincerely appreciated.You might find this guidance from NICE on medication options helpful.
https://www.nice.org.uk/guidance/ng...apy-in-adults-with-type-2-diabetes-2185604173
Thanks for replying.To get back to the original point, one reason for the confusion about how to treat type 2 is that it is not a single illness, but a group of illnesses into which those not specifically categorised otherwise, are lumped together.
https://www.nice.org.uk/guidance/ng...abetes-in-adults-management-pdf-1837338615493 There is a later, 2017 version I think but I can't find it. I hope this helpsHi
NICE states that a liver function test should be made prior to being prescribed Pioglitazone.
If my pancreas is kaput then the next stage is normally insulin injections to lower my blood sugar. I will not take the drug prescribed; France and Germany have highly efficient health systems, I am assured, and their judgement is final for me. Plus, in the USA their are pending high profile court cases brought by people affected, apparently, by this drug causing bladder cancer and fluid around the heart (leading to heart failure).
Many thanks; appreciated.https://www.nice.org.uk/guidance/ng...abetes-in-adults-management-pdf-1837338615493 There is a later, 2017 version I think but I can't find it. I hope this helps
Good grief. @Rachox was merely repeating what you yourself said, and other posters are only trying to help.
I fear it will be going round and round in circles....
Post edited by a Mod
've just seen this about that drug you mentioned pioglitazone! https://www.diabetes.co.uk/diabetes-complications/bladder-cancer.htmlHi
I am finding now that things are getting very foggy in the NHS regarding the treatment, diet etc of people with type 2, which I myself suffer.
I have been type 2 for a decade, although a previous doctor failed to make a simple diagnoses after de facto evidence of classic type 2 symptoms; which led to urinary tract complications and having to undergo a full circumsition in my 50s. Nightmare!
Anyway, my cholesterol levels have always been historically low, consequently I refused to take statins on the basis that they made me ill and they were not needed to lower what is a low personal cholesterol count anyway. Now the doctor has just tried to get me to take Pioglitazone, but failed to mention the risks, even the fact Germany and France have banned this controversial drug.
Interesting, this was my doctor's response to my pancreas showing signs of packing up, and the possibility of myself having to take insulin! Confusing.
My doctor has told me that apparently the usual way of measuring blood sugar is out! Now he uses a different method which I knew nothing about - let alone actually understanding what it all means (no leaflet or web link to help was given).
When I had my last blood sugar test it proved to be high; although I was being treated for an infection and was post prandial, having eaten my breakfast three hours before the blood was taken; facts he refused to consider. Confusing!
I will not take Pioglitazone on the informed basis that the risk outways the confidence of success; apparently all patients must have a liver function test, especially if in the past you have suffered liver damage (with me it was a gallstone problem). I did not.
Some friends and relatives have told me to change doctors!
Plus, NHS staff all seem to have their own views! Confusing!
Finally, on my low carb diet I have lost 2 stone in weight and I exercise rigorously every morning.
But I remain confused.
Thanks for reading this!
Thank you for your help; type two is so very different from type one, and the controversy over this drug is just one issue of many type two sufferers have to wrangle with.'ve just seen this about that drug you mentioned pioglitazone! https://www.diabetes.co.uk/diabetes-complications/bladder-cancer.html
"In 2011 bladder cancer and diabetes have been in the news as a correlation between bladder cancer and people taking the diabetes drug Actos (pioglitazone) was found."
Hi
I am finding now that things are getting very foggy in the NHS regarding the treatment, diet etc of people with type 2, which I myself suffer.
I have been type 2 for a decade, although a previous doctor failed to make a simple diagnoses after de facto evidence of classic type 2 symptoms; which led to urinary tract complications and having to undergo a full circumsition in my 50s. Nightmare!
Anyway, my cholesterol levels have always been historically low, consequently I refused to take statins on the basis that they made me ill and they were not needed to lower what is a low personal cholesterol count anyway. Now the doctor has just tried to get me to take Pioglitazone, but failed to mention the risks, even the fact Germany and France have banned this controversial drug.
Interesting, this was my doctor's response to my pancreas showing signs of packing up, and the possibility of myself having to take insulin! Confusing.
My doctor has told me that apparently the usual way of measuring blood sugar is out! Now he uses a different method which I knew nothing about - let alone actually understanding what it all means (no leaflet or web link to help was given).
When I had my last blood sugar test it proved to be high; although I was being treated for an infection and was post prandial, having eaten my breakfast three hours before the blood was taken; facts he refused to consider. Confusing!
I will not take Pioglitazone on the informed basis that the risk outways the confidence of success; apparently all patients must have a liver function test, especially if in the past you have suffered liver damage (with me it was a gallstone problem). I did not.
Some friends and relatives have told me to change doctors!
Plus, NHS staff all seem to have their own views! Confusing!
Finally, on my low carb diet I have lost 2 stone in weight and I exercise rigorously every morning.
But I remain confused.
Thanks for reading this!
Your diabetic nurse should be able to give you one...O and try google search. Sorry not computer literate enuf to send a link.
If he were a lawyer it would be a heck of a lot easier to find a better and more effective one and he would be a whole lot easier to sue.I know docs are under pressure and empathise, truly. However, when a doc is a diabetes specialist he or she needs to be absolutely clear with their patients. Footnote; my doc said that if he were a lawyer the bill would be mounting up! And it was not a joke.
Thank u sI am still trying to negotiate my way around the site BTW my diabetic nurse couldn't do the conversion but then neither could "they" convert pounds to or from kilos!!!! Its frightening isn't it.The link was included earlier on in this thread.
Yes, Do change doctors but in my experience they are all very limited, even so called specialist Diabetic Endroconologists as they all treat the disease and NOT the patient. Sadly us diabetics (type 2 in my case) generally present with very complex issues and most medical professionals cannot be bothered with patients who don't conform to their tick boxes. AND don't forget they all have to slavishly follow NICE guidelines or their practice/department cannot maximise funding. The NEW way of recording sugar levels is simply that ...if you check the NICE website they should have a simple comparison chart btwn old and "new money" to help you get a handle on it. I think this site might have one but I can't find it at the moment. Your diabetic nurse should be able to give you one...O and try google search. Sorry not computer literate enuf to send a link.
Yes, Do change doctors but in my experience they are all very limited, even so called specialist Diabetic Endroconologists as they all treat the disease and NOT the patient. Sadly us diabetics (type 2 in my case) generally present with very complex issues and most medical professionals cannot be bothered with patients who don't conform to their tick boxes. AND don't forget they all have to slavishly follow NICE guidelines or their practice/department cannot maximise funding. The NEW way of recording sugar levels is simply that ...if you check the NICE website they should have a simple comparison chart btwn old and "new money" to help you get a handle on it. I think this site might have one but I can't find it at the moment. Your diabetic nurse should be able to give you one...O and try google search. Sorry not computer literate enuf to send a link.
Yes, I think that covers it.The standard western medical treatment for type 2 diabetes is:
1. Follow the government recommended low fat high carb diet.
2. Metformin.
3. A statin.
4. A blood pressure reducing med.
As the patient’s blood glucose levels rise, prescribe stronger diabetes meds until finally they need to be on insulin.
I was given Pioglitazone about 12 years ago I broke out in huge blisters all over and itched beyond belief. I was immediately referred to a skin specialist who said that this would be recorded as an official side effect and placed on some register or other. Even now, after 12 years, it appears across the top of my medical records. I agree with everything you say about the confusion in the NHS about type 2 diabetes. I am now on insulin as well as medication in tablet form.Hi
I am finding now that things are getting very foggy in the NHS regarding the treatment, diet etc of people with type 2, which I myself suffer.
I have been type 2 for a decade, although a previous doctor failed to make a simple diagnoses after de facto evidence of classic type 2 symptoms; which led to urinary tract complications and having to undergo a full circumsition in my 50s. Nightmare!
Anyway, my cholesterol levels have always been historically low, consequently I refused to take statins on the basis that they made me ill and they were not needed to lower what is a low personal cholesterol count anyway. Now the doctor has just tried to get me to take Pioglitazone, but failed to mention the risks, even the fact Germany and France have banned this controversial drug.
Interesting, this was my doctor's response to my pancreas showing signs of packing up, and the possibility of myself having to take insulin! Confusing.
My doctor has told me that apparently the usual way of measuring blood sugar is out! Now he uses a different method which I knew nothing about - let alone actually understanding what it all means (no leaflet or web link to help was given).
When I had my last blood sugar test it proved to be high; although I was being treated for an infection and was post prandial, having eaten my breakfast three hours before the blood was taken; facts he refused to consider. Confusing!
I will not take Pioglitazone on the informed basis that the risk outways the confidence of success; apparently all patients must have a liver function test, especially if in the past you have suffered liver damage (with me it was a gallstone problem). I did not.
Some friends and relatives have told me to change doctors!
Plus, NHS staff all seem to have their own views! Confusing!
Finally, on my low carb diet I have lost 2 stone in weight and I exercise rigorously every morning.
But I remain confused.
Thanks for reading this!
The standard western medical treatment for type 2 diabetes is:
1. Follow the government recommended low fat high carb diet.
2. Metformin.
3. A statin.
4. A blood pressure reducing med.
As the patient’s blood glucose levels rise, prescribe stronger diabetes meds until finally they need to be on insulin.