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Medication for T2

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Cazd69

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I would like some advice on the meds. . I’ve been diagnosed for 3 months now and been on metformin. I didn’t develop t2 due to weight. They think a long term effect of treatment I had when young. I had put on a stone over lockdown but have now lost that and back in normal weight for height etc. a blood test has showed a problem with my kidney ( only have 1) and it makes sense it’s the metformin as was normal before I started it. So they have taken me off it They suggested another drug, starts with gl.sorry forgot what it is. It can cause weight gain. I just don’t want to go on anything that does this or I worry for my mental health. I love feeling slim and it kind of makes up for not being able to eat what I would like. If that makes sense. What are other people’s experiences?.
I think I need a drug that doesn’t cause harm to the kidney but also doesn’t cause weight gain
My BG levels are still quite high. Usually average between 7 and 9 in morning
 
Cazd69 said:
I would like some advice on the meds. . I’ve been diagnosed for 3 months now and been on metformin. I didn’t develop t2 due to weight. They think a long term effect of treatment I had when young. I had put on a stone over lockdown but have now lost that and back in normal weight for height etc. a blood test has showed a problem with my kidney ( only have 1) and it makes sense it’s the metformin as was normal before I started it. So they have taken me off it They suggested another drug, starts with gl.sorry forgot what it is. It can cause weight gain. I just don’t want to go on anything that does this or I worry for my mental health. I love feeling slim and it kind of makes up for not being able to eat what I would like. If that makes sense. What are other people’s experiences?.
I think I need a drug that doesn’t cause harm to the kidney but also doesn’t cause weight gain
My BG levels are still quite high. Usually average between 7 and 9 in morning
Click to expand...
It's probably gliclazide. It forces the pancreas to excrete more insulin, but it has a couple of risks: You could hypo, and after a while it can wear your pancreas out, meaning insulin productions becomes nil or near that.

Considering that you're a slim T2, the next question becomes, what are you eating? And how often? A lot of us have to lose weight and do so by combining intermittent fasting with low carb eating, but if you can't afford to lose weight, you can skip the intermittent fasting bit and go purely low carb, with snacks at regular intervals, should they be required. https://www.diabetes.co.uk/forum/blog-entry/the-nutritional-thingy.2330/ might help a little. If you want to try diet first, you might want to hold off on the gliclazide as hypo's become likely when low carbing.
Good luck eh.
Jo
 
As a longer term target, anything above 8 is too high. But there is nothing wrong with a fasting BG level being as high as 7 mmol in a morning. I don't test much now my HbA1C puts me in the non-diabetic range, but my fasting BG never came down much, in fact recently I found it was 7.8, I tested again after eating (lunch was my 1st meal of the day as normal) and it was back down to 6.8.

Note that after a lifetime of being slim, my GP got me on a 'healthy' low fat way of eating for the last 10yrs before my diagnosis for diabetes : my weight grew slowly but steadily up to BMI of 26 (now back down to 22) and I had a 3x bypass.
So no surprise that T2D diagnosis was last straw and I reverted to Low Carb High Protein and High(er) traditional Fats way of eating to get well again.
 
JoKalsbeek said:
It's probably gliclazide. It forces the pancreas to excrete more insulin, but it has a couple of risks: You could hypo, and after a while it can wear your pancreas out, meaning insulin productions becomes nil or near that.
Click to expand...
Do you have any evidence that glicazide can "wear the pancreas out"?
 
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