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Warfarin, green veg and diabetes

M

MarkLondon

Member
Messages
11
Type of diabetes
Prediabetes
Treatment type
Diet only
All,

Having done some research it seems my slightly elevated A1C results (43) might have been caused by Furosemide (a diuretic) which I stopped taking a few weeks ago, but within the timescale for the A1c test. It's known to raise blood sugar levels, especially as my Glucose Plasma test was 5.7.

However, I'm still a bit worried that in future I might go into the pre-diabetic range (especially as my father is Type 2.

I have a very rare blood condition called a myeloproliferative disorder which means my blood clots far too easily. As a result I'm on Warfarin and hydroxycarbamide for life.

Anyone who is in danger of developing diabetes is told to eat more vegetables, especially nice green leafy ones. However, they contain large amounts of Vitamin K which counteracts the effects of Warfarin. As a result I have to be vary careful about how much broccoli, spinach, cabbage I eat.

I just wondered if anyone else has faced the same dilemma with Warfarin, especially those who are pre-diabetic and how have you managed your diet, especially Vitamin K levels?
 
Have you considered taking rivaroxaban instead of warfarin. It's much easier to use than warfarin as you don't have the worry of too much vitamin k and also you don't need to get your INR tested frequently.
Might be worth asking your consultant if they will prescribe it for you.
 
I took warfarin for 2 separate spells of 2 years whilst pre diabetic/T2. Both times I was told to stabilise my INR first and then allowed to change my diet to how I wanted it. I needed weekly INR tests whilst improving my diet. The warfarin dose was adjusted upwards accordingly, my personal level was 7mg warfarin a day.

As far as warfarin was concerned I didn't mind taking it at all. Yes there are newer drugs but they aren't as tried and tested as warfarin. A relative had problems with a sore in her mouth not healing on a newer anti-coagulant.
 
My husband has been on Warfarin (3mg per day) since having a heart valve replaced in 2007. He still eats brocolli but not too much but I tend to do 2-3 veg anyway. His INR is relatively stable
 
Janiept said:
Have you considered taking rivaroxaban instead of warfarin. It's much easier to use than warfarin as you don't have the worry of too much vitamin k and also you don't need to get your INR tested frequently.
Might be worth asking your consultant if they will prescribe it for you.
Click to expand...

Hi,

I'm going to the INR clinic a week on Tuesday so will ask them about it. My INR has been at 2.6 for the last three visits so it's stable at the moment and there are times when I'd love to eat a big portion of Broccoli and Cauliflower cheese but know I can't. Hopefully if I can get one of the newer drugs it takes away the problem. I was reading they only dish out Warfarin because it's dirt cheap in comparison.
 
MarkLondon said:
Hi,

I'm going to the INR clinic a week on Tuesday so will ask them about it. My INR has been at 2.6 for the last three visits so it's stable at the moment and there are times when I'd love to eat a big portion of Broccoli and Cauliflower cheese but know I can't. Hopefully if I can get one of the newer drugs it takes away the problem. I was reading they only dish out Warfarin because it's dirt cheap in comparison.
Click to expand...
Yes warfarin is cheaper in comparison and NICE have limited the conditions that rivaroxaban can be prescribed for but yours may be one that it is permitted for. A while back I googled the NICE site and there is a list on there if you want to try and find out whether yours is one of them. Good luck.
 
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