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Re: Anyone use Byetta? Hi All probably going onto Byetta next week. My diabetologist has a few insulin users on byetta, but not as much as me (86 levemir, 30-60 Novorapid per day). My reasons are that my charcot foot has flared up again and I am withdrawing from exercise . Last A1c 5.8% and...

Aye, many pateints have no interest in following advice. There is only so much you can do. If only 10% of new diagnosis type 2s are fully compliant then there must be thousands of cured type 2s out there, but this not the case. We all know type2 s that loose lots of weight, exercise and...

Exactly right. You would think your GP would be relieved to get a well motivated patient for a change. Mibd you, its a fine line between well motivated and self-obsessed.

Remember that many health professionals believe type 2 is a lifestyle disease. It sort of is in a way, but it doesn't help anyone to be treated as a naughty child. Proof your regime works is essentially the a1c . If A1c is high, then we all reevaluate. There is an underlying blame ethos that...

Hi I think ot goes to show how much is guess work and dogma. Everything in moderation might well apply here as well.

Aye. It will be fine for Type 1s. But it doesn't seem appropriate for type 2s when considering the metabolic abnormalities.

My low level exercise at the gym does not change my BS level at all. However, I need fsar less insulin for the nxt 24 hours. That is the key to why exercise helps. A recent lecture by an academic Italian exercise physiologist from UCD, Ireland presented data that more frequent smaller bouts of...

Hi you will often read in my posts I refer to my Type 1 neighbour (a paediatrician as well). Been on insulin for 25 years or so. HbA1C 4.5%-5.5% - usually under 5%. Currently she is on lantus/novorapid. Loves these insulins compared to the more traditional regimes. Much more flexible and gave...

HI MRSA and C diff are always risk factors- there is no evidence to show percieved cleanliness of the ward floor has anything to do with it. The important factors are your own (partly controllable), the surgeon (experience, skill, and appropriate surgery) and your leg. A surgeon from the...

Hi I ignored a small non-healing ulcer on the sloe of my foot after a blister formed (before diagnosis). This allowed an infection to into my deep webspace. I presented in diabetic ketoacidosis due to the infection and lost the second ray. The wound took 5 months to heal, then I stopped my...

Hi depends on why the metalwork has broken. If the underlying fracture has not healed (united) then more surgery is likely to follow to remove the old frcacture, stabilisation with further metal implants and bone grafting. If the bone is healed (the probable reason for the CT scan) then...

Personally, I have never been misled on the type of insulin on offer.

Nah, neuropathy no better unfortunately. Toe is doing well. Charcot foot is better (ie no worse and swelling/temperature better).

Hi yes I do have an NHS exemption certificate. Why waste money? Also, its just more convenient to have each pen last 25% longer. I have not seen any clear benefit of Levemir over Lantus personally. My diabetologist has just put his first few insulin users on Byetta, I might be next. That will...

I will continue to call analoque insulins by the term insulin.

Charcot joint is funny condition. Is poorly understood and seems to get better with rest and offloading. You need a good orthotist. The bast results are probably obtained with total conact casts (a form of below knee cast). Aircast boots can be good, but it is easier t cheat, Non weight bearing...

Also, it seems many peple have to have a 20-30% increased dose of levemir compared to lantus. You may be on too little, as well as having to work out timing of dosing and ratio of dosing. I changed from 66 unit per day of lantus to 22/44 levemir. Control was worse until I started on 100 units...

Had mine for the last 5 years or so. Always Felt fine intil last weeks one. 4 dayts later felt terrible with mini-flu. Took 4 days to get over it. Really sore thigh muscles. Stumbled in bathroom cracked my toes of the edge of the door. No pain due to neuroparty but little toe at an angle-...

There's quite a few posters who describe exactly what a frozen shoulder is. Extreme pain and stiffness. There are a few who are not describing a frozne shoulder. Often GPs and physios will mislable other shoulder conditions as frozen. The commonent being rotator cuff problems (also called...

The overall length of a frozen shoulder is from 6 months to 4 years. Most are about 18 months. You might have a particularily long one - bad luck. I dread to think what would happen if I get one........