• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

4 weeks on new tablet then Insulin???

serendipity

serendipity

Well-Known Member
Messages
116
Location
North East Lincs
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
Needles!
Liver
Hello
Saw my Diabetes Dr and he has put me on Sigaliptin along side Glimepiride.
He said if this doesnt lower my BG's then im looking at Insulin :shock:
He said this would mean some more changes which he will discuss with me next appt on 20 July.
Any idea's?

Linda
 
Hi linda.
This echo's myself , they tried the same tablets with me as they 'failed' to effectively lower
my stubborn high BG levels.
Was put on insulin therapy as no options available !
Sitagliptin [januvia] agreed with me but didnt make any difference to BG levels at all...
So was initially put onto levemir insulin, annoyingly due to injection site lumps/inflammation have since
swapped over to hypurin porcine insulin.
Have to say the switch to insulin 'does' work at lowering my BG's.
Changes are with your routine to allow an eating plan combined with a new insulin therapy regime.
At first I was bugged by having to slot everything around my insulin shots etc...
Once I grew in confidence and understood it all more , it gradually became a lot easier.
Now its all part of my handbag and everyday lifestyle! :thumbup:
Hope this helps?
Anna.
 
I tried Sitaglyptin in an attempt to get off the basal insulin I take. I found it was good at cutting out the peaks in my levels, but did not lower them enough. Although I am prescribed insulin on a basal/bolus routine (basal - long acting that I take twice a day and bolus - short acting that I'm supposed to take with meals). I find that I can cope fine just using a small dose of the long acting. Because I take this when I wake up and before bed, it doesn't affect how I eat, though I have to lowcarb in order for this to be sufficient.
So consider that as an option - just using long acting to low your levels generally.

Insulin is not a disaster but you should be sure that you've done everything you can with your diet before you start. If you already have, then don't regard it as a failure as you can only do so much.
 
Thanks everyone for your replies.
Its a scary thought but at the same time ive had to adjust my lifestyle anyway.
Im really careful about what I eat and portion size, although 7 weeks ago I broke my ankle and havnt been as active :(
Im up and about now but my levels started to rise before My accident :?:
They run into the high teens sometimes topping 23 before breakfast and are never less than 10.
Im worried about my driving licence too, I drive a dog van.
Linda
 
Hi Linda,
If you are on insulin then your license needs to be renewed every 3 years and they usually want a conversation with you and your doctor. You should not admit to any hypos as I have heard of people having their license revoked for 6 months. This means that it becomes difficult to have a frank and honest conversation with your doctor, because they have to record hypos.
I have never had a hypo (or anything close) whilst driving but I have had one cycling, once. I did not share this with my doctor.

I also drive a small van for work occasionally and would be stuffed without my license. You cannot drive a lorry (the sort you rent to move house with) if you are on insulin without special permission, I believe. They took this category off my license straight away.

So, you see, if you can avoid insulin then it's worth doing. I have tried once to come off it, and failed. I am lining myself up with a series of hospital appointments to better understand my condition and then will try again - but ultimately it may be impossible. Hope that helps.
 
Back
Top