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Choosing insulin? And experience of Avandia?
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<blockquote data-quote="Dennis" data-source="post: 43211" data-attributes="member: 1338"><p>Hi Rach,</p><p></p><p>I think that most type-2s generally try to avoid insulin for as long as possible because moving to insulin has implications for life, travel and car insurance and potentially your being allowed to hold a driving licence. There are so many alternative treatments that can and should be tried before a doctor resorts to insulin, but unfortunately many GPs see insulin as a short-cut solution. My own consultant describes insulin as "the biggest spanner in the box, but why use the biggest spanner when a smaller one will do the job".</p><p></p><p>I have personal experience of rosiglitazone. It is a type-2 treatment that carries with it a pretty nasty set of side-effects, which the manufacturers would rather we didn't know about so they choose not to mention them on the patient information leaflet! I was put on it for 6 months by my GP, during which time I put on 5 stone despite being on a strict diet, I suffered severe shortness of breath (couldn't walk more than 100 yards at moderate pace without having to stop to get my breath back), had terrible fluid retention (ankles swelled to double normal size), developed an irregular heartbeat and suffered dizzy spells. I reported the problems to my GP who said he had never heard of any of these being associated with Avandia, but just to be on the safe side, he referred me to a diabetes consultant. The consultant confirmed that these are only some of the known side effects, took me off the drug immediately and within a few weeks all the symptoms had gone (but it took nearly a year to get rid of the 5 stone!). When I asked why the manufacturers are not forced to list the side effects, he could only shrug.</p><p></p><p>The good news is that there are some people who suffer none of the side effects, although I gather these are a minority.</p></blockquote><p></p>
[QUOTE="Dennis, post: 43211, member: 1338"] Hi Rach, I think that most type-2s generally try to avoid insulin for as long as possible because moving to insulin has implications for life, travel and car insurance and potentially your being allowed to hold a driving licence. There are so many alternative treatments that can and should be tried before a doctor resorts to insulin, but unfortunately many GPs see insulin as a short-cut solution. My own consultant describes insulin as "the biggest spanner in the box, but why use the biggest spanner when a smaller one will do the job". I have personal experience of rosiglitazone. It is a type-2 treatment that carries with it a pretty nasty set of side-effects, which the manufacturers would rather we didn't know about so they choose not to mention them on the patient information leaflet! I was put on it for 6 months by my GP, during which time I put on 5 stone despite being on a strict diet, I suffered severe shortness of breath (couldn't walk more than 100 yards at moderate pace without having to stop to get my breath back), had terrible fluid retention (ankles swelled to double normal size), developed an irregular heartbeat and suffered dizzy spells. I reported the problems to my GP who said he had never heard of any of these being associated with Avandia, but just to be on the safe side, he referred me to a diabetes consultant. The consultant confirmed that these are only some of the known side effects, took me off the drug immediately and within a few weeks all the symptoms had gone (but it took nearly a year to get rid of the 5 stone!). When I asked why the manufacturers are not forced to list the side effects, he could only shrug. The good news is that there are some people who suffer none of the side effects, although I gather these are a minority. [/QUOTE]
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