I am still very new to this forum and have appreciated contributions from those more experienced in response to a couple of earlier postings. A week and a half into taking combination of metformin and glicazide (now 2 months in total since T2 diagnosed)I am feeling a bit better and having less 'spiky feelings but I am still consumed by worry as to what is going to happen next in terms of treatment where whilst I am at last seeing some pattern of single figs now for my BS, these tend to be 7/8/9 territory. I am not sure if they can/will give me more glic (currently 2 x80mg) but getting myself quite anxious over the possibility of the combination moving to metformin and insulin. Any one out there made that change recently and able to advise on how they managed/dealt with switch to injecting and pain of so doing???? Due to see GP again 3 weeks today and questioning whether I am flogging a dead horse in terms of what the current glic treatment is delivering or whether I just stay patient through all of this - the general worry is the hardest to deal with for me right now
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Dealing with worry
- Thread starter rogpt51
- Start Date
Hobs
Master
- Messages
- 11,798
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- W Sussex
- Type of diabetes
- Type 2
- Treatment type
- Non-insulin injectable medication (incretin mimetics)
- Dislikes
- Argumenative barstifferous (new word *lol*) types who think that they know everything *wink*
You are at this moment in time only on 1/2 max dose of Glic:-
Initially, 40–80 mg daily, adjusted according to response; up to 160 mg as a single dose, with breakfast; higher doses divided; max. 320 mg daily
So from where I'm sitting you still have some way to go before more intervention is needed. You are only a 1&1/2 wks into your present treatment so I reckon more time is needed before you get set into worry mode. There are plenty of other meds beside Glic (it didn't suit me) and I now get very good control with metformin SR + pioglitazone + Victoza injection daily, so you too could probably end up with various meds to gain good control without insulin as a last resort.
Initially, 40–80 mg daily, adjusted according to response; up to 160 mg as a single dose, with breakfast; higher doses divided; max. 320 mg daily
So from where I'm sitting you still have some way to go before more intervention is needed. You are only a 1&1/2 wks into your present treatment so I reckon more time is needed before you get set into worry mode. There are plenty of other meds beside Glic (it didn't suit me) and I now get very good control with metformin SR + pioglitazone + Victoza injection daily, so you too could probably end up with various meds to gain good control without insulin as a last resort.
Tumble
Well-Known Member
- Messages
- 48
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- Hertfordshire
- Type of diabetes
- Type 1
- Treatment type
- Insulin
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- Negativity
And just to add, injecting really isn't that painful. Nine times out of ten I never feel it.
WhitbyJet
Well-Known Member
- Messages
- 1,597
Rogpt51 - as Hobs already said you are currently taking half the maximum dose of your prescribed medication and it is early days yet. But know that there are plenty of other treatment options available should you need them.
Remember that worry and stress can make your bg levels rise, so do try to relax a bit more. This diabetes thing is not always easy I know, but the more you learn about it and how your body works the less fear you will have. Do a search on google for - Jenny Ruhl blood sugar 101 - and look through all her pages, it will be an eye opener, it was for me.
I personally am a low carber, I have reduced down to 40g of carbs a day and it suits me. Others dont have to cut down as far as this and some have to go even lower to maintain good bg control, there is no one size fits all.
Have a look at the threads 'why I dont low carb' and 'low carb success stories', both sides have something useful to offer, at the end of the day only you can work out whats best for you personally.
Are you able to exercise or do some walking? I find that a bit of extra activity does help with my diabetic control.
I am sure that with time you will learn so much more about diabetes and how your body works you will be less scared of diabetes.
Dont worry ahead of things, it usually turns out different to what we imagine anyway and then you find you have been worrying all this time for nothing.
Good luck with it all.
Remember that worry and stress can make your bg levels rise, so do try to relax a bit more. This diabetes thing is not always easy I know, but the more you learn about it and how your body works the less fear you will have. Do a search on google for - Jenny Ruhl blood sugar 101 - and look through all her pages, it will be an eye opener, it was for me.
I personally am a low carber, I have reduced down to 40g of carbs a day and it suits me. Others dont have to cut down as far as this and some have to go even lower to maintain good bg control, there is no one size fits all.
Have a look at the threads 'why I dont low carb' and 'low carb success stories', both sides have something useful to offer, at the end of the day only you can work out whats best for you personally.
Are you able to exercise or do some walking? I find that a bit of extra activity does help with my diabetic control.
I am sure that with time you will learn so much more about diabetes and how your body works you will be less scared of diabetes.
Dont worry ahead of things, it usually turns out different to what we imagine anyway and then you find you have been worrying all this time for nothing.
Good luck with it all.
- Messages
- 5,886
- Type of diabetes
- Type 2
- Treatment type
- Diet only
Try not to get over anxious about this - it won't help your BS as stress can push your numbers up.
When and how often are you testing? - I am all for test test test but if it is making you anxious about your numbers it can be counter productive (my opinion)
It is still very early days for you and you are moving in the right direction
I am on same meds as you and my first HA1c was 11 something after 2 months - 6 months later it was 6.4 - now 2 years on in the 5% range and I very rarely go above 6 2hrs later -so ease up on yourself - its not a race - it takes time to adjust and take things in - give yourself that time
While I was typing this Whitbyjet replied so apologies if I have repeated anything
When and how often are you testing? - I am all for test test test but if it is making you anxious about your numbers it can be counter productive (my opinion)
It is still very early days for you and you are moving in the right direction
I am on same meds as you and my first HA1c was 11 something after 2 months - 6 months later it was 6.4 - now 2 years on in the 5% range and I very rarely go above 6 2hrs later -so ease up on yourself - its not a race - it takes time to adjust and take things in - give yourself that time
While I was typing this Whitbyjet replied so apologies if I have repeated anything
Thanks to respondents some reassuring thoughts and appreciated/very helpful. Taking Whitbys points I will take a look at the link referred to - I am very active, engaging in various sports/cycling plus a decent walk to and from station most days. At 6'2'' told that I am not massively overweight at 15 and a half stone for my height and weight loss since diagnosis has sloed thank god! If I am honest I have got the testing bug thru worry and prob need to just leave it alone for a few days - I think I have worried myself re hypos on glic where in practice I have so far not been anywhere near one and I am also getting a better feel for wehn I am running a bit high. The whole thing for me seems to be that my GP wants to see early 'results' re lower BS and that what is making me feel under pressure - thanks again roger
