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Different diabetes "professionals" and buying your own jabs?

ptholt

Newbie
Messages
3
Hi folks,

have been type 2 for quite a while, attempted types of control with diet, exercise and tablets (metformin sr and glic). I say attempted I have always been a fan of carbs and a veg/salad dodger, i just dont like eating them at all, my main problem was portion sizes and if its in front of me the child training received in the 70/80s of you have to eat it all in order to finish.

my starting weight was circa 90kg 5ft 7, 48" waste.

Some periods are better than others, prior to covid when working in the office i was attending the gym every day for at least an hour, was eating strict keto. Dropped a lot of weight, felt fitter and generally much healthier, i got down to a 34" waste, 80kg and was really enjoying life.

Covid came and EVERYTHING changed, i nearly lost my job, we now work from home permanently, and the expectation was that by working from home meant you were literally on call 24/7 and that was pretty much the expectation and still is, as a temp resource I feel somewhat forced to have to carry on working all hours to keep my role and not be replaced, so nowadays the only real exercise is walking the dog 2-3 times a day (weather dependant he refuses to go out in the rain!) and my weight started to go back up, so i ended around 88kg, 38"waste.

now over the years and through my diabetic reviews with the nurses to go one of two ways -
1. Complain about everything and use scare/shame tactics.
2. Even when doing well, still find something to comlain about - last time it was statins and other health issues despite losing weight, eating better on keto etc.

I recently moved house and left my previous nurse who was ok, she was open to me trying mounjaro or wegovy (the nhs criteria was lower at the time), and in the past we had tried newer treatments than the norm of glic and metformin, like those to put excess sugar into your urine, which was fairly awful with lots of side affects that would put anyone off lunch which were degrading and embarassing, not something i would like to go back to at all!

So i decided having read about the various injections and the now stricter nhs policies so i knew i would not qualify (my bmi was 29) i decided to purchase them privately online and starting on Tirzepetide along with my son (who is not diabetic, but is obese). These started with low dose, but rose quickly up to 10mg, at which point i started to get quite a few worrying side affects. At this stage my yearly review came up with my new doc/nurse. I did find that glic and the injections were not good bed fellows, and shortly after starting stopped taking the glic as was feeling rough and getting some very low sugar readings.

Now it appears my new diabetic nurse HATES the fact you can purchase these jabs online, and is vehemently negative towards anyone taking them - as i found out.
So much so she is practically demanding i stop taking them (despite my blood sugars been whilst not low, at least more stable from 5.5-6.5 any day all day) and my weight dropping a further 10kg and to a size 32" waste.

So i have been told i need to stop taking the injections completely, keep taking my metformin (which i was anyway), but when my blood sugars start to rise as the injection leaves my system, so start taking glic again, then in four weeks time she will put me on insulin.

Now this did not particularly appeal to me for not just health reasons, but also having to inform dvla (as a driver and motorcyclist) and her negativity towards wegovy/mounjaro/tirz seems particularly blinded when i can already see impacts on weight loss and blood sugar with the price to pay of the occasional upset stomach, do i really need to do this, should i be doing this, what if i chose not to listen to this person? Is there an option to speak to other professionals who perhaps arent so old fashioned?

thoughts?
 
Hi @ptholt and welcome to the forum. I would suggest you get a second opinion at your surgery and see if you can get the injections on prescription. This would mean apart from saving yourself money, your medicine records at your surgery will be correct.
I do wonder where you are getting the injections from? I looked into getting some similar injections privately last year when mine became unavailable, and as soon as I said I was diabetic they wouldn’t sell it to me. They only sold them for weight loss. Please be very cautious buying them privately, I saw a horrible story on the news not so long ago about someone who actually died from taking injections bought privately.
 
Sadly the expert at my doctors, is the only diabetic qualified person to talk to there, and everyone defers to her.

I do not meet the new nhs critieria for consideration for them, its now a bmi over 30-35, diabetes and an underlying health condition, so currently my bmi lets me down from qualifying as it did in the first place.
 
Ah I see. I had a BMI of 34.8 when I asked to start them, and they came back with the 35 requirement. I said I would eat more cream for a couple of weeks, they laughed and let me have it anyway! Shame your only solution is to buy it. Just for your info having been unable to get the injections anymore, I now take Rybelsus tablets which is oral semaglutide not sure if that’s something you could explore?
 
My concern is with your work load, and the stress that must be causing. Do you have a contract of employment? I think it is still a legal requirement to have a contract of employment within 13 weeks of starting a job.

I don't think your employer can force you to be on call "all the time" without your consent and extra payment and your agreement to do so. Should you decide to work the hours in your contract of employment, then your employer has to honour that. If they dismiss you it would be breech of contract on their part.

I know if you really need to keep your job then working your contracted hours may be extremely difficult, but at the end of the day your health must come first. They would replace you in heartbeat if you passed away and without a second thought.
 
Hi folks,

have been type 2 for quite a while, attempted types of control with diet, exercise and tablets (metformin sr and glic). I say attempted I have always been a fan of carbs and a veg/salad dodger, i just dont like eating them at all, my main problem was portion sizes and if its in front of me the child training received in the 70/80s of you have to eat it all in order to finish.

my starting weight was circa 90kg 5ft 7, 48" waste.

Some periods are better than others, prior to covid when working in the office i was attending the gym every day for at least an hour, was eating strict keto. Dropped a lot of weight, felt fitter and generally much healthier, i got down to a 34" waste, 80kg and was really enjoying life.

Covid came and EVERYTHING changed, i nearly lost my job, we now work from home permanently, and the expectation was that by working from home meant you were literally on call 24/7 and that was pretty much the expectation and still is, as a temp resource I feel somewhat forced to have to carry on working all hours to keep my role and not be replaced, so nowadays the only real exercise is walking the dog 2-3 times a day (weather dependant he refuses to go out in the rain!) and my weight started to go back up, so i ended around 88kg, 38"waste.

now over the years and through my diabetic reviews with the nurses to go one of two ways -
1. Complain about everything and use scare/shame tactics.
2. Even when doing well, still find something to comlain about - last time it was statins and other health issues despite losing weight, eating better on keto etc.

I recently moved house and left my previous nurse who was ok, she was open to me trying mounjaro or wegovy (the nhs criteria was lower at the time), and in the past we had tried newer treatments than the norm of glic and metformin, like those to put excess sugar into your urine, which was fairly awful with lots of side affects that would put anyone off lunch which were degrading and embarassing, not something i would like to go back to at all!

So i decided having read about the various injections and the now stricter nhs policies so i knew i would not qualify (my bmi was 29) i decided to purchase them privately online and starting on Tirzepetide along with my son (who is not diabetic, but is obese). These started with low dose, but rose quickly up to 10mg, at which point i started to get quite a few worrying side affects. At this stage my yearly review came up with my new doc/nurse. I did find that glic and the injections were not good bed fellows, and shortly after starting stopped taking the glic as was feeling rough and getting some very low sugar readings.

Now it appears my new diabetic nurse HATES the fact you can purchase these jabs online, and is vehemently negative towards anyone taking them - as i found out.
So much so she is practically demanding i stop taking them (despite my blood sugars been whilst not low, at least more stable from 5.5-6.5 any day all day) and my weight dropping a further 10kg and to a size 32" waste.

So i have been told i need to stop taking the injections completely, keep taking my metformin (which i was anyway), but when my blood sugars start to rise as the injection leaves my system, so start taking glic again, then in four weeks time she will put me on insulin.

Now this did not particularly appeal to me for not just health reasons, but also having to inform dvla (as a driver and motorcyclist) and her negativity towards wegovy/mounjaro/tirz seems particularly blinded when i can already see impacts on weight loss and blood sugar with the price to pay of the occasional upset stomach, do i really need to do this, should i be doing this, what if i chose not to listen to this person? Is there an option to speak to other professionals who perhaps arent so old fashioned?

thoughts?
Hi

Welcome to the forums have you considered the Ascend Plus trial
They are conducting a 5 year drug trial looking into giving type 2 diabetics a tablet form of the Wegovy, the actual drug name is Semaglutide and it works as an appetite suppressant. The trial is looking whether it has other benefits in diabetics reducing heart attack and strokes etc there are some side effects ie constipation and also you maybe not given the real drug at randomisation you maybe given a placebo instead.
I think I'm on the real drug as my BS readings have remained low and the tablets taste horrible.
 
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