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Diabetes Discussion
Type 1.5/LADA Diabetes
Dropping Oral Meds And Switching To Insulin
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<blockquote data-quote="DaftThoughts" data-source="post: 1246770" data-attributes="member: 317436"><p>Doctor called this afternoon. She consulted with the diabetic nurse at the hospital, and they're both of the opinion that switching to MDI will only cause me to gain, not lose. They're recommending that for weight loss, I should get a specific (new) drug that's recently gone on the market that helps diabetics lose weight, instead. My GP cannot prescribe it for me however, only the specialist can.</p><p></p><p>I'm not sure what to think of this. I don't know what this drug is, I can make an appointment with the nurse at the hospital and get more information, but from what I understood I will stay on the gliclazide and Toujeo and add this drug to my daily or weekly regime (one shot a day or week?). I don't want to dismiss it immediately, so I told her I want to think on this and she'll call me back on Monday.</p><p></p><p>While my goal is weight loss through proper diabetes management, my main problem has been having no control over my own insulin output. I take a pill and cross my fingers hoping that it will be just enough to cover my food intake, and not too much or too little. Often I find it becomes too much, sometimes it's too little. Yesterday I overslept and had to rush out the door without breakfast or meds, and it was obvious once I got home that my own insulin production is just too low - my values had gone up again without the meds (not enough fuel reaches the muscles due to low insulin levels, so the liver releases glucose?) and being in a fasting state. I had no hypo to explain it either.</p><p></p><p>My day curves that I log for my doctor all look really good. They don't tell the whole story though, and I fear my doctor is basing this decision on the fact my diabetes appears under control from 2 days in a week that I log (when it really is wonky at best). My day curves don't show that I eat extra because I <strong>have</strong> to, they just show I managed to fix it and get the right numbers after juggling around. </p><p></p><p>This drug she mentioned is also new. Again, no info on what it is, just that it helps with weight loss. But is that really the answer when my problem is my pill makes me have too much insulin that I need to eat to cover?</p><p></p><p>The final decision is, of course, up to me. I want to say 4 injections a day, possibly with half unit pens, can be fine tuned to my food intake and exercise and keep my levels above 5.0 without having to eat 500 calories in carbs just to not drop dramatically. Therefore resulting in weight loss. I obviously don't make enough insulin to have to worry about my own production being a major factor once I drop the gliclazide because time and time again I see evidence of that in my values.</p><p></p><p>What do you guys think of this? Should I investigate this new drug further and see if it can help me? Or should I ask to be started on MDI next week, try it for the next 6 months and see if that helps me lose weight and stabilize my levels instead?</p><p></p><p>If MDI do make me gain weight over the next 6 months, I always have the option of switching to the new drug. The opposite is also true.... So I'm not 100% sure which direction to go from here.</p></blockquote><p></p>
[QUOTE="DaftThoughts, post: 1246770, member: 317436"] Doctor called this afternoon. She consulted with the diabetic nurse at the hospital, and they're both of the opinion that switching to MDI will only cause me to gain, not lose. They're recommending that for weight loss, I should get a specific (new) drug that's recently gone on the market that helps diabetics lose weight, instead. My GP cannot prescribe it for me however, only the specialist can. I'm not sure what to think of this. I don't know what this drug is, I can make an appointment with the nurse at the hospital and get more information, but from what I understood I will stay on the gliclazide and Toujeo and add this drug to my daily or weekly regime (one shot a day or week?). I don't want to dismiss it immediately, so I told her I want to think on this and she'll call me back on Monday. While my goal is weight loss through proper diabetes management, my main problem has been having no control over my own insulin output. I take a pill and cross my fingers hoping that it will be just enough to cover my food intake, and not too much or too little. Often I find it becomes too much, sometimes it's too little. Yesterday I overslept and had to rush out the door without breakfast or meds, and it was obvious once I got home that my own insulin production is just too low - my values had gone up again without the meds (not enough fuel reaches the muscles due to low insulin levels, so the liver releases glucose?) and being in a fasting state. I had no hypo to explain it either. My day curves that I log for my doctor all look really good. They don't tell the whole story though, and I fear my doctor is basing this decision on the fact my diabetes appears under control from 2 days in a week that I log (when it really is wonky at best). My day curves don't show that I eat extra because I [B]have[/B] to, they just show I managed to fix it and get the right numbers after juggling around. This drug she mentioned is also new. Again, no info on what it is, just that it helps with weight loss. But is that really the answer when my problem is my pill makes me have too much insulin that I need to eat to cover? The final decision is, of course, up to me. I want to say 4 injections a day, possibly with half unit pens, can be fine tuned to my food intake and exercise and keep my levels above 5.0 without having to eat 500 calories in carbs just to not drop dramatically. Therefore resulting in weight loss. I obviously don't make enough insulin to have to worry about my own production being a major factor once I drop the gliclazide because time and time again I see evidence of that in my values. What do you guys think of this? Should I investigate this new drug further and see if it can help me? Or should I ask to be started on MDI next week, try it for the next 6 months and see if that helps me lose weight and stabilize my levels instead? If MDI do make me gain weight over the next 6 months, I always have the option of switching to the new drug. The opposite is also true.... So I'm not 100% sure which direction to go from here. [/QUOTE]
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