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Glicacide

M

mack76

Well-Known Member
Messages
102
Type of diabetes
Type 2
Treatment type
Tablets (oral)
My hba1c up to 94 nurse wants me on glicacide im very scared its a 3 month thing to get my hba1c down the possibility of ozempic which I have but I asked which helps quicker im on metformin and ramipril 2.5mg as it is im scared to try ozempic as dont know about side effects but scared about glicacide due to lows I've been advised smaller meals but no idea what to eat nurse said lows are unlikely as hba1c 94 is this true its a 3 month trial but im anxious already my hba1c went up due to alot of stress to do with my child's school
 
If you look at my signature I take all of these (Trulicity is an Ozempic sister drug) plus dapagliflozin, alongside a lower carb diet to keep my BG's under control. Meals it's not about the size, but the carb content, BUT (and it's a big one) you need to be comfortable with both your medications and diet. It's not a one size fits all condition and what works for me might not work for you.
 
@mack76 Those nurses do have a certain inability to do joined up thinking.
How a high HbA1c number could protect against hypos is a superb non sequitur.
I altered my HbA1c 91 t9 41 in 6 months just by reducing my intake of carbs during that time - if you are unhappy with the idea of medication then perhaps an intense diet and exercise and retesting at three months might actually be less fraught.
 
Hi @mack76

I agree with the nurse that with an HbA1c of that level it is unlikely that you will get hypos on Gliclazide in the short term unless you drastically cut the carbs in your diet.

Do you have a blood sugar meter so that you can test for lows? If you drive your nurse should have prescribed one and it is a requirement to test before you drive if you are on a medication which can cause hypos.

I’m my experience over 10 years on Gliclazide I had a few mild hypos, but easily treated by eating a few fruit pastilles or jellies babies and a biscuit. I had no other side effects from it.

Cutting carbs is one good way to lower HbA1c for many people. if you decide to go down this route it would be a good idea to discuss it with your nurse so that she can closely monitor your progress and reduce the Gliclazide as your blood sugar reduces.
 
Lakeslover said:
Hi @mack76

I agree with the nurse that with an HbA1c of that level it is unlikely that you will get hypos on Gliclazide in the short term unless you drastically cut the carbs in your diet.

Do you have a blood sugar meter so that you can test for lows? If you drive your nurse should have prescribed one and it is a requirement to test before you drive if you are on a medication which can cause hypos.

I’m my experience over 10 years on Gliclazide I had a few mild hypos, but easily treated by eating a few fruit pastilles or jellies babies and a biscuit. I had no other side effects from it.

Cutting carbs is one good way to lower HbA1c for many people. if you decide to go down this route it would be a good idea to discuss it with your nurse so that she can closely monitor your progress and reduce the Gliclazide as your blood sugar reduces.
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Thanks for your reply im just scared as I have 2 autistic children to care for and I've only been on metformin since diagnosis im scared of side effects I have terrible white coat
 
I also tend to agree with your nurse. I was on Glic for a while when first diagnosed. I was on max dose & 130g carb a day I only started getting hypos when I went even lower carb - that’s how I eventually managed to come of the meds - cutting my carbs every three months & reducing my Glic with full Dr support, they agreed to a HbA1c every 3 months. I started on max dose after being taken off insulin.

I reduced my dose & carbs until I dropped the last small dose & went keto diet, that’s not for everyone so you may choose to balance out your carbs with the Gliclizide. There’s no one way to deal with diabetes & no shame in taking meds to help keep your numbers at an acceptable level. Your HbA1c is very high and getting it down is a priority

I also have an adult son who is autistic, he was a young teenager when I was on Gliclizide & it never interfered with my caring for him, apart from when he had meltdowns & even though I felt calm dealing with them my adrenalin would still kick in & push my blood sugars up! He rarely has meltdowns now, but oh those teenage years phew!
 
mack76 said:
Thanks for your reply im just scared as I have 2 autistic children to care for and I've only been on metformin since diagnosis im scared of side effects I have terrible white coat
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I have white coat too, always have to take my own BP readings to appointments.

Honestly I would give the gliclazide a try. I think it’s very unlikely but if it causes you problems then just stop it and contact your nurse to discuss it. What dose has your nurse suggested?

I found tubes of fruit pastilles very handy to take out in case of hypos…..one in every pocket/handbag.
 
lovinglife said:
I also tend to agree with your nurse. I was on Glic for a while when first diagnosed. I was on max dose & 130g carb a day I only started getting hypos when I went even lower carb - that’s how I eventually managed to come of the meds - cutting my carbs every three months & reducing my Glic with full Dr support, they agreed to a HbA1c every 3 months. I started on max dose after being taken off insulin.

I reduced my dose & carbs until I dropped the last small dose & went keto diet, that’s not for everyone so you may choose to balance out your carbs with the Gliclizide. There’s no one way to deal with diabetes & no shame in taking meds to help keep your numbers at an acceptable level. Your HbA1c is very high and getting it down is a priority

I also have an adult son who is autistic, he was a young teenager when I was on Gliclizide & it never interfered with my caring for him, apart from when he had meltdowns & even though I felt calm dealing with them my adrenalin would still kick in & push my blood sugars up! He rarely has meltdowns now, but oh those teenage years phew!
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Yes my 2 are girls 1 is 10 year old non verbal 1 is 11 verbal yhankyfor your replybthey are starting me on 80mgs morning and 80mgs evening im scared if have any hypis what they do I've no idea
 
Lakeslover said:
I have white coat too, always have to take my own BP readings to appointments.

Honestly I would give the gliclazide a try. I think it’s very unlikely but if it causes you problems then just stop it and contact your nurse to discuss it. What dose has your nurse suggested?

I found tubes of fruit pastilles very handy to take out in case of hypos…..one in every pocket/handbag.
Click to expand...
Thanks my children like those so always have will try them
 
lovinglife said:
I also tend to agree with your nurse. I was on Glic for a while when first diagnosed. I was on max dose & 130g carb a day I only started getting hypos when I went even lower carb - that’s how I eventually managed to come of the meds - cutting my carbs every three months & reducing my Glic with full Dr support, they agreed to a HbA1c every 3 months. I started on max dose after being taken off insulin.

I reduced my dose & carbs until I dropped the last small dose & went keto diet, that’s not for everyone so you may choose to balance out your carbs with the Gliclizide. There’s no one way to deal with diabetes & no shame in taking meds to help keep your numbers at an acceptable level. Your HbA1c is very high and getting it down is a priority

I also have an adult son who is autistic, he was a young teenager when I was on Gliclizide & it never interfered with my caring for him, apart from when he had meltdowns & even though I felt calm dealing with them my adrenalin would still kick in & push my blood sugars up! He rarely has meltdowns now, but oh those teenage years phew!
Click to expand...
 
Lakeslover said:
I have white coat too, always have to take my own BP readings to appointments.

Honestly I would give the gliclazide a try. I think it’s very unlikely but if it causes you problems then just stop it and contact your nurse to discuss it. What dose has your nurse suggested?

I found tubes of fruit pastilles very handy to take out in case of hypos…..one
Click to expand...
 
lovinglife said:
I also tend to agree with your nurse. I was on Glic for a while when first diagnosed. I was on max dose & 130g carb a day I only started getting hypos when I went even lower carb - that’s how I eventually managed to come of the meds - cutting my carbs every three months & reducing my Glic with full Dr support, they agreed to a HbA1c every 3 months. I started on max dose after being taken off insulin.

I reduced my dose & carbs until I dropped the last small dose & went keto diet, that’s not for everyone so you may choose to balance out your carbs with the Gliclizide. There’s no one way to deal with diabetes & no shame in taking meds to help keep your numbers at an acceptable level. Your HbA1c is very high and getting it down is a priority

I also have an adult son who is autistic, he was a young teenager when I was on Gliclizide & it never interfered with my caring for him, apart from when he had meltdowns & even though I felt calm dealing with them my adrenalin would still kick in & push my blood sugars up! He rarely has meltdowns now, but oh those teenage years phew!
Click to expand...
 
Last edited:
mack76 said:
My hba1c up to 94 nurse wants me on glicacide im very scared its a 3 month thing to get my hba1c down the possibility of ozempic which I have but I asked which helps quicker im on metformin and ramipril 2.5mg as it is im scared to try ozempic as dont know about side effects but scared about glicacide due to lows I've been advised smaller meals but no idea what to eat nurse said lows are unlikely as hba1c 94 is this true its a 3 month trial but im anxious already my hba1c went up due to alot of stress to do with my child's school
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I've been on 40mg gliclazide for just under 29. years and have had only one hypo (which was horrible but not life threatening). The hypo was caused by too much alcohol. It might depend on how much mg of Gliclazide you're taking.
 
CarbMaster said:
I've been on 40mg gliclazide for just under 29. years and have had only one hypo (which was horrible but not life threatening). The hypo was caused by too much alcohol. It might depend on how much mg of Gliclazide you're taking.
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Will be taking 80mgs twice daily not started yet waiting for prescription
 
CarbMaster said:
That's four times more than my daily dose so it might drop your bgs - it might depend on how insulin resistant you are.
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Nurse said drops blood sugar quick which is why im scared I've also been offered ozempic but nurse frightened me mentioned heart attack risk of remains high it was 48 upto jan this year when went upto 82 due to very stressful event on diagnosis March 2024 hba1c was 99 by April this year went to 92 and 22nd july 94
 
mack76 said:
Nurse said drops blood sugar quick which is why im scared I've also been offered ozempic but nurse frightened me mentioned heart attack risk of remains high it was 48 upto jan this year when went upto 82 due to very stressful event on diagnosis March 2024 hba1c was 99 by April this year went to 92 and 22nd july 94
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It might be beneficial if you discussed with someone about how you can reduce carbs in your diet. The nurse doesn't appear very helpful imo.

Maybe have a look at the section on Food and Nutrition where there are several forums.

Diabetes Forum

Meet the diabetes community. Find support, ask questions and share experiences in the diabetes forum with people with diabetes, friends and carers.
www.diabetes.co.uk www.diabetes.co.uk
 
CarbMaster said:
It might be beneficial if you discussed with someone about how you can reduce carbs in your diet. The nurse doesn't appear very helpful imo.

Maybe have a luck at the section on Food and Nutrition where there are several forums.

Diabetes Forum

Meet the diabetes community. Find support, ask questions and share experiences in the diabetes forum with people with diabetes, friends and carers.
www.diabetes.co.uk www.diabetes.co.uk
Click to expand...
Will do thanks for your help
 
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