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Gutted :(

PurpleK

Active Member
Messages
35
Location
Lincolnshire
Type of diabetes
Type 2
Treatment type
Non-insulin injectable medication (incretin mimetics)
I had my HbA1C blood test done a couple of weeks ago and went for my diabetes check up with the nurse today.. My results were 6.8 and she said it was fine.. My bloods indicate that I need my BP meds upping and that I should start taking statins for my cholesterol.. anyway, we had a chat and we both feel that if I lost some weight my BP would decrease as would cholesterol etc.. I explained I was having a hard time losing weight and it wasn't going so well.. unsure why as late last year/early this year I managed to lose over a stone but now its slowly creeping back and I am struggling to lose it. She suggested I might be an ideal candidate to have weight loss injections to help lose the weight but needed to speak to the GP first..

Well I just got the call and the GP has refused me the injections, saying I don't need medication to lose weight but thinks I should take Metformin instead.. I told her I didn't want the Metformin - she told me my blood sugars are fine - so why the need to put me on something to control my BS if they don't need controlling??!! I don't want to take tablets for no reason :( Feel soo upset and frustrated right now :(
 
PurpleK said:
Well I just got the call and the GP has refused me the injections, saying I don't need medication to lose weight but thinks I should take Metformin instead..

Ho yus and what does he prescribe for corns?
 
Hi Purple, sorry to hear you're having a hard time of it. I obviously don't know your background but for someone who doesn't want to take medication for no reason, why would you want these weight loss injections ? Sounds scary ! The simple answer is if you still with less calories in than out, you WILL lose weight. You don't need more medication in your life. Why don't you use this frustration as a positive ? Show the doctor you are able to do this !
 
The Metformin may help you lose weight so that is probably why it has been suggested. It can help to suppress your appetite, I know when I took it I very rarely felt hungry.

Regards
Angie
 
Hey PurpleK,

It's not all that bad.
your BS are in a good place. Metformin has some great heath benefits log term and a few niggles (can be bad for some though)
My Hba1c is 5.2 and I have 2 x 500 metformin.

Forget the weight for now and focus on the cholesterol. This is not a simple topic, however it is made more complicated than it needs to be.

If you could stop processed foods for 1 month: butter, spread, sauces of any kind, pastry goods, baked produce, cows milk, egg yokes, processed meats or anything in a tin, except tuna - beans. Cook with vegetable ghee, coconut oil or olive oil, but even better steam, boil or gill where you can. Bin any salt.

Fish is a great place to start (no pun intended) if you don't like fish then stick to the veg and brown rice, seeds and nuts (you'll know about the high kal's in nuts).

My day could be:

1 grape fruit (An amazing healthy food with lost of benefits; BUT remember once you are on the pills this is right of limits for good, so make it work for you now, it can do the same job for your BP & Cholesterol naturally)

1 Fillet of smoke mackerel (High in good oils & protein BUT very high in salt; I won't be using salt any where else todays so it no worries)

Snacks for the day include a FEW nuts, berry's, seeds, tomato's (Different types), carrots, marmite on A (1) cracker bread, raw ginger, spring onions, avocado pear, raw peeled beats. Tomato's are great low kal's good nutrients high water content. I can do 20 over the day sometimes, NO added salt. You will quickly find the taste buds step up a gear making thing just that bit tastier too.

Lunch is £2 of fresh is best salmon grilled on a bed of raw spinach, sliced toms, picked beats (I've make my own) raw chopped mushrooms (so many mushroom choices) and an poached egg on top. Pepper it up, some lime & lemon juice and a douse of cider vinegar, if you can catch the oil from the grilled salmon add that to.

Supper is a homemade fish and vegetable curry with brown rice (limit the rice 1/2 mug pre cooked) and a crispy side salad. A curry is a great way to use all those bits that wont work together in a traditional meal, but are going to be in the bin over the next couple of days. I add almost everything and on a good day I can munch my way through 2/3 of the cooking wok. There is no real quantity here because it adds up to a vast amount of fibre and water, so fill your boots. Check out the amazing benefits of the herbs and spices used in curries, turmeric, cumin, fenugreek, ginger, chilli, etc. I have this most nights now as no 2 have ever been the same hot, cold or Thai. My tolerance for the hot stuff has increased which has increased my water intake as much as 3-4 pint during the meal, which in turn has produced a habit of drinking pints of water during every meal.

Now I know I mentioned egg yokes and then had a whole egg with my lunch, that is because the first step is to reduce your over all cholesterol as much as you can this includes some of the good stuff like egg yolks, in my case I have used a lot of oil fish.

After your months probation or even better after your next health check if your results are good you can start to add some more selection back into you diet. But I recon if the results are good which I am very sure they could be you'll be happy to make the changes for good and enjoy that full English one a fortnight.

As a bi product of sorting your cholesterol out, your weight will also fall and you BP will drop both because of your weight and all the good blood freeing, vein expanding food you are eating I'm not telling you what to eat here, it's only some food for thought.

WHY!
I was hba1c 11.5 / Chol 6.4 - Ratio ?/ BP 140/90 / Stone 14.9
3 Months hba1c 5.2 / Chol 2.52 Raito 2:1 / BP 112/70 / stone 12.5 (The weight drop was in the 1st 4-5 weeks)

I also ran for a while which got me into thinking about two points:

1) If a 5 miles run was burning off 300kals and a take away came to 1200kals at best, I'd need to run 4 times further just to stand still. So I decided to find foods closer to what I could reasonable burn off. A rice cracked @ 28kals would be lost by walking to the shop or parking a bit further away from my destination. Do this enough to get a negative value (I.e.. you would have to walk back again) and have a treat, make it a good one and enjoy it.

2) Food has become something different from where it started. By this I mean, It is.... No! it should be a nutritional packed fuel. The fundamentals of this involve no real pleasure as far as the mechanics are concerned. That is not to say that the pleasures of food should cause our spiritual wellbeing to suffer, but this is a different hunger (Oh I'm getting deep). Would you put old engine oil into you cars fuel tank and expect it to get you anywhere reliably and when it broke down would we blame ourselves knowing what we put in it, YES we would; but for some reason apply this to us and what we consume and there seems to be a different immediate answer. Why...in short I believe it is ignorance and for the same reason if you said No to the previous statement that would also be a total lack of understanding of your car.

It is a culture thing for sure, but I also feel we are being suckered for profits all the way to the bank.

I hope that this maybe help full or hopeful and is in no way meant to offend. Good luck PurpleK
 
Hi Purple metformin will have very little effect on your bg levels at the level you are now even if you were to take the maximum dose of 100-mg bi daily they will only reduce bg levels by 1 to 2 mmol/L and that will be for higher levels of bg, over the last few months I have halved my metformin from 1000mg bi daily to 500mg bi daily and have seen no noticeable effect on my bg levels.

However as AngieG said metformin can help you to lose weight as it works as an appetite suppressant, rather than being upset why not try it it will be far safer for you than any weight loss injections I would imagine. And if metformin doesnt agree with you you can always stop taking it/them but the majority of people do not have any lasting side effects with metformin.
 
Hi, thank you for all your replies.. I suppose yesterday I was in a bad place and didn't like it. I have been eating pretty well for a whiled now and initially I lost some weight and then it stopped. I suppose when the nurse brought up the idea of losing weight by injection I kind of liked it - an easy means to lose it I suppose.. I don't like taking tablets unless I really have too and because I have been doing pretty well on diet alone to control my BS I kind of hate the idea of taking Metformin esp if my BS are ok. When I first found out I had type 2 I promised myself I wouldn't let it get to the stage of needing treatment so it made me feel disappointed in myself yesterday..

However, after thinking about it last night and having a chat with my very close type 2 friend I have decided that turning down both Metformin and Statins is the right thing for me to do. My BS are pretty good - not perfect but they are good so I don't feel I want to take meds for that. My cholesterol will lower once I get on track and lose weight again without the need for Statins. I don't want to take Metformin in the chance it may help me lose weight, it may not - I could be one of those people that it doesn't really agree with and for that reason I don't want to chance it. I am happy though to attend weight watchers or slimming world though and lose weight properly rather than relying on 'easy' methods. I'll update you with my progress :)
 
PurpleK said:
Hi, thank you for all your replies.. I suppose yesterday I was in a bad place and didn't like it. I have been eating pretty well for a whiled now and initially I lost some weight and then it stopped. I suppose when the nurse brought up the idea of losing weight by injection I kind of liked it - an easy means to lose it I suppose.. I don't like taking tablets unless I really have too and because I have been doing pretty well on diet alone to control my BS I kind of hate the idea of taking Metformin esp if my BS are ok. When I first found out I had type 2 I promised myself I wouldn't let it get to the stage of needing treatment so it made me feel disappointed in myself yesterday..

However, after thinking about it last night and having a chat with my very close type 2 friend I have decided that turning down both Metformin and Statins is the right thing for me to do. My BS are pretty good - not perfect but they are good so I don't feel I want to take meds for that. My cholesterol will lower once I get on track and lose weight again without the need for Statins. I don't want to take Metformin in the chance it may help me lose weight, it may not - I could be one of those people that it doesn't really agree with and for that reason I don't want to chance it. I am happy though to attend weight watchers or slimming world though and lose weight properly rather than relying on 'easy' methods. I'll update you with my progress :)

Sounds like a well thought out and wise decision. Good luck and please keep us updated ;-)
 
Hi. I'm afraid I do agree with the GP. With the right diet you WILL lose weight. That may mean keeping the carbs pretty low, say, below 100gm/day until you reach a stable good BMI. If you are a bit overweight then you may well be a little insulin resistant and the Metformin will help. I'm sure your GP would prescribe Metformin SR if he is keen for you to have it and then you are unlikely to have bowel issues with it. So, try a good low-carb diet to reduce the weight. Re-consider Metformin which will be far better for you than any slimming injections. BTW an HBa1C of 6.8 isn't that good so it will be worth aiming to get it below 6.5.
 
I have been on Metformin SR for 4 months now, apart from the first week where I had very minor cramping I've had no issues with it at all.
 
Daibell said:
Hi. I'm afraid I do agree with the GP. With the right diet you WILL lose weight. That may mean keeping the carbs pretty low, say, below 100gm/day until you reach a stable good BMI. If you are a bit overweight then you may well be a little insulin resistant and the Metformin will help. I'm sure your GP would prescribe Metformin SR if he is keen for you to have it and then you are unlikely to have bowel issues with it. So, try a good low-carb diet to reduce the weight. Re-consider Metformin which will be far better for you than any slimming injections. BTW an HBa1C of 6.8 isn't that good so it will be worth aiming to get it below 6.5.

Hi Daibell, thank you for your reply.. As I mentioned in my earlier post, I have decided not to take Metformin - I would rather lose weight be dieting than tablets, and also by injection - sleeping on things always puts things into prospective. I also said that my BS were not perfect but for me right now they are good - much much better than them being that level than higher - and putting my weight issue aside - my DN told me I wouldn't normally be prescribed Metformin for that level.
 
Totally agree with daibell.. Metformin is prescribed for other conditions beside diabetes precisely because it is good for weight loss..
I agree with sid about the very small effect meformin has on HbA1C - I have found that o be the case -but then I was somewhat underweight when diagnosed.
I did have issues with metformin but the Sr versio solved it all.

Another reason why Drs like o prescribe meormin for diabetics - and diabetics who dislike meds otherwise are happy to take it is because of the cardiovascular protecion it gives - and of course we are more liable to suffer heart attack or stroke.

if you don't klike the idea of statins taking metformin is a way of protecting yourself from some of these risks.

People often feel as you do about metformin at first - I have lost count of those who say they don't want o take any meds - but after a wile they realise hat metformin is not an admission of failure but a useful protective weapon.

taking i and reducing our weight and thus insulin resistance may well mean that you can stay off oher meds.

Worth thiking about maybe.
It is a good thing to be cautious and questioning but don't rule anyting out just yet. your views may change .
 
I understand what you are saying Unbeliever, but I really want to combat my weight issue without Metformin. Now had I of gone and received my results yesterday and my BS be higher than they are then I may of considered them but they are not so I stand a good chance of lowering my cholesterol and weight on diet alone, If I work at it.
 
Purple, have you tried using MyFitnessPal? You can use it as a phone app or online. It's BRILLIANT for keeping an accurate track of what you are eating, any exercise you do throughout the day - from a 5 min moderate walk to a 1 hr brisk walk to swimming or whatever you do. You can enter in your calorie goal for each day, your weight and it really does keep track of EVERYTHING. I've found it particularly useful in terms of tracking what you eat... it's actually incredible how calories start to stack up without realising... and I really find it useful for keeping me on track and making sure I don't go over my calorie limit by mistake. You can also log your progress, weight loss and I find it helpful to perhaps see where my calories are coming from and to see where I can perhaps make small adjustments to boost my weight loss when things seem to be at a standstill.

It's also useful as a bit of a log - you can show your doctor or whoever the efforts you are making on a daily basis and perhaps even show it to a dietitian that you trust for suggestions on how you can make appropriate adjustments.

Good luck and I hope this helps with the weight loss - I'm working at it myself - stick with it - it'll happen! :D
 
Hi, thought I would do a little update..

I agreed to take the Metformin, I have been prescribed 2000mg a day and am currently on 1000mg daily, upping on tuesday to 1500.. I am on my 3rd week of my diet and so far I have lost a nice 11lb and on tuesday I will be joining my first Slimming World group which I am rather looking forward too. I've also taken to drinking 2 litres of water daily and I feel so much healthier for it too :) I have also been checking my sugar levels and the highest they have been is 7.6 - I have even had lost of readings in the 6. region too which never happened before. I was also prescribed statins but my DN has agreed for me not to take them and has agreed to me having 6 months doing what I am doing and will review me then. Here is hoping that my HbA1C is lower too and then I can come off the Metformin.
 
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