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Had to get back on the horse.

rhedgehog

Member
Messages
14
Location
Bournemouth
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Licorice
Back again... unfortunately.

Long time lurker, diagnosed 2015 and had been on dietary control alone for the last 5 years. Then it all went wrong.

Back in february I had a period of feeling like **** for a week or two after an ilness and after too many nights waking up needing to pee in the middle of the night, finally my brain realised that I knew those symptoms. Pulled out my old meter and bought some new strips to see how bad it had got.

18.8 at 10am having had only a coffee for breakfast!

Oh dear. Time to get back on the horse. Called the doctor and booked in a full set of blood tests and a diabetic review and started cutting out the carbs. Had to wait almost three weeks for the review, but A1c of 71 was the main take away, but also that I had lost 6 kg from the previous review 9 months earlier.

Back on the Metformin, Rosuvastatin, Ramipril and now for the first time, a dose of Dapagliflozin.
Meanwhile, onto low carb like I had done previously and try and up the time out on my bike.

Cut to now. 3 months later and another review to see how i am getting on with the dapagliflozin. More blood tests, all the usual.
Blood sugars regularly floating most of the time in the 6-6.5 range according to the dexcom, and rarely going into double figures now.

I also had a work trip to Cumbria for a week in May and the ebike went with me. A few afternoons pootling round the country lanes near Greystoke after work and a day off in Whinlatter Forest helped to keep me away form the local takeaways and get the blood flowing in some glorius early summer sun. So I had hopes I had got things back down to at least approaching normal.

The results?
A1c down to 41 and 10KG lost!
Cholesterol back into normal range, Liver and kidney tests all perfectly normal.
Even the blood pressure is down.

Currently been stuck at 170KG for the last few weeks so the next step is the Mounjaro. I'm still 30KG lighter than I was at my heaviest, but having just turned 45, i have decided it's about **** time the lot came off. After a long conversation with my older brother who was heavier than i am (although not diabetic) and who has been on it for a year and lost 6 stone already, he's convinced me to give it a go.
Probably going to stick to the lower doses for more than the 4 weeks initially, as that has worked for him. Hopefully we're similar enough that it will work for me too, but if i have to go higher, so be it.

Plus, as my blood sugar, choesterol and blood pressure are 'back under control' as the nurse put it, i wouldn't qualify on the NHS. Thankfully i am fortunate enough to be able to self fund, so the order just went in.

I'm working on the food habits, and I am much better than I was a few months ago. The sweet tooth hasn't died just yet, but it's getting better every day. I know i need to change for good this time, and not just for a while before slipping back into the old habits again...

The diabetes team have been warned, and they want to see me after three months to check if i need to stop or adjust the metformin depending on how it goes. although the Nurse was thinking of dropping me to 1 metformin a day anyway, so i may do that myself.

Fingers crossed... but i guess i'm getting me some more dexcoms to keep a close eye on things for the next few months as well!
 
Back again... unfortunately.

Long time lurker, diagnosed 2015 and had been on dietary control alone for the last 5 years. Then it all went wrong.

Back in february I had a period of feeling like **** for a week or two after an ilness and after too many nights waking up needing to pee in the middle of the night, finally my brain realised that I knew those symptoms. Pulled out my old meter and bought some new strips to see how bad it had got.

18.8 at 10am having had only a coffee for breakfast!

Oh dear. Time to get back on the horse. Called the doctor and booked in a full set of blood tests and a diabetic review and started cutting out the carbs. Had to wait almost three weeks for the review, but A1c of 71 was the main take away, but also that I had lost 6 kg from the previous review 9 months earlier.

Back on the Metformin, Rosuvastatin, Ramipril and now for the first time, a dose of Dapagliflozin.
Meanwhile, onto low carb like I had done previously and try and up the time out on my bike.

Cut to now. 3 months later and another review to see how i am getting on with the dapagliflozin. More blood tests, all the usual.
Blood sugars regularly floating most of the time in the 6-6.5 range according to the dexcom, and rarely going into double figures now.

I also had a work trip to Cumbria for a week in May and the ebike went with me. A few afternoons pootling round the country lanes near Greystoke after work and a day off in Whinlatter Forest helped to keep me away form the local takeaways and get the blood flowing in some glorius early summer sun. So I had hopes I had got things back down to at least approaching normal.

The results?
A1c down to 41 and 10KG lost!
Cholesterol back into normal range, Liver and kidney tests all perfectly normal.
Even the blood pressure is down.

Currently been stuck at 170KG for the last few weeks so the next step is the Mounjaro. I'm still 30KG lighter than I was at my heaviest, but having just turned 45, i have decided it's about **** time the lot came off. After a long conversation with my older brother who was heavier than i am (although not diabetic) and who has been on it for a year and lost 6 stone already, he's convinced me to give it a go.
Probably going to stick to the lower doses for more than the 4 weeks initially, as that has worked for him. Hopefully we're similar enough that it will work for me too, but if i have to go higher, so be it.

Plus, as my blood sugar, choesterol and blood pressure are 'back under control' as the nurse put it, i wouldn't qualify on the NHS. Thankfully i am fortunate enough to be able to self fund, so the order just went in.

I'm working on the food habits, and I am much better than I was a few months ago. The sweet tooth hasn't died just yet, but it's getting better every day. I know i need to change for good this time, and not just for a while before slipping back into the old habits again...

The diabetes team have been warned, and they want to see me after three months to check if i need to stop or adjust the metformin depending on how it goes. although the Nurse was thinking of dropping me to 1 metformin a day anyway, so i may do that myself.

Fingers crossed... but i guess i'm getting me some more dexcoms to keep a close eye on things for the next few months as well!
Very very well done it seems to be taking forever for me to get down to anywhere near a sensible blood test result
metformin Toujeo insulin and soon a bolus insulin too, My DN Hba1c's were 120 then 99 august before I can get next one done my own reading BG seem to be 11to 12 in mornings and between 12 and 17 2 hours after main meal so I understand how well you have done
 
Thanks. The nurse was vary happy with me.

Sadly, just got a reply from the pharmacy, and i've been turned down for the mounjaro cos of the Dapagaliflozin.
The nurse seemed happy enough as long as i was careful, but the pharmacy said no.

Time for another discussion with the nurse i think.
 
If you look at my email signature, I'm on Dapa and one of Monjaro's sister drugs, Trulicity prescribed by the NHS (alongside Metformin & Glic) my current weight hovers around the 90kg level down from 113kg at it's highest, but I was prescribed the Trulicity before GLP1's were licensed for weight loss
 
Thanks lessci, That's interesting. The nurse did not seem to have any issue wtih me trying glp1 and wasn't concerned with hypos, i've not had even a hint of any apart from a few false lows in the first few weeks of taking things in hand again, adn that was before the dapa.

I guess i see what she says, but otherwise it's hit the diet hard and if i can keep things under control until the next 6 month review, maybe ask about coming off the dapa and then maybe we can get the jab to help things along a bit.
 
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