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<blockquote data-quote="optimist1" data-source="post: 2404384" data-attributes="member: 542722"><p>OK, so it is just met and insulin. I would talk about your long standing issue with met. As you know it doesn't suit everyone. The Canagloflozin could well help reduce your insulin dose and well worth asking about.</p><p>As to Lyxumia-GLP-1, for you it sounds like it didn't help much. I was the opposite and a GLP-1 helped a lot. Perhaps one of the later, weekly ones could have some benefit and worth discussing?</p><p>Both Canagloflozin and a GLP-1 can be used with basal and bolus insulin, I don't know what the NHS rules are and perhaps an endo would have greater prescribing scope. They do have a combined Lyxumia (lixisenatide) and basal insulin.</p><p><a href="https://www.sps.nhs.uk/medicines/insulin-glargine-lixisenatide/" target="_blank">https://www.sps.nhs.uk/medicines/insulin-glargine-lixisenatide/</a></p><p></p><p>Hopefully in a couple of months, the new diet will let you have minimal meds. How are you feeling with any initial dietary side effects, It can be a hard couple of weeks?</p></blockquote><p></p>
[QUOTE="optimist1, post: 2404384, member: 542722"] OK, so it is just met and insulin. I would talk about your long standing issue with met. As you know it doesn't suit everyone. The Canagloflozin could well help reduce your insulin dose and well worth asking about. As to Lyxumia-GLP-1, for you it sounds like it didn't help much. I was the opposite and a GLP-1 helped a lot. Perhaps one of the later, weekly ones could have some benefit and worth discussing? Both Canagloflozin and a GLP-1 can be used with basal and bolus insulin, I don't know what the NHS rules are and perhaps an endo would have greater prescribing scope. They do have a combined Lyxumia (lixisenatide) and basal insulin. [URL]https://www.sps.nhs.uk/medicines/insulin-glargine-lixisenatide/[/URL] Hopefully in a couple of months, the new diet will let you have minimal meds. How are you feeling with any initial dietary side effects, It can be a hard couple of weeks? [/QUOTE]
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