NCC1701
Member
- Messages
- 12
Hi, I've recently been diagnosed with Lada after a c peptide test. Originally diagnosed TE 28 years ago. Currently being treated with Metformin and Gliclazide.
Hba1c mid 40s. 40mg Gliclazide breakfast and dinner. Lost 4kg in 4 months. Levels go above 10 mmol/L for an hour or two. Sometimes up to over 12 mmol/L but i can usually do 10mins running to bring it down to under 10.
Early morning levels are about 6.0 and steadily climb. 'Dawn Effect'? I take 2 Metformin and 1 x 40mg Gliclazide. Little exercise but usually 15-18 g carbs with protein. Such as porridge with tbsp peanut butter. Lunch and dinner usually 6 or 7 pre prandial but it crashes to 4 sometimes 3.8 if I don't 'top-up' with an oatcake or two.
I try to have 40-60g carbs 9-10pm to beat a sharp down turn that always happens that time of night.
I now think this is the wrong thing to do and is causing overcompensation by the Gliclazide causing 'reactive hypoglycemia' ?
This means I need jelly babies to bring me back from 3.6mmol/l to 4.5 and then I can sleep through the night safely. Again waking to 5.9 mmol/l.
Tonight, I'll try having a 15g carb snack 8pm and a small carb supper 10pm before bed to see if helps stop the Gliclazide forcing my pancreas to make an exhausting effort to counteract the dinner carbs of 40-60g.
I take around 140-160 carbs a day.
Trying to up the protein to min 60g daily to also help smooth out any spikes and crashes.
My question is: should I even be on Gliclazide at all as it appears to be forcing my pancreas to work harder.
Healthcare team at hospital have said I'll need to go on insulin at some point but not said right you need to start it now.
They seem to be leaving it to me to mentally psych myself up to say I want to start it.
I've read early insulin therapy is good for LADA as gives the remaining beta cells a rest and so they may live longer.
Do you think:
I should ask to come off Gliclazide and see how I do with a SGLT 2 inhibitor like Dapagliflozin
I should bite the bullet and ask to start early insulin therapy before by beta cells are all gone.
Many thanks for reading.
Hba1c mid 40s. 40mg Gliclazide breakfast and dinner. Lost 4kg in 4 months. Levels go above 10 mmol/L for an hour or two. Sometimes up to over 12 mmol/L but i can usually do 10mins running to bring it down to under 10.
Early morning levels are about 6.0 and steadily climb. 'Dawn Effect'? I take 2 Metformin and 1 x 40mg Gliclazide. Little exercise but usually 15-18 g carbs with protein. Such as porridge with tbsp peanut butter. Lunch and dinner usually 6 or 7 pre prandial but it crashes to 4 sometimes 3.8 if I don't 'top-up' with an oatcake or two.
I try to have 40-60g carbs 9-10pm to beat a sharp down turn that always happens that time of night.
I now think this is the wrong thing to do and is causing overcompensation by the Gliclazide causing 'reactive hypoglycemia' ?
This means I need jelly babies to bring me back from 3.6mmol/l to 4.5 and then I can sleep through the night safely. Again waking to 5.9 mmol/l.
Tonight, I'll try having a 15g carb snack 8pm and a small carb supper 10pm before bed to see if helps stop the Gliclazide forcing my pancreas to make an exhausting effort to counteract the dinner carbs of 40-60g.
I take around 140-160 carbs a day.
Trying to up the protein to min 60g daily to also help smooth out any spikes and crashes.
My question is: should I even be on Gliclazide at all as it appears to be forcing my pancreas to work harder.
Healthcare team at hospital have said I'll need to go on insulin at some point but not said right you need to start it now.
They seem to be leaving it to me to mentally psych myself up to say I want to start it.
I've read early insulin therapy is good for LADA as gives the remaining beta cells a rest and so they may live longer.
Do you think:
I should ask to come off Gliclazide and see how I do with a SGLT 2 inhibitor like Dapagliflozin
I should bite the bullet and ask to start early insulin therapy before by beta cells are all gone.
Many thanks for reading.
