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Diabetes Discussion
Type 2 Diabetes
Mounjaro, low calorie intake, major depression and possible Polymyalgia Rheumatica
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<blockquote data-quote="sadancer" data-source="post: 2755607" data-attributes="member: 573673"><p>Hi all, been a while since my first and only post. I’ve had Type 2 since October 2022 when I was first diagnosed by a doctor whose comment to me was your are diabetic and are gonna die. He was aggressive and completely abusive which left me in a very bad mental state. Never got fully past that intro to the fact that life as I knew it was gone. However, moving on. I’ve been tried with so many drugs, starting with the doctors favourite Metformin, which nearly killed me with all its side effects, moving on to a range of others - all with their own nasty side effects. Add in statins which also hated me and between all these I couldn’t get the blood sugars under any kind of control. Finally my diabetic nurse decided I may be a good candidate for Mounjaro, and after some discussion with the doctors and other diabetic professionals, we agreed. I was removed off all other meds, given Ezetimibe (I have familial hypercholesterolemia) and started on 2.5 Mounjaro. almost a year on, I’m now on 10 Mounjaro, have got my hba1c down to 52 which is more than a 50% drop and a side effect is about 16kg weight drop. I also have an auto-immune disease, the DT2 appeared at the same time … so docs think related. The MJ is truly a wonder for the blood sugar and my diabetic nurse is happy with my progress. We are both well aware this is for life, as my only other option would be insulin and we are both loathe to go that route. Even after a year, my food intake is tiny, and I can’t remember what feeling hungry is like. But our concern currently is my calorie intake is really low, can be well under 800 a day. I‘m struggling as I’m terrified of eating carbs and sugar (my initiation into this world was brutal). I’ve finally managed to get some mental health support which should be starting soon, I hope.</p><p></p><p>The struggle to eat is real. As I have a high powered job, and travel, I’m constantly having days of no or minimum food since most hotels and venues look at me like an alien when I say I’m diabetic and need food without sugar or carbs. There are sp many different lists of good/medium/bad foods around, but when merged I get kale and water as the only common ground. I drink loads of water daily, but yuck on kale. And since I stress big time over food, I’m almost just giving up and living on fresh air. Added to this, I’ve been getting pain in my shoulders, arms, Hips and pelvis, which may be PMR. Blood tests are currently negative, but apparently can still be this. I am rather a pain in the ass at meds and having rare medical conditions, so this could very well be my latest auto immune disease showing its ugly head. I’m also most likely an adult ADHD, but am in the queue for testing (2 years and waiting).</p><p></p><p>Sorry, for the long diatribe, but wanted to set the scene. My questions are around how to get more calories a day, should I look at multi-vitamins, and anyone got any advice to just keep me a bit less crazy about all this going on and my constant terror and fear of food.</p><p></p><p>Thank you in advance.</p></blockquote><p></p>
[QUOTE="sadancer, post: 2755607, member: 573673"] Hi all, been a while since my first and only post. I’ve had Type 2 since October 2022 when I was first diagnosed by a doctor whose comment to me was your are diabetic and are gonna die. He was aggressive and completely abusive which left me in a very bad mental state. Never got fully past that intro to the fact that life as I knew it was gone. However, moving on. I’ve been tried with so many drugs, starting with the doctors favourite Metformin, which nearly killed me with all its side effects, moving on to a range of others - all with their own nasty side effects. Add in statins which also hated me and between all these I couldn’t get the blood sugars under any kind of control. Finally my diabetic nurse decided I may be a good candidate for Mounjaro, and after some discussion with the doctors and other diabetic professionals, we agreed. I was removed off all other meds, given Ezetimibe (I have familial hypercholesterolemia) and started on 2.5 Mounjaro. almost a year on, I’m now on 10 Mounjaro, have got my hba1c down to 52 which is more than a 50% drop and a side effect is about 16kg weight drop. I also have an auto-immune disease, the DT2 appeared at the same time … so docs think related. The MJ is truly a wonder for the blood sugar and my diabetic nurse is happy with my progress. We are both well aware this is for life, as my only other option would be insulin and we are both loathe to go that route. Even after a year, my food intake is tiny, and I can’t remember what feeling hungry is like. But our concern currently is my calorie intake is really low, can be well under 800 a day. I‘m struggling as I’m terrified of eating carbs and sugar (my initiation into this world was brutal). I’ve finally managed to get some mental health support which should be starting soon, I hope. The struggle to eat is real. As I have a high powered job, and travel, I’m constantly having days of no or minimum food since most hotels and venues look at me like an alien when I say I’m diabetic and need food without sugar or carbs. There are sp many different lists of good/medium/bad foods around, but when merged I get kale and water as the only common ground. I drink loads of water daily, but yuck on kale. And since I stress big time over food, I’m almost just giving up and living on fresh air. Added to this, I’ve been getting pain in my shoulders, arms, Hips and pelvis, which may be PMR. Blood tests are currently negative, but apparently can still be this. I am rather a pain in the ass at meds and having rare medical conditions, so this could very well be my latest auto immune disease showing its ugly head. I’m also most likely an adult ADHD, but am in the queue for testing (2 years and waiting). Sorry, for the long diatribe, but wanted to set the scene. My questions are around how to get more calories a day, should I look at multi-vitamins, and anyone got any advice to just keep me a bit less crazy about all this going on and my constant terror and fear of food. Thank you in advance. [/QUOTE]
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