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Diabetes Discussion
Type 2 Diabetes
need advice! insulin alone or insulin plus metformin?
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<blockquote data-quote="river-rat-sam" data-source="post: 305027" data-attributes="member: 22461"><p>I am type II and was diagnosed four years ago.</p><p></p><p>Firstly on metformin then moved to byetta plus metformin. On byetta successfully for one year, went from 5mcg to 10mcg. Lost weight and HBA1C came down to 6. Travelled to Africa, started being sick after injecting, got worse, GP told me to stop taking it. HBA1C went up to 9 and was told to go on insulin.</p><p></p><p>Saw the team this week and have been put on Insulatard. Have no idea what peoples opinions are on that and whether it is a good one to start. The nurse wants me to take 1000metformin in the mornings and inject the insulatard in the evening. I didn't want to carry on with the metformin so she said I could take the insulatard morning and evening so two injections (not a problem as I've been used to it).</p><p></p><p>Now she has rung today to say the reason she wanted me to take 1000 metformin and only ONE insulin injection is that the metformin will help with weight gain.</p><p></p><p>I have googled this and found pages that say combination therapy using insulin and metformin helps with weight gain and pages saying that metformin with insulin CAUSES weight gain and I should be taking insulin alone (good old world wide web :crazy: )</p><p>It also says that taking both will cause sickness and diarrhoea :thumbdown: </p><p>Please can anyone help me?</p><p></p><p>Which should I choose? insulin alone twice a day? or insulin once a day plus 1000 metformin? Would really really appreciate some advice. Feeling a bit worried about going into this bank holiday weekend, not being really sure about whether I am doing the right thing.</p><p></p><p>Any advice greatly appreciated</p></blockquote><p></p>
[QUOTE="river-rat-sam, post: 305027, member: 22461"] I am type II and was diagnosed four years ago. Firstly on metformin then moved to byetta plus metformin. On byetta successfully for one year, went from 5mcg to 10mcg. Lost weight and HBA1C came down to 6. Travelled to Africa, started being sick after injecting, got worse, GP told me to stop taking it. HBA1C went up to 9 and was told to go on insulin. Saw the team this week and have been put on Insulatard. Have no idea what peoples opinions are on that and whether it is a good one to start. The nurse wants me to take 1000metformin in the mornings and inject the insulatard in the evening. I didn't want to carry on with the metformin so she said I could take the insulatard morning and evening so two injections (not a problem as I've been used to it). Now she has rung today to say the reason she wanted me to take 1000 metformin and only ONE insulin injection is that the metformin will help with weight gain. I have googled this and found pages that say combination therapy using insulin and metformin helps with weight gain and pages saying that metformin with insulin CAUSES weight gain and I should be taking insulin alone (good old world wide web :crazy: ) It also says that taking both will cause sickness and diarrhoea :thumbdown: Please can anyone help me? Which should I choose? insulin alone twice a day? or insulin once a day plus 1000 metformin? Would really really appreciate some advice. Feeling a bit worried about going into this bank holiday weekend, not being really sure about whether I am doing the right thing. Any advice greatly appreciated [/QUOTE]
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