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I have been diagnosed with type 2 Diabetes for around ten years. Initially I was controlled by diet, Metformin and Glicklacide. My Hba1c has been gradually rising and is now 8.7. At first to keep this rise in check I was given Byetta then replaced by Victoza (1.2 once a day) whilst on Lantus(50 twice a day). I am also taking 1000mg Metformin MR twice a day. Up until last week my waking sugar reading was around 9 but my evening readings could be as high as 22. I eat my main meal in the evening and I do have a sweet tooth that I struggle to keep in check. At my Hospital appointment last week the doctor took me off Victoza and put me on Humalog starting at 10 clicks twice a day. I have since increased this to 20 clicks after food up to 3 times day. My waking bloods sugar have increased to around 13. I now feel as if I am going backwards and getting very worried for the future.
My questions are:
1. Would I benefit from using Victoza and Humalog(given its not recommended & Victoza is not fully licensed)
2.Is it OK to keep increasing Humalog based on blood readings aiming for 5-7 readings with meal spikes or am I dreaming!Also what would be considered an upper limit of this drug?
3. I'm thinking of modifying treatment to 1 x Metformin twice a day : 1.8 Victoza once a day : 50 Lantus twice a day : Humalog 30 at meal times variable based on meal.
I can't go to my doctor as they will not prescribe Victoza and my next hospital appointment is in 6 months time.
My questions are:
1. Would I benefit from using Victoza and Humalog(given its not recommended & Victoza is not fully licensed)
2.Is it OK to keep increasing Humalog based on blood readings aiming for 5-7 readings with meal spikes or am I dreaming!Also what would be considered an upper limit of this drug?
3. I'm thinking of modifying treatment to 1 x Metformin twice a day : 1.8 Victoza once a day : 50 Lantus twice a day : Humalog 30 at meal times variable based on meal.
I can't go to my doctor as they will not prescribe Victoza and my next hospital appointment is in 6 months time.