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<blockquote data-quote="cugila" data-source="post: 114329" data-attributes="member: 15325"><p>Just reviewed this one. I agree with Ian regarding your diet. Your high fasting levels could simply be down to the Dawn Phenomenon effect. You are not eating for many hours and your Bg levels may have dropped because of this, the body then dumps Glucose into your system in the early hours causing your Bg level to be elevated when waking. A start to the day which is difficult to recover from and then just gets worse as the day goes on. </p><p></p><p>As regards the Metformin Ian has previously stated that there is an alternative to the standard version, it is called Metformin SR (slow release) or MR (modified release). This is usually better tolerated by those who have trouble with Standard Met. You should ask to go on that. Typically Metformin only reduces Bg levels by around 1.5 mmol/l and that is when on the maximum dosage.</p><p></p><p>There are several other drugs which can be prescribed as well as the Metformin, they are called Sulphonylureas. One of the more effective ones is Gliclazide. Now, this can cause weight gain, but will help to get those Bg levels down pretty quickly so might be worth getting just to gain control.</p><p>Can always be reduced later when you have better numbers. Don't listen to those who allege it 'burns' out the Pancreas. The source for that is suspect. I was on it for years and it has done me no harm, my Pancreas is working fine. there are many who also do well on it, being careful regarding weight.</p><p></p><p>If Byetta (Exanitide), injected twice daily, was to be considered it is usual that the Patient would have been on maximum doses of the Biguanides Met) and Sulphonylureas and have bad control, plus have a BMI in excess of 35 to be considered. A very effective drug for most people, however it can have side effects mostly nausea. For most people that clears up after a few weeks, not all though. an appetite suppressant as well and good for weight loss.</p><p></p><p>There is also the new drug, Victoza (Liraglutide), injected once daily, which has similar benefits which may be another option. This too appears to be effective as well. We have threads on the Forum about both in the Diabetes Drugs and Medication area. Take a look for more information.</p><p></p><p>As for Insulin, yes it is very effective and might be an option. It can however cause weight gains which you may not want. So those are some of your choices. It does appear that you really need some medication as diet alone doesn't seem to be working for you. Discuss all these options with your GP or better still get a referral to a Specialist, an Endocrinologist. The treatment should be far better from an Endo.</p><p></p><p>I have just noticed your age.....24, is that correct ? </p><p></p><p></p><p>That from a previous post of yours too ???</p><p></p><p>Who diagnosed you as a T2 ? I would definitely be asking for a second opinion by an expert, and a proper confirmation of the Type. T1 or T2, that could explain those high numbers despite what appears to be a good diet ! See your GP asap.</p></blockquote><p></p>
[QUOTE="cugila, post: 114329, member: 15325"] Just reviewed this one. I agree with Ian regarding your diet. Your high fasting levels could simply be down to the Dawn Phenomenon effect. You are not eating for many hours and your Bg levels may have dropped because of this, the body then dumps Glucose into your system in the early hours causing your Bg level to be elevated when waking. A start to the day which is difficult to recover from and then just gets worse as the day goes on. As regards the Metformin Ian has previously stated that there is an alternative to the standard version, it is called Metformin SR (slow release) or MR (modified release). This is usually better tolerated by those who have trouble with Standard Met. You should ask to go on that. Typically Metformin only reduces Bg levels by around 1.5 mmol/l and that is when on the maximum dosage. There are several other drugs which can be prescribed as well as the Metformin, they are called Sulphonylureas. One of the more effective ones is Gliclazide. Now, this can cause weight gain, but will help to get those Bg levels down pretty quickly so might be worth getting just to gain control. Can always be reduced later when you have better numbers. Don't listen to those who allege it 'burns' out the Pancreas. The source for that is suspect. I was on it for years and it has done me no harm, my Pancreas is working fine. there are many who also do well on it, being careful regarding weight. If Byetta (Exanitide), injected twice daily, was to be considered it is usual that the Patient would have been on maximum doses of the Biguanides Met) and Sulphonylureas and have bad control, plus have a BMI in excess of 35 to be considered. A very effective drug for most people, however it can have side effects mostly nausea. For most people that clears up after a few weeks, not all though. an appetite suppressant as well and good for weight loss. There is also the new drug, Victoza (Liraglutide), injected once daily, which has similar benefits which may be another option. This too appears to be effective as well. We have threads on the Forum about both in the Diabetes Drugs and Medication area. Take a look for more information. As for Insulin, yes it is very effective and might be an option. It can however cause weight gains which you may not want. So those are some of your choices. It does appear that you really need some medication as diet alone doesn't seem to be working for you. Discuss all these options with your GP or better still get a referral to a Specialist, an Endocrinologist. The treatment should be far better from an Endo. I have just noticed your age.....24, is that correct ? That from a previous post of yours too ??? Who diagnosed you as a T2 ? I would definitely be asking for a second opinion by an expert, and a proper confirmation of the Type. T1 or T2, that could explain those high numbers despite what appears to be a good diet ! See your GP asap. [/QUOTE]
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