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So many options I don't know what to choose
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<blockquote data-quote="SimonCrox" data-source="post: 1586460" data-attributes="member: 388174"><p>Sounds like you have had some good help from the diabetes team and have worked hard to achieve the lower gluocse levels..</p><p>Sorry that the metformin upset you</p><p>If you have type 2 diabetes, at this early stage, there is a lot of choice; some might give a course of insulin to get a very high glucose level down and then switch to a different treatment for long term control.</p><p>The Forzyga is interesting and works as you describe; it needs normal renal function to work (eGFR > 60), and reduces weight and blood pressure alos; other members of the class reduce risk of heart attack and stroke - useful. There is generally 1 episode of thrush per year which is generally easy to treat but is sometimes awful. One gets UTIs on this class, but only a many a one gets with poorly controlled diabetes.</p><p>You might want to consider a gliptin tablet which has similar HbA1c reduction and is very well tolerated; they also let people lose weight .</p><p>You probably do not want to consider a sulphonylurea at this stage (eg glicazide) cos it puts weight on and has risk hypos.</p><p>Might want to consider piolitazone tablets cos it reduces risk heart attack stroke and dementia (we think) but puts weight on, and there are some other side effects eg swollen ankles, anaemia, rare risk of fractures of bones in feet.</p><p>Or a GLP-1 RA injetion such as Victoza controls the glucose as well as insulin, has no hypos on its own, loses weight eg 3-5 kg, and reduces risk stroke and heart attack - not all the GLP-1 RAs reduce heart attack / stroke rate</p><p>Your choice is influenced by your renal function and your body mass index, and that you have type 2 diabetes which gives a wide choice of treatments.</p><p>best wishes</p></blockquote><p></p>
[QUOTE="SimonCrox, post: 1586460, member: 388174"] Sounds like you have had some good help from the diabetes team and have worked hard to achieve the lower gluocse levels.. Sorry that the metformin upset you If you have type 2 diabetes, at this early stage, there is a lot of choice; some might give a course of insulin to get a very high glucose level down and then switch to a different treatment for long term control. The Forzyga is interesting and works as you describe; it needs normal renal function to work (eGFR > 60), and reduces weight and blood pressure alos; other members of the class reduce risk of heart attack and stroke - useful. There is generally 1 episode of thrush per year which is generally easy to treat but is sometimes awful. One gets UTIs on this class, but only a many a one gets with poorly controlled diabetes. You might want to consider a gliptin tablet which has similar HbA1c reduction and is very well tolerated; they also let people lose weight . You probably do not want to consider a sulphonylurea at this stage (eg glicazide) cos it puts weight on and has risk hypos. Might want to consider piolitazone tablets cos it reduces risk heart attack stroke and dementia (we think) but puts weight on, and there are some other side effects eg swollen ankles, anaemia, rare risk of fractures of bones in feet. Or a GLP-1 RA injetion such as Victoza controls the glucose as well as insulin, has no hypos on its own, loses weight eg 3-5 kg, and reduces risk stroke and heart attack - not all the GLP-1 RAs reduce heart attack / stroke rate Your choice is influenced by your renal function and your body mass index, and that you have type 2 diabetes which gives a wide choice of treatments. best wishes [/QUOTE]
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