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<blockquote data-quote="MalcolmB" data-source="post: 1216489" data-attributes="member: 44593"><p>Hi All...</p><p></p><p>I've finally decided to go with my Nurse Practitioner's advice and start on slow release insulin (Insulatard) My HbA1c has been gradually rising and I'm bothered about the long-term effects of my oral meds.</p><p></p><p>I was diagnosed fifteen years ago and started with one Amaryl tablet daily and now I'm taking 2 Grams of Metformin, 320 Milligrams of Gliclazide and 100 Milligrams of Sitagliptin. When I start on insulin next week I'll stop taking Gliclazide but continue with the Metformin and Sitagliptin plus 8 Units of Insulatard for the time being.. The meds will be reviewed in a couple of months time and I'll see how I go from there.</p><p></p><p>On the whole, I'm quite looking forward to kicking Gliclazide into touch. I was always skinny as a rake until T2 was diagnosed. I started taking Gliclazide about seven years ago and I put on a stone and a half. The hospital specialist who diagnosed me was surprised as I was so thin and didn't fit the normal diabetic profile but I'd had an immune system problem that affected my thyroid and a gall stone attack which ended up giving me pancreatitis! I went into hospital with stomach pains and came out with thyrotoxicosis and diabetes. Talk about buy one and get one free!</p><p></p><p>The only downside is having to tell the DVLA that I'm now using Insulin.</p><p></p><p>I had to wait a couple of months to see my Nurse Prac so I had a go at cutting out as many carbs as possible and I actually started to have hypos on a regular basis - normally I never had hypos when I was eating a proper diabetic diet so there must be something in the high fat high protein diet.</p><p></p><p>I'd be grateful for any comments from those of you who are following the same regimen, i.e. insulin plus oral meds, and what to watch out for, apart from hypos.</p><p></p><p>Best wishes</p><p></p><p>Malcolm</p></blockquote><p></p>
[QUOTE="MalcolmB, post: 1216489, member: 44593"] Hi All... I've finally decided to go with my Nurse Practitioner's advice and start on slow release insulin (Insulatard) My HbA1c has been gradually rising and I'm bothered about the long-term effects of my oral meds. I was diagnosed fifteen years ago and started with one Amaryl tablet daily and now I'm taking 2 Grams of Metformin, 320 Milligrams of Gliclazide and 100 Milligrams of Sitagliptin. When I start on insulin next week I'll stop taking Gliclazide but continue with the Metformin and Sitagliptin plus 8 Units of Insulatard for the time being.. The meds will be reviewed in a couple of months time and I'll see how I go from there. On the whole, I'm quite looking forward to kicking Gliclazide into touch. I was always skinny as a rake until T2 was diagnosed. I started taking Gliclazide about seven years ago and I put on a stone and a half. The hospital specialist who diagnosed me was surprised as I was so thin and didn't fit the normal diabetic profile but I'd had an immune system problem that affected my thyroid and a gall stone attack which ended up giving me pancreatitis! I went into hospital with stomach pains and came out with thyrotoxicosis and diabetes. Talk about buy one and get one free! The only downside is having to tell the DVLA that I'm now using Insulin. I had to wait a couple of months to see my Nurse Prac so I had a go at cutting out as many carbs as possible and I actually started to have hypos on a regular basis - normally I never had hypos when I was eating a proper diabetic diet so there must be something in the high fat high protein diet. I'd be grateful for any comments from those of you who are following the same regimen, i.e. insulin plus oral meds, and what to watch out for, apart from hypos. Best wishes Malcolm [/QUOTE]
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