CollieBoy
Well-Known Member
- Messages
- 2,974
- Type of diabetes
- Type 2
- Treatment type
- Diet only
- Dislikes
- Hi carb Foods
But your sig says you are already started on them (Ducks & runs for cover)Don't get me started on Gliclazide!
SORRY
But your sig says you are already started on them (Ducks & runs for cover)Don't get me started on Gliclazide!
But your sig says you are already started on them (Ducks & runs for cover)
SORRY
Whether you take a statin or not is entirely your decision but your GP should be providing you with enough information to make an informed choice.I'm really very annoyed today.
I had my annual review yesterday, and it all went a little bit better than I thought it would. My hba1c is down to 7.9% from 9.1% despite me having tantrum and throwing all my Gliclazide in the bin a few weeks back.
Cholesterol was 5.3 last time, it's 4.5 this time, with my Triglycerides at 1.7. So not ideal, but better and definitely moving in the desired direction.
So, then there was the QRisk (which I posted about elsewhere), which takes into account all kinds of things like BMI, Cholesterol levels, blood pressure etc, and gives a lovely % of the risk of cardiovascular disease in the next 10 years.
My level is 10.4% and anything 10 or above is where the GP's like to take action.
I refused to take a statin, having been on them before. And gave the very valid reason that I'm of childbearing age and would quite like to bear a child at some point in the not so distant future.
So, yesterday we left it where she gave me 3 months to "prove" that my cholesterol is on a downward curve, and we'd sit down and discuss in December.
This afternoon whilst at work I got a phonecall from my Nurse. She'd reviewed my case with the GP and the Dr had decided that I should start a Statin, so my prescription of Atorvastatin had already been put in at my usual pharmacy.
I asked her how that would impact the fact that we are trying to conceive, and she told me that we wouldn't be able to whilst I am on a statin.
How dare they assume that they can control people's life plans simply because I most likely tick a box that will get them a bit more funding! I'm 36, that biological clock is ticking quite loudly these days... so am I just supposed to put all plans on hold for years?
Needless to say, I have no plans to take said drug, but it still makes me very angry that the NHS rarely ever takes the whole person into consideration!
There was a proposal that statin prescription should be one of the QOF targets for 2016 (the Quality and Outcomes Framework rewards practices for the provision of 'quality care'). GPs were up in arms about this, pointing out that this would reward GPs who prescribed a statin routinely for all patients with a greater than 10% QRisk but would fail to reward GPs who had a discussion with the patient about lifestyle modification, their risk of CHD, balance of benefits versus harms of statin therapy and then respected patient choice of whether to take a statin or not. See this article in the GP magazine, Pulse, for full discussion:- http://www.pulsetoday.co.uk/gps-to-...old-under-nice-proposals/20009045.fullarticleI wonder if GP's get paid extra for prescribing statins. Anyone know?
Hi. Gliclazide, like insulin, only causes weight gain if you eat too many carbs. Glic stimulates the body to produce more insulin which then enables you to use any carbs you consume. Glic is a good drug but needs to be used in the right context.I should update that!! I threw them in the bin, and told DSN that she was welcome to try them herself if she fancied putting on huge amounts of weight in short spaces of time. She didn't seem keen on the idea lol.
Personally, I think gliclazide is unsuitable for obese like me with significant insulin resistance.Hi. Gliclazide, like insulin, only causes weight gain if you eat too many carbs. Glic stimulates the body to produce more insulin which then enables you to use any carbs you consume. Glic is a good drug but needs to be used in the right context.
Hi. You're absolutely right that Glic is not normally the right treatment if you have insulin resistance thru excess weight and prescribing them to you might not have been sensible. Having low carbs is absolutely right and it's good to hear the weight is dropping off. If the bloods are still too high it will make it easier to decide the next best meds. Double diabetes (T1+ T2) is not unknown but see where you get to.Personally, I think gliclazide is unsuitable for obese like me with significant insulin resistance.
My bloods were erratic whilst on it, I gained significant weight whilst eating less than 20g carbs a day. I went on a severe diet, gained another half a stone in a month. I became annoyed, depressed and lost my self esteem due to gaining the weight I'd worked so hard to lose.
And for three weeks I ate whatever I wanted. I gained at the same rate!!
Dumped the glic and now I'm back on my usual 20g or less, I've lost 10lbs in 3 weeks. My bloods are rubbish, but only slightly worse than they were on the glic!
It's really not for everyone.
Looks like it : (I wonder if GP's get paid extra for prescribing statins. Anyone know?
Hi. Gliclazide, like insulin, only causes weight gain if you eat too many carbs. Glic stimulates the body to produce more insulin which then enables you to use any carbs you consume. Glic is a good drug but needs to be used in the right context.