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Type 2 and Mirtazipine?

Yog Hurt

Newbie
Messages
2
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Hi all. I'm not newly diagnosed, one year now but was diagnosed after an accident where I severely damaged my right leg resulting in being hospitalised and bed bound for a long time. I was in Hospital and bed bound for nearly three months with no exercise at all and was only prescribed Metformin 2 months after being diagnosed. it was 5 months before my first Diabetic appointment with the nurse at my gp practice and when weighed we discovered I had lost around 2 and a half stone. My job before the accident was as a Bar manager and as such I was constantly on my feet and I admit that my diet was shocking but I was really shocked at how much I had lost. Before the accident I fluctuated between 20 and 21 stone! I was now 17 and a half.
I was then prescribed Mirtazipine for my depression which had hit hard due to the accident and all the stress it had caused. Immediately my weight began to go back on so I stopped the mirtazipine and went on amitryptiline instead. This seemed to help but I have been put back on Mirtazipine again and my weight has shot up again. I am still unable to work or walk properly so excercise is difficult but I do what I can
Has anybody else has a similar experience or have any advice about this? I have spent the last year focusing on my injury and just eating healthily but my levels have shot up and I'm due more surgery on my leg and just finding it hard to control my diabetes. I'm on two metformin twice a day now but even this doesn't seem to be controlling my long term levels.
any advice would be greatly appreciated.
cheers
 
Mitrazapine is notorious for weight gain. The best suggestion is to see GP and arrange for a change of medication to one of the older SSRI drugs. A friend put on about 4st on it and is now on Citalopram instead which seems to be helping. You may also need to change your diabetic meds so best thing is to see GP and discuss it all. When you say eating healthily, does that include carbs with every meal as recommended by NHS, in which case there is considerable room for dietary changes which would help with BS and weight loss. Look at the LCHF diet instead= lots about it on here.
 
Thanks.
It's mainly been lots of fresh veg, Salads and soups. Wholemeal Bread etc. Watching the Portions of Potatoes and pasta and rice. Sometimes none with evening meal. A few biscuits occasionally. I cook as often as possible as it's my happy place so I do think about each meal a lot. Never really tried Diets. I shall have a look.Thanks Ethyl.
 
Sadly even wholemeal breads and grains can cause rises in BS in us diabetics. Do you self test? It is the only way to see what you can eat and what isn't suitable for you. Some folk can manage small portions of rice , spuds and pasta but I think they are in the minority on here. I wonder given medical history if you couldn't really push for a monitor and strips from your GP- most of us on here end up self- funding but if you are not working and very depressed I'd be arguing that controlling your diabetes is a must and that they should prescribe them as part of your self-health management. Worth a shot. All the best.
 
I've found eating a LCHF diet to be one of the best mood stabilisers ever - I think part of it is the additional fat which helps brain health, but also not having the continual BG roller coaster of high/low levels caused by the excess carbohydrates.
 
Yog Hurt, sorry to hear about your accident and problems.

I have been on Mirtazapine for some years - after a diagnosed severe depression - no side effects, no weight gain. My son (who is quite knowledgeable about this) says that it will kind of lower the top and bottom of your feelings - no high elations, no deep depressions. And if you go off it, make sure to do it slowly. It will take until a months to build up an effect and if you go off it, again do this slowly.

annelise
 
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