Vivienne said:Hi, I've just been prescribed Victoza to replace Byetta, what is the best time of day to inject?
Thanks
Vivienne
This is an extract from the official summary of product characteristics, lodged with the EMEA. The licencing authority.
Method of administration
Victoza is administered once daily at any time, independent of meals, and can be injected subcutaneously in the abdomen, in the thigh or in the upper arm. The injection site and timing can be changed without dose adjustment. However, it is preferable that Victoza is injected around the same time of the day, when the most convenient time of the day has been chosen.
Pharmacodynamic effects.
Liraglutide has 24-hour duration of action and improves glycaemic control by lowering fasting and
postprandial blood glucose in patients with type 2 diabetes mellitus.
Jackie1966 said:Can anyone offer any help or comments please?
I've been on 1.2 Victoza since the beginning of July, no sickness or anything.
My appetite and food intake have been down, but because I've hardly been eating I've sometimes felt very lifeless, tired and generally kind of not too brilliant.
In 2 weeks I'd lost about 11lb.
In the last week my appetite has returned and I'm eating more and feeling hungry again, almost as before I started on the injection and around 3 or 4lb in weight has returned.
Is this an indication that Victoza is no longer having the desired effect on me now?
I'm due back at the hospital on Monday to see the nurse.
I'd be really greatful for any comments, help or advice from anyone.
Thanks,
Jackie
Here is the advice we usually give to newly diagnosed type 2 diabetics.This forum doesn't always follow the recommended dietary advice, you have to work out what works for you as we are all different.
It's not just 'sugars' you need to avoid, diabetes is an inability to process glucose properly. Carbohydrate converts, in the body, to glucose. So it makes sense to reduce the amount of carbohydrate that you eat which includes sugars.
The main carbs to avoid or reduce are the complex or starchy carbohydrates such as bread, potatoes, pasta, rice, starchy root veg and also any flour based products. The starchy carbs all convert 100% to glucose in the body and raise the blood sugar levels significantly.
The way to find out how different foods affect you is to do regular daily testing and keep a food diary for a couple of weeks. If you test just before eating then two hours after eating you will see the effect of certain foods on your blood glucose levels. Some foods, which are slow acting carbohydrates, are absorbed more slowly so you may need to test three or even four hours later to see the affect that these have on your blood glucose levels.
Buy yourself a carb counter book (you can get these on-line) and you will be able to work out how much carbs you are eating, when you test, the reading two hours after should be roughly the same as the before eating reading, if it is then that meal was fine, if it isn’t then you need to check what you have eaten and think about reducing the portion size of carbs.
When you are buying products check the total carbohydrate content, this includes the sugar content. Do not just go by the amount of sugar on the packaging as this is misleading to a diabetic.
As for a tester, try asking the nurse/doctor and explain that you want to be proactive in managing your own diabetes and therefore need to test so that you can see just how foods affect your blood sugar levels. Hopefully this will work ! Sometimes they are not keen to give Type 2’s the strips on prescription, (in the UK) but you can but try !!
As a Type 2 the latest 2010 NICE guidelines for Bg levels are as follows:
Fasting (waking).......between 4 - 7 mmol/l.
2 hrs after meals......no more than 8.5 mmol/l.
If you are able to keep the post meal numbers lower, so much the better.
It also helps if you can do 30 minutes moderate exercise a day. It doesn't have to be strenuous.
Ken/Sue.
MomSherlock said:Hi Jackie ~ I wish Ken had been around when I was first diagnosed Type II. :
humph said:I collected my latest pen from my Pharmacist yesterday and had an interesting conversation.
Seems that the NHS are trying to force Novo Nordisk to change their pricing for Victoza. The problem being that Byetta charge the same price for both doses, I was paying £85, but Vitoza is £120 for the 1.2 dose and £163 for the 1.8 dose, the NHS are talking to Novo Nordisk to try and get this figure down to the same cost as Byetta.
This ties in with what I have been told by my GP, I can get Byetta on a NHS prescription, but my local PCT will not fund Victoza due to cost.
Hobs said:humph said:I collected my latest pen from my Pharmacist yesterday and had an interesting conversation.
Seems that the NHS are trying to force Novo Nordisk to change their pricing for Victoza. The problem being that Byetta charge the same price for both doses, I was paying £85, but Vitoza is £120 for the 1.2 dose and £163 for the 1.8 dose, the NHS are talking to Novo Nordisk to try and get this figure down to the same cost as Byetta.
This ties in with what I have been told by my GP, I can get Byetta on a NHS prescription, but my local PCT will not fund Victoza due to cost.
I do not understand how Victoza can be charged by injection dose rate as its a dial-up type of pen where the user decides how much of the liquid is injected from the pen ... 15 days of Victoza per pen if the 1.2 dose is selected each day, and obviously this will be less days if the 1.8 is selected.
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