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As a follow up, BG was 164 yesterday. Still too high.
She is having serious side effects from the metformin, and is going to stop taking them for a few days. We'll see how that works out.
I couldn’t take metformin. It’s a great drug for most diabetics but for some of us it really screws with the liver. I’m glad her numbers are more reasonable but sounds like they need to put her on some bigger guns. The right medication can drastically alter the quality of your life. Victoza was a miracle drug for me. I’m on Ozempic now and it also stops my diabetes from being so brittle with the added benefit of being administered weekly instead of daily.
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As a follow up, BG was 164 yesterday. Still too high.
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Very little evidence that a HbA1c beolw 7.0 improves outcomes, particularly in a septagenarian--
--and BS averaging ~160mg% corrsponds to a HbA1c of 7.0----More potential harm from more aggressive treatment at this point than the questionable benfit it could do.
My lady friend saw her new PCP about a week ago. Her BG was tested at about 245, and her A1C at over 13. She is now on 20 unit of insulin twice a day and Glipizide. Numbers are much better. She is also doing much better with avoiding sugar, since the new Doctor put "the Fear of God" in her.
My lady friend saw her new PCP about a week ago. Her BG was tested at about 245, and her A1C at over 13. She is now on 20 unit of insulin twice a day and Glipizide. Numbers are much better. She is also doing much better with avoiding sugar, since the new Doctor put "the Fear of God" in her.
Question the PCP about the rationale behind using glipizide AND insulin. Once the line is crossed and insulin started, pills don't make much sense, particularly that one...It works by stimulating the pancreas to make more insulin, which it probably can't do in her case.
Maybe take her to pick out a casket, see if reality finally sets in. If she wont try to change her diet, then she will start forfeiting pieces of herself. T2 may take 20 years to kill whole person (or not), but it does it one piece at a time. A toe here, a leg there, eye sight next week. Soon starts adding up, making life ever so pleasant you wish you were dead.
A strict diet may not cure diabetes, but at least you will enjoy remaining days a whole lot more.
If nothing else I know I suffered horrible foot pain at night and would have to take long walks to get some relief, when all I wanted to do is sleep. THAT ALONE made carefully watching diet worth it. That was seriously annoying pain.
Question the PCP about the rationale behind using glipizide AND insulin. Once the line is crossed and insulin started, pills don't make much sense, particularly that one...It works by stimulating the pancreas to make more insulin, which it probably can't do in her case.
Turns out she couldn't tolerate the glipizide, so it is now just the insulin.
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