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Glucophage & hypos

Categories: Diabetics

Question:

   Now, probably we will hear from a bunch of folks who swear up and    down that type 2s not on insulin <never have <true hypos, but    IMHO, if it sweats like a duck, shakes like a duck, and gets better    with some carbs, then it is a duck, regardless of the numbers. Oh I don’t know… The correlation can be affected by many things. For example it’s not 12% that the elite assumes, It can be as high as 15 or 20 percent depending on if fasting or not.  And then there are some other cases where one or the other can increase around 35 mg/dl (Note this is not a percentage) which then adds to the other things (I do have a text file about this somewhere, It is from the scientific director of B-M ) However.  The point is this IF everyone involved knows what the meter is doing it’s a great meter However I’ve yet to meet a medical professional who knew what that meter does.  I try to teach them.  You should too.  Then it will become a non-issue (Actually BAYER should teach them since they make the stupid thing) "Nothing adds excitement like something that is none of your business" Attention Spammers: Fee for returning your SPAM to your postmaster $250.00 It’s been Monday all week. Net-Tamer V 1.10  - Registered

Response:

– Hide quoted text — Show quoted text –    Now, probably we will hear from a bunch of folks who swear up and    down that type 2s not on insulin <never have <true hypos, but    IMHO, if it sweats like a duck, shakes like a duck, and gets better    with some carbs, then it is a duck, regardless of the numbers. Oh I don’t know… The correlation can be affected by many things. For example it’s not 12% that the elite assumes, It can be as high as 15 or 20 percent depending on if fasting or not. [[snip]] It’s been Monday all week. Net-Tamer V 1.10  - Registered

Duh, John? Was this meant to be re: glucometer elite, and the other bit on people going hypo who weren’t diabetic shoulda been here? I guess it <has been Monday all week, except, of course, today is Friday, the 13th. Oh, that <explains it. (;-) I’ve been home with bronchitis all week, which explains the frequency of my posts. — Nanuq of the North Remove grzl to send email: I’m only a grizzly before (decaf) coffee!

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Still…. MURPHY RULES!

And you must remember the old corollary,  MURPHY WAS AN OPTIMIST Fred     KE8TQ     Lorraine KC8HWV Sunny Dayton, Ohio   Look for us on Amateur Radio

Response:

I have heard and read several times that insulin makes you gain weight, so do other oral medications. Glucophage doesn’t and doesn’t give you hypos either. Never had one.

True and not true. Many diabetics gain weight after diagnosis because they stop losing the calories from glucose spill into the urine. If you don’t cut back on the intake, the glucose that used to spill into the urine becomes fat. It is true that the primary function of insulin is to mediate the laying down of fat. It is true that Glucophage is normally incapable of causing hypo’s. True the only two times I had strong hypo feelings, I was on Glucotrol. First time was within first week of dx, didn’t know what it was causing the agitation, shaking, sweating. Second time was in the morning once, got into the low 60s and couldn’t think well enough to form words so I could tell my partner to get me something quick.

Glucotrol is the  H insulin of the OHA’s, and it certainly can cause hypo’s. OHA hypos are particularily unpleasant withthe longer acting OHA’s, they just keep coming, especially if you don’t eat. For various reason I don’t eat during the day, and that eating pattern combined with OHA’s was especially unpleasant. I solved the problem by getting rid of my internist and seeing an endo, who concluded that long acting OHA’s just weren’t a good fit for my lifestyle. I went to insulin, and have never regretted it. It gives you a lot more flexibility than OHA’s. Type I’s tend to be more at risk of hypo’s, particularily if they use Humalog and don’t eat soon enough. Also type I’s tend to be more ‘fragile’, and often the counter regulatory systems don’t work especially well either, with aggravates the problem. My opinions and experience anyway. – Hide quoted text — Show quoted text -Now, probably we will hear from a bunch of folks who swear up and down that type 2s not on insulin <never have <true hypos, but IMHO, if it sweats like a duck, shakes like a duck, and gets better with some carbs, then it is a duck, regardless of the numbers.

Response:

   Duh, John? Was this meant to be re: glucometer elite, and the other I’m not sure what happened here.  I’ve had a couple of cases lately where the software burped and somehow the quoted text was NOT what I thought it was (or the additional message got attached to the wrong text)  This is DOS bases software I’m using… It’s not SUPPOSED to do this kind of thing. Still…. MURPHY RULES! "Nothing adds excitement like something that is none of your business" Attention Spammers: Fee for returning your SPAM to your postmaster $250.00 The earth is 98% full.  Please delete anyone you can. Net-Tamer V 1.10  - Registered

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nanug: I was on Glucopage and Glyburide and had digestive problems. I changed doctors, and the new doctor changed the oral to other drugs to no effect. I went on insulin at my request and I am glad I did because the digestive problems are now gone, I feel better and have better control over the blood sugar. I do not think that taking insulin shots twice a day is a big deal, and is less inconvenient than I expected. I am retired and 71 years old.

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anug: I was on Glucopage and Glyburide and had digestive problems. Ichanged

doctors, and the new doctor changed the oral to other drugs to no effect. I went on insulin at my request and I am glad I did because the digestive problems are now gone, I feel better and have better control over the blood sugar. I do not think that taking insulin shots twice a day is a big deal, and is less inconvenient than I expected. I am retired and 71 years old.

I think a lot of people who have problems with BG control, would have a lot less problems if they, and their doctors were not so reticent to administer insulin.  Insulin is not the answer for everyone, but some people who have a lot of trouble with the Oral’s should think more seriously about insulin. Bob

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I have heard and read several times that insulin makes you gain weight, so do other oral medications. Glucophage doesn’t and doesn’t give you hypos either. Never had one.

True the only two times I had strong hypo feelings, I was on Glucotrol. First time was within first week of dx, didn’t know what it was causing the agitation, shaking, sweating. Second time was in the morning once, got into the low 60s and couldn’t think well enough to form words so I could tell my partner to get me something quick. Now, probably we will hear from a bunch of folks who swear up and down that type 2s not on insulin <never have <true hypos, but IMHO, if it sweats like a duck, shakes like a duck, and gets better with some carbs, then it is a duck, regardless of the numbers. — Nanuq of the North Remove grzl to send email: I’m only a grizzly before (decaf) coffee!

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