| Dave,
Did you get back your MODY test yet?
My doctor just gave me a prescription for Prandin and I'm going to be testing it, mostly out of curiosity.
I'm going to start out using 1/4 of the lowest dose, along the lines of what Dr. Hattersley says to do with Gliclazide, the sulf he recommends. It isn't sold in the U.S.. But my assumption is that because Prandin stimulates the beta cell regardless of glucose level it probably won't be my drug of choice. With insulin I can match the dose to the incoming carbs.
just had my once ever six month endo appt and the doc gave me samples of Apidra to try since now that I've dropped the metformin Novolog was not working as well as it used to before. The met didn't make a large difference in the dose, but it did make a difference in the height of the peak--probably because it suppresses liver dumping of glucose.
On my first test of the Apidra the activity curve was perfect for covering 24 grams of whole wheat bread and peanut butter. I was 24 mg/dl over baseline at 1 hour and back to baseline at 2. At 3 hours I was 14 below baseline, but since baseline was my morning fasting reading and I also have stopped taking Lantus due to the blood pressure problem I get with it, the fasting was high enough that the 3 hour reading turned out to be perfect.
So that's nice.
Now if I only could find some way of lowering my mildly elevated fasting blood sugar that didn't push my BP up, I'd be happy. My fasting bg was normal until about 3 years ago (age 57) and it has been inching up since then. Probably because all those years of relying on basal secretion to mop up carbs has taken its toll. |