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Connie in KC
01-14-2007, 06:16 AM
I have been on Glucophage and Avandia. The doctor has had me on 1000 mg of Glucophage XR and currently 4 mg of Avandia. I took it down to 4 mg because 8 mg caused me to gain an ungodly amount of weight (20 pounds without changing any eating habits) and I felt dragged out all of the time. Also, I went from being able to walk flights of stairs to the third floor without stopping, to having to stop several times when going up one flight. I simply couldn't summon the energy to go without stopping. Since I lowered the dosage, I finally have lost about 15 pounds of the 20.

My doctor sent me to a diabetes educator/dietician who thought that there were some other drugs that my doctor might want to try. In this dietician's practice, which was in a setting that specialized in diabetes treatment, she saw some other medication regimens that worked well. However, the last time that I saw my doctor, he told me that he wants me to go on Lantus. During my last appointment with the dietician, she spoke with him, about trying different medications, and he wouldn't budge. I raised my dosage of Glucophage, because I saw that 2000 mg is the optimal dosage, and my morning readings have gone down.

I see the doctor Monday, and I am concerned that he will tell me to find another doctor unless I start on Lantus. My question is this: If I go on Lantus to gain tighter control, will I ever be able to get off of it? I know my pancreas still makes insulin, because on infrequent times when I forget my medication, my levels go up to about 195 after a meal and take about 4 hours to get down to 140. I seldom go above 225, (at a wedding banquet) even if I overdo it with food. I seldom go below 120, even though I am extremely careful with my diet.

rachelb
01-14-2007, 06:46 AM
Hi. Congratulations on losing those 15 pounds!

I was on all of the same medications that you are - Glucovance 15/1500, Avanduia 8 mg, and Lantus 30 units 1x/day, and I also gained weight without changing anything else in my diet. The mental stress of what that excess weight did to my body was a lot to bear, and I finally decided to stop taking all medications for a while to give myself a break. I DO NOT RECOMMED THIS!

Anyway, I am back to the doctor now and actually getting excited about starting a new regimine of diet, exercise, and some of the newer medications which might actually control my blood sugars and help me to lose some of the weight that I've gained.

What I would like to say to you is that this is YOUR body, and if you have any concerns at all about what your doctor is doing, you need to adress it with him. Many endochronologists are only concerned about blood sugar levels and don't consider that those are only one part of what is important to you as a person, If your doctor isn't willing to discuss all of the possible options with you, and to work with you to find the best treatment for your entire life, then you may want to find another doctor who is.

Diabetes is something we all will struggle with forever. It has to fit into our life instead of becoming our life.

Good luck.

Rachelb

jeggeman31
01-14-2007, 07:35 AM
I see the doctor Monday, and I am concerned that he will tell me to find another doctor unless I start on Lantus.


If my Dr told me that, I would tell him to go pound salt walk out and find another Dr. It is your body, it is your diabetes. Only you know what is best for you. If you feel you don't want to start on Insulin, then DON'T.


I think you need to sit down and have a heart to heart with your Dr.


Just remember YOU control you diabetes, your diabetes does not control you.

Connie in KC
01-15-2007, 02:40 PM
Thanks for all of your support! I went to the doctor today and he raised my Glucophage dose and added Glucotrol. I took it before lunch and it worked like crazy. My blood sugar dropped to 97...about 40-50 points lower than it usually runs at this time of day. I also told him that I have taken my last Avandia pill. That stuff makes me feel completely wrung out and I gain weight.

Maybe my doctor, who has known me for 18 years sensed that I was concerned about his reaction to my stopping Avandia and not taking Lantus, since he said, "I'll be glad to be your doctor for as long as you want me to be." He just thinks that Lantus would be a better way to prolong my health. Maybe he's right, but I know that I am not ready to take insulin yet.

EasyType2
01-15-2007, 03:04 PM
Connie, glad you got it resolved with your doctor.

I concur with other sentiments. It is YOUR body, but we pay medical specialists for advice on how best to care for the factory equipment.

I am on Glucophage, Avandia, Glypizide, and Lantus. Never had any problems at all with Avandia, but we all react differently to various drugs. You - and your doc - have to tailor a regime right for you.

Best of luck!