A shame that cost is such an issue in Healthcare. Sulfonylureas just have such a limited role in the management of the diabetes.
A shame that cost is such an issue in Healthcare. Sulfonylureas just have such a limited role in the management of the diabetes.It was cheaper than Januvia.
Of course metformin can cause dangerously low blood glucose by it self.
Any chance you were diagnosed relatively young and parents had a similar story, without being type 1s?Dude, I'm 130 LB and I still have to take metformin and glipicide for type 2.
I was diagnosed at 35.Any chance you were diagnosed relatively young and parents had a similar story, without being type 1s?
Diabetes in your parents at a similar, or younger, age? Type 2 diabetes is overwhelmingly common, but a bit less so in normal weight folks. A subset of diabetes called MODY is a lesser known entity, but is less related to obesity and responds extremely well to a combination of metformin and a sulfonylurea (one of the only niche years for the class IMHO). It's an inherited disorder, one of your parents would need to have it as well. Just an academic thought.I was diagnosed at 35.
its just my part of my definition of skinny, it seems you have a different definition. i am 6'3 235 pounds and have visible abs but am not even close to skinny, so you are 130 and no abs but are skinny? wide variety of foods! butter on potatoes? nope not happy. what kinda ratio carbs fat protein. how many calories a day do you consume?
Whole grains are good and avoiding packages but really sounds like you are not even trying that hard, cough cough the reason for pills (the easy way).
I should get a refund from those classes I took then. Never even heard of a glucose tablet.
Glucose is the "sugar" in blood sugar and may also be referred to as dextrose on labels. It comes in tablets, such as Dex4 or BD Glucose tablets, and in certain candies like Sweet Tarts. Glucose breaks down quickly and reaches the blood as 100 percent glucose, which makes it the best choice for raising the blood sugar quickly. Another good product for raising your glucose is Glucolift Glucose Tablets.
Table sugar consists of one glucose molecule and one fructose molecule, so when it breaks down in the stomach, only half is immediately available as glucose. Fruit juices, like orange juice, contain mostly fructose and are a relatively poor choice for quick treatment of serious hypoglycemia because they take so long to raise the blood sugar. For mild lows, these differences may not be vital, but if a low is serious, you want to choose the fastest carb available to get you back on your feet quickly. Choose high glycemic food for a quick rise of the blood sugar.
https://www.diabetesnet.com/diabetes-control/low-blood-sugars/treatment
The proof is in the chart!
I’ve been wearing a CGM for the past several months, and I love the thing! In preparing to write this week’s entry, I decided to try a little experiment (and no, I probably shouldn’t have done this, and no, you shouldn’t do it at home!). Having the CGM means I can tell it to alert me when I’m falling below a certain blood sugar level. So I set that alert relatively high, at 75, and took a few extra units of insulin with a few meals to gently push me a little low afterward. When I hit 75 and my phone beeped (the meter sends information to the phone through Bluetooth), I treated the falling number. The first time, I treated it with a cookie, and the next time, with glucose tablets. The results were pretty amazing to see!
When I treated with the cookie, my blood sugar continued to dip for about 10 minutes, then start arching upwards in a gentle rise that tapered off about 30 minutes after consumption. When I treated with glucose tablets, I saw a sharp rise within 5 minutes of consumption, which peaked within 10–12 minutes and then tapered off. Both foods eventually got me to about the same number, but the glucose tablets were about three times as fast! Now, at 75, that wasn’t a big deal. But if I had been 65, or 55, or 45? That lag time could have spelled real trouble!
https://www.diabetesselfmanagement.com/blog/glucose-tablets-really-best-hypoglycemia/
Well my mother was diabetic. And she has always been thin.Diabetes in your parents at a similar, or younger, age? Type 2 diabetes is overwhelmingly common, but a bit less so in normal weight folks. A subset of diabetes called MODY is a lesser known entity, but is less related to obesity and responds extremely well to a combination of metformin and a sulfonylurea (one of the only niche years for the class IMHO). It's an inherited disorder, one of your parents would need to have it as well. Just an academic thought.
I agree with the points in your post plus the general thrust of it however people 100 years ago burned a hell of a lot more calories just getting through the day than we do.Note 3: Potatoes and butter (in moderation) are just fine. What do you think people ate 100 years ago? Hint: Tons of fatty meat, tons of potatoes and tons of butter. What was missing from their diet? Pre-packaged sugar (fructose, primarily) and sodium infused foods, which are dense and are designed to not trigger satiety.
I agree with the points in your post plus the general thrust of it however people 100 years ago burned a hell of a lot more calories just getting through the day than we do.
That is very surprising to me. I am not even a diabetic, but I do research as if I am one, as this is one disease I don't want to get if I can help it. I am sure the class you took is just fine and as I mentioned in my previous post, a can of coke would work, if you went moderately low. But if it is an emergency, you need pure glucose (dextrose).
Some folks have to be pushed to the wall and through it before they change very unhealthy habits.this update of sorts is about an acquaintance of mine that received some very bad news about his type 2 diabetes.
Jeff just found out he failed his kidney function tests. He has kidney disease and now has to face some scary things in his future. He is not taking the news well and it appears he doesn't want to take his doctor's diet advice either. His diabetes is not under proper control due to his intellectual impairment. He is not autistic or anything just a little slow. He forgets what he is told and therefore doesn't take care of his diabetes. He is insulin dependent and doesn't follow the diet he is required to use. He has had at least 3 blackouts (passed out due to low glucose levels) in the last 2 years. His doctor just told him to eliminate breads and most carbs from his diet. What does he do? Buys breads and eats sandwiches, pasta, etc.
I am not sure if he really grasps the seriousness of this issue. I guess when he is on dialysis it might sink in.
Thats not accurate (not being rude, 'Ive had type 1 diabetes for...a long time). Coke is packed with simple carbs and easily absorbed. Perfect for hypoglycemia and far faster than glucose tablets.Smarties or Glucose tablets would be faster at raising blood glucose levels than a coke. Though, practically speaking, both would work just fine.
Thats not accurate (not being rude, 'Ive had type 1 diabetes for...a long time). Coke is packed with simple carbs and easily absorbed. Perfect for hypoglycemia and far faster than glucose tablets.
Haha true, downing a coke isnt easy but if I have access to a cup/glass ill remove the carbonation. They used to use jugs of coke syrup at summer camp for diabetics, wonder if they still do.i have no idea how fast a coke is compared to instaglucose gel that we give people but i can tell you how many times i have had a coke on me in the past 10 years? zero only drink Pepsi and not often do i have a can in my pocket! So id have to say the instaglucose tabs or gel in your pocket would be just as quick than getting to a soda in any foreseeable circumstance. (trying really hard to think of how coke could be just as fast or more.. perhaps if you had a soda dispenser within arms reach
plus you have to measure out 7.4oz of coke to equal the one tab 24g sugar in the instaglucose
How fast do you drink soda, sounds painful.
Thats not accurate (not being rude, 'Ive had type 1 diabetes for...a long time). Coke is packed with simple carbs and easily absorbed. Perfect for hypoglycemia and far faster than glucose tablets.
Table sugar consists of one glucose molecule and one fructose molecule, so when it breaks down in the stomach, only half is immediately available as glucose. Fruit juices, like orange juice, contain mostly fructose and are a relatively poor choice for quick treatment of serious hypoglycemia because they take so long to raise the blood sugar. For mild lows, these differences may not be vital, but if a low is serious, you want to choose the fastest carb available to get you back on your feet quickly. Choose high glycemic food for a quick rise of the blood sugar. Source - https://www.diabetesnet.com/diabetes-control/low-blood-sugars/treatment
Id put "speed of absorption" in the following order when deciding (im ignoring Glucagon shots, those things are insanely fast and Ive only used them twice in oper 30 years). Ive done extensive testing (no pun intended) to determine what works fastest.
1. Liquid glucose aka Glucose shots and the like
2. Any fruit juice but preferably Grape because it has a high content of regular glucose.
3. Glucose gels
4. Glucose pills
5. Any hard candy
Coke is packed with simple carbs and easily absorbed. Perfect for hypoglycemia and far faster than glucose tablets.
If they are new to managing type 2 . . there is a "learning curve", but unclear if they tested prior and were trying to lower a 200+ glucose spike?His doctor had just put him on Metformin.
Yes it took me awhile to adjust to Metformin and changing my lifestyle choices. My was really high when I was diagnosed with Type 2 Diabetes.If they are new to managing type 2 . . there is a "learning curve", but unclear if they tested prior and were trying to lower a 200+ glucose spike?
could be he was so used to having high glucose levels that when the metformin dropped his levels to "normal", he found it debilitating.Had my first direct experience with someone suffering from severe hypoglycemia. His doctor had just put him on Metformin. He went so low that he could barely stand and his speech became slurred and became disoriented and saying odd and incorrect things. When he started to feel "off" just a few minutes after taking the pills, he drank two cans of mountain dew in about 10 minutes or so and he kept getting worse. Me and a co-worker convinced him to contact his doctor or health clinic, but (insert this is why American Health Insurance sucks) but we didn't know who his health provider was, or if his insurance covered the clinic down the street as in-network. We were reluctant to call the ambulance because of the huge financial burden that would place on him. Even he was cognitive enough to know that he didn't want to face that charge either. Eventually after about 30 minutes (about 45 total after it started) he started to recover and was back to normal after about 2 hours.
This had me thinking, however - Let's assume he did nothing about his feeling dizzy, then passed out as his desk and slipped into a coma? At what point does a "drug" (I'd argue an unnecessary one in most cases) do more harm than good? I find it utterly absurd for doctors to prescribe medications that can be dangerous or even life altering while taking them all to improve a few numbers, which can be improved better by lifestyle choices. There may be some people who need this drug, but according to my research, people who are prescribed that shit, don't keep taking it or they take it haphazardly because of the impact it has on their quality of life. They value a higher quality, but shorter life span than some shitting quality life and getting another 5 years.
I guess more than anything, I hate big pharma and hate America's shitty healthcare. How many people die because "I don't want to call an ambulance, it is too expensive" or how many suffer permanent damage because they had to try and find a clinic that was "in-network".... That shit has to change.
metformin can be difficult for first timers. Side effects like diarrhea can be upsetting to them.If they are new to managing type 2 . . there is a "learning curve", but unclear if they tested prior and were trying to lower a 200+ glucose spike?
That what I had and really stinky gas as well for awhile until my body adjusted to it.metformin can be difficult for first timers. Side effects like diarrhea can be upsetting to them.