starting byetta

I’m wondering how everyone
got started on Byetta.
I hear folks talking
about still taking insulin
& oral meds along with it.
I’m a type 2 diabetic
& am taking 85 units Lantus at night
& 30 mg. Actos every day
along with a sliding scale of Humalog at meals.
What’s been everyone else’s experience?

Thanks-
Deb L.

43 Responses to “starting byetta”

  1. Neva Marjory Says:

    HI

    I will be starting Byetta on Friday after i see the dietian at my endo
    doctor. She said it would help with weight loss. In the beginning of
    the appointment she suggested Gastric baypass. I told her no for now.
    I have been through alot of surergies and i dont want to put my husband
    through that again. Unless it is my last hope.

    She just told me to cut out sweets, and eat whole grains instead of
    white.

    What should i be eating? I am on blood pressure meds. Clostriol meds,
    and metformin.

    Pat

  2. Madelyn Teresita Says:

    Pat,

    You will find people eating widely varied diets here.
    Some eat so many carbs I would be unconscious. I eat
    a very regimented low-carb diet as I am very carb
    intolerant.

    I’d suggest a diabetic nutritionist who will actually
    give you appropriate information about what to eat,
    but maybe there is not one around. The first one I
    met was so bad I walked out on her and the doctor
    later fired her for incompetence, so you can find some
    doozies out there as well as some good ones.

    I follow the Bernstein diet, but many folks can’t

    handle the restrictions and would rather medicate more
    and eat more. It is a personal decision.

    The ADA has a diet (sort of) that pretty much says to
    eat 200+grams carbs a day. You might be able to find
    it on their site. I eat about 20 grams of carbs a day
    so mine is radically different. No sugar, grains of
    any kind, no starches, lots of low-carb veggies, a few
    low carb fruits, moderate fat, and protein sources
    like meat, fish, eggs, cheese. I eat about 800
    calories to 1000 calories a day total.

    Good luck to you, whatever path you travel.

    Marsha
    first day on Byetta 5 mcg
    BG is not down
    No nausea
    No vomiting
    No tiredness
    No hunger, either

  3. Cordell Dean Says:

    Wow Marsha you must be losing weight like crazy with that diet. How long
    have you been eating that way?

    Jeanna

    Pat,

    You will find people eating widely varied diets here.
    Some eat so many carbs I would be unconscious. I eat
    a very regimented low-carb diet as I am very carb
    intolerant.

    I’d suggest a diabetic nutritionist who will actually
    give you appropriate information about what to eat,
    but maybe there is not one around. The first one I

    met was so bad I walked out on her and the doctor
    later fired her for incompetence, so you can find some
    doozies out there as well as some good ones.

    I follow the Bernstein diet, but many folks can’t
    handle the restrictions and would rather medicate more
    and eat more. It is a personal decision.

    The ADA has a diet (sort of) that pretty much says to
    eat 200+grams carbs a day. You might be able to find
    it on their site. I eat about 20 grams of carbs a day
    so mine is radically different. No sugar, grains of
    any kind, no starches, lots of low-carb veggies, a few
    low carb fruits, moderate fat, and protein sources
    like meat, fish, eggs, cheese. I eat about 800
    calories to 1000 calories a day total.

    Good luck to you, whatever path you travel.

    Marsha
    first day on Byetta 5 mcg
    BG is not down
    No nausea
    No vomiting
    No tiredness
    No hunger, either

    Anything posted in this group is the opinion of the person who posted
    it.

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  4. luigi_1600 Says:

    Pat, Congratulations! You made a good decision. I was exactly where you find
    yourself now last June 11, 2005. I was taking 140 units of Lantus. I went on
    Byetta instead of doing the surgery for the bypass. I was glad I did and I hope
    you will be too. I was 100 lbs overweight.

    I have maintained a kind of Berstein diet, my own modifications. Basically
    high protein, low carb. No breads, potato, small amt. fruit and mainly veggies
    and fish, chicken and beef and some low sugar Jell-O’s, etc. I am not a very
    creative cook so stay with the basics. I have lost about 60lb since going on
    Byetta. I think it is a combination of both factors, Byetta and diet plus I have
    started walking again. I was ready to hang it up and give into the disease. No
    longer. Haven’t visited a fast food shop since June of 2005.

  5. Lenny Roberson Says:

    Marsha. i eat much the same as you. the dietician and
    i go round and round when i am in the hospital. i am
    also on a high fat diet. close to 40-50%. they always
    put me on a cardiac,diabetic diet in the hospital. so
    i get things like… breakfast: orange juice, cereal,
    toast and fruit. EEEEK. and acidophalus milk cause i
    have a milk allergy. i can’t get them to understand
    that i am not lactose intolerant, i am allergic to the
    acidophalus, so giving me that is like bringing me a
    glass of poison. hehe. then for lunch they will bring
    me spaghetti and toast. usually supper is baked
    chicken breast and broccoli or something like that. i
    finally convinced them to bring me a boiled egg and a
    slice of turkey for breakfast, which i would save, and
    a large salad for lunch which i would cut the egg and

    turkey up on. they wouldn’t give me a tiny little pack
    of salt to save my life but they would put 6 packs of
    sugar on my tray. go figure….my diet is so much
    stricter than atkins ever dreamed of being.

  6. Madelyn Teresita Says:

    Actually, I am losing almost no weight and have been very, very serious about it
    since January of this year. I have lost from 275 to 262, give or take a few
    pounds of water weight that I gained back because of the Avandia (which I quit
    again). I also walk 1 mile a day with walking/weight lifting tape. I hope this
    stall in weight loss is because of muscle mass, but I think it is the diabetes
    rearing its ugly head.

    Marsha

  7. Lenny Roberson Says:

    marsha i have been tracking my diet on fitday for the
    last few days. i am averaging 500 cals a day and 16-20
    carbs and i am not losing either. i figure it HAS to
    catch up with us eventually *sigh*

  8. Madelyn Teresita Says:

    It becomes very discouraging when one eats so little, works out and still has no
    loss. I eat about what my best friend (who had a GI Bypass) eats - the
    difference is that she has malabsorbtion from her intestines because of the
    operation and that is how she loses weight - and also bone density.

    I think that those of us with hyperinsulinism are going to have a dickens of a
    time losing weight. :(
    Marsha

  9. Cordell Dean Says:

    Maybe your not eating enough? For ME only, if I tried to do what you two
    are doing I couldn’t do it. I need more to eat and feel good than that
    even of very healthy food. I could do it for a week or two but, the
    whole point of this is finding a lifestyle one can life with long term.
    (I know Marsha you would probably have it different if not for your
    allergies). I would be into a doctor so fast if I was eating 500
    calories a day and NOT losing weight and was not bed ridden, something
    would not be right for me.

    Jeanna

    marsha i have been tracking my diet on fitday for the
    last few days. i am averaging 500 cals a day and 16-20
    carbs and i am not losing either. i figure it HAS to
    catch up with us eventually *sigh*

    Anything posted in this group is the opinion of the person who posted
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  10. Madelyn Teresita Says:

    Jeanna,

    And if I were to eat like you do I’d be dead. It is not really an option for
    me. Be thankful you have that option. (smile)

    I gain weight on 1800, 1500 and 1200 calories. I am barely losing now. Realize
    that people with weight reduction surgery live on fewer than 800 calories all
    the time.

    Marsha

  11. issac190 Says:

    HI Marsha

    Can you give me a example of your day of food. And what choices you use.

  12. Maggie Beck Says:

    So someone who does the bypass surgery has lack of ability to absorb
    thier food???
    I don’t think i need it, but its been mentioned to me. i’m 5′ and 206.
    I also saw a new Endo today. loved him! he wanted me to go up on to the
    10 mcg Byetta. So we’ll see. Was thinking of double injecting the last
    bit of 5 i have. maybe a 5 in morning and 10 at night. what do you think?
    He also put me on Amaryl Solfonyrea as he feels it should help bring
    down, what the Byetta hasnt. He sent me for tests and i go back next week.

    Rebecca

  13. Madelyn Teresita Says:

    Hi Pat,

    I make some of my choices because I have an allergy to grain, however, that may
    almost be beneficial because grain products give most (but not all) diabetics
    problems with blood glucose.

    When I started off a few years ago I used to eat about 40-60 grams of carbs a
    day, but my insulin resistence has grown over the past few years so that I am
    unable to tolerate that amount any more - at least, not without massive drug
    intervention and I also have drug allergies and concerns about side effects -
    having said that, I follow the Bernstein method - which is sort of like Atkins
    only stricter.

    Typical day:
    Breakfast

    2 strips bacon
    1 egg
    1/2 cup sauted veggies (3-4 grams CHO)
    Cappucchino w/ Atkins choc. milk

    OR
    lowcarb chocolate smoothie for 6 grams CHO
    (see Dana Carpenter book on low-carb smoothies)

    Snack
    small cup low carb yogurt (3 grams CHO)

    Lunch
    1 cup salad with mushrooms, cukes, lettuce, small amount of slivered carrots,
    cabbage, other greens including field greens - (2-3 grams CHO) - I eat mine
    without dressing
    1/4 cup chicken salad or chicken chunks
    2 oz hard cheese (2 CHO)

    OR
    2 cheese puffs
    1/2 cup chicken salad with diced vegetables (mushrooms, bell peppers, green
    onions, cukes, etc.)
    small container low-fat yogurt

    Snack
    Atkins drink (3 CHO)

    Dinner
    Stir fry of meat/tofu/veggie mix (6-8 grams CHO)
    Includes: Meat (pork/chicken/beef), veggies including broccoli, cauliflower,
    bell peppers, green onions, minced onion (small amount), napa cabbage, water
    chestnuts, mushrooms, etc. (if it is low-carb it is considered fodder for the
    dish). Seasoned with spices, soy sauce, worcestershire sauce, and other
    seasonings including a dash of saki at times. Whatever my husband is moved to
    do - he makes dinner and is an excellent cook.

    Snack
    cheese OR
    a couple strawberries OR
    something else low-carb

    I don’t do a PM snack very often, but I do allot calories/carbs for it.

    I do my best to keep it 20 grams of carbs (CHO) a day or less.
    I weigh and measure and document everything. I have a database that has records
    of everything that goes into my mouth (meds, food, drinks) and body (shots) as
    well as when I walk and how much I walk or lift weights.

    I test my BG about 5-8 times a day as I am trying to get a handle on what I can
    and can’t eat again. After years when I could eat a wider variety of foods I am
    now quite limited in what I can ingest without spiking my BG and keeping it up.

    I ignore fats. You can’t do low carb and low fat at the same time and, frankly,
    it isn’t fat that makes one fat, it is carbs in combination with fats (donuts
    being a classic example).

    I’d suggest you check out some of the dietary plans. I started with Atkins,
    read Eades book Protein Power, then moved to Bernstein when it was apparent that
    I was going to have to get serious about things or end up like our friend Tony
    who had strokes, seizures, heart and kidney failure and had a really bad end of
    life experience as a result of following the ADA diet and having "acceptable"
    blood sugars in the 150 range for years.

    Maybe you are one of the people who can tolerate more carbs. Maybe not. As
    Andrew says, eat and then test and then see what happens.

    Cheers!
    Marsha

  14. issac190 Says:

    HI Marsha

    My concern is the grains and the sweets because I love them so much, Today i
    had

    B- bowl of cereal with milk and coffee

    L- Salad with chicken strips and dressing, sf jello

    S- orange

    D- Chicken, sm. pot. and green beans and salad with dressing ww light bread.

    So how did i do today?


    I am so much trying to loose the weight also. I promise the endo doctor that
    i wouldnt eat sweets.

  15. Madelyn Teresita Says:

    Hi Pat,

    I can’t eat cereal. It spikes my bg something fierce. A cereal even Bernstein
    can live with is the bran type (not the flakes) just the crunchy bran itself.

    Unfortunately, we have been conditioned to eat grains and sweets and I
    completely understand your desire to eat them!

    Oranges are wonderful (although they give me a terrible acid stomach) but way
    too high carb for me. If you can eat an orange and get away with it in terms of
    bg then more power to you.

    A good way to see how you are doing with your food choices is to test, then eat,
    then test in 1 hour and 2 hours, like Andrew does. I got that from him.


    Keep up the good work on carb reduction (I know you must have cut a lot already)
    and calorie/portion control.

    Marsha

  16. Madelyn Teresita Says:

    Hi Rebecca,

    The GI Bypass not only reduces the size of the stomach pouch to the size of
    thumb but it reroutes intestines to cause malabsorbtion of the food that is able
    to be eaten. My best friend at school is in quite a pickle after her GI Bypass
    several years ago. She has terrible osteoporosis because of it - to the point
    she is in danger of breaking her legs when she walks. I know other people who
    have had it and lost a lot of weight and while they are happy with THAT they all
    have health problems of one sort or another due to the malabsorbtion of
    nutrients and their inability to take many medications - like the oral meds for
    osteoporosis.

    However, if you have a choice of dying really soon from complications of morbid
    obesity or having a longer but perhaps medically compromised (to one extent or
    another) life then a lot of people will understandably go for the surgery.

    My friend lost 150 pounds, but the benefits of low blood pressure and lower
    blood sugars have vanished and she is once more dealing with the same issues.
    Also, most people with this surgery are extremely limited on what foods they can
    eat - she can’t eat any fresh vegetables and fresh fruits like watermelon can
    actually harm her. She actually had to go on a diet and restrict her intake
    even more last semester to lose another 20 pounds. Plus it is not "easy" as they
    require a lot of exercise and counseling. She has to work out more than I do
    and gets less to eat by a long shot.

    She can’t eat any red meat, can’t tolerate carbonated drinks, can’t eat any
    dairy products now, tolerates fat very poorly, etc. So GI Bypass is something
    that is necessary for those who must have it, but I suspect that most people
    think it is a way to stop their compulsive eating. I also have a friend who has
    stretched her stomach out three times and gone through successively more
    restrictive GI bypasses - she does not get her compulsive overeating dealt with.

    I’m 5′3" and 265 - so I’m a candidate, but not a willing one. Too many deaths
    of complications for me. In Boston they shut one of the programs down for
    awhile there were so many deaths - and they don’t count the deaths that take
    place a few weeks after the surgery from infections, which diabetics are more
    prone to. The more I learned, the less I wanted to risk it.

    So, I’m eating far less, exercising far more, etc.

    Be well!
    Marsha

  17. issac190 Says:

    HI marsha

    I have cut some stuff out. But this morning my sugar was 216 and i am still
    working on the new meds. Yesterday i took 3 pills at bedtime and the day
    before the day the doc gave them to me i took 2 NOw by the end of the week i
    am
    suppose to be up to the 4 a day.

    I am jsust trying to do what i think is right until i see the dietian on
    FRiday.

    This morning i had

    Eggs and sausage and pepper omlet with ww english muffin with SF jelly.

  18. Madelyn Teresita Says:

    Hi Pat,

    In my experience, changes don’t take place overnight, even if you make radical
    changes in your diet. And, honestly, if you went from 200+ to 83 (normal) you’d
    feel as if you were having a hypo and be pretty miserable. Even Berstein moves
    people down slowly over a period of weeks.

    Personally, if my BG was that high and I was taking a lot of meds I’d start
    checking for reactions to grains or other foods. So test before eating, then 1
    hour and 2 hours after to see if you are getting a spike in BG.

    ww (weight watchers?) English muffin may have high carbs. Consider a low-carb
    one, if you can find one. Or make yourself a cheese puff and leave the English
    muffin out of your food plan just to see what happens. However, if there is no
    BG bump after eating that then maybe you just need to wrestle your BG down using

    eating methods over the long haul.

    Try counting carbs and see how many you are taking in during a meal. An egg is
    about 1 CHO, for instance. If you have 2 eggs and 3 grams CHO with the veggies
    and then 20 grams of muffin it may be the problem regarding the high BG.

    I tried to get the nutritional data on the Weight Watcher’s Muffin but can’t
    find it - maybe Netzer’s newest book would have it.

    Good fortune to you.

    Marsha

  19. issac190 Says:

    HI Marsha

    It was a whole wheat english muffin? I cant eat weight watchers due to it
    not being whole grain.

  20. Madelyn Teresita Says:

    Oh, I thought WW meant weight watchers.

    Thomas has a low carb English muffin, in case you were unaware. Also, there is
    Atkins style low carb bread. In our area it is made by Arnolds - probaby the
    best one on the market. There is a huge difference in number of carbs per slice
    or muffin.

    A regular English muffin has about 25 grams of CHO and can cause spikes in BG
    both on the upswing and the downturn (if you have a downturn). Most sugar free
    jam and jelly I’ve seen has at least 5 grams CHO so that’s 30 grams CHO in one
    spot.

    When I have more time I’ll see if I can find the data on how much that amount of
    CHO raises BG. If you are adequately covering with medication/insulin then
    maybe it is okay.

    I found another site for Whole Wheat - the bread has 13 grams CHO per slice and
    9 more calories per slice than the Arnolds. The question is then - can you deal
    with the extra carbs in the bread? I dunno. I can’t, perhaps you can. If you
    can, you’re a lucky person.

    Marsha
    post parandial drop of 37 mg/dl after breakfast using byetta
    No nausea
    No sore tummy
    So far so good

  21. Madelyn Teresita Says:

    Hi Annie,

    I’ve been known to refuse to eat unless given what I feel I can eat safely.
    Give me water, thanks, I’ll go hungry first.

    Hosptials are well known as places that do not treat diabetics properly in many
    ways - bad management of basal insulin during surgeries, horrific food plans,
    badly educated nutritionists, etc. It is amazing how seemingly well educated
    medical personnel can be so incredibly badly informed.

    Stubborn –> Marsha

    Marsha

  22. Lenny Roberson Says:

    my guess would have been whole wheat

  23. Lenny Roberson Says:

    marsha,
    i was in a week in november and i don’t think i ate a
    meal the entire time i was there. that was when the
    doctor put me on byetta. i had never even heard of
    it.he knows the obsticles i face and keeps trying to
    figure out what to do with me.

  24. Irwin Mayme Says:

    Marsha, I find that I can tolerate Ezekiel bread, and the new Squirrel
    bread from Costco. I do well with any kind of beans and oats. I do my
    worst with white bread products and potatoes. I’m semi-OK with them with
    the Byetta, if I have half a muffin, for example. The meter tells all. LOL

  25. Madelyn Teresita Says:

    Hi Janie,

    I went and looked at it with hope - but it is made from grain and I’m allergic
    to wheat so it is out. I hope others may be able to use it. I’m actually
    better off with table sugar than breads, pastas, etc. - Marsha

  26. Madelyn Teresita Says:

    Interestingly enough, I have a bit more hunger with byetta than without it - but
    my BG is going down and I’ll take hoodia when I get home if I am still troubled
    by hunger.

    Byetta also doesn’t impede my ability to eat - but maybe it is because I don’t
    eat all that much to begin with. Maybe if I tried to eat more it would be a
    problem? Well, it is a problem I can do without. I had a couple of ounces of
    steak at 10:30 and had no trouble eating it - it was preemptive eating because I
    was going to be taking a 2.5 hour test during normal eating time.

    I’m a bit hungry now, but it has been many hours since I had real ™ food in
    my tummy. Just drank an Atkins drink as I am here until 8 p.m. tonight and I
    figure I need something more on my stomach. I think I have 1/2 a protein bar in
    the car and I may bet that too.


    I wish our "cafeteria" actually had something besides high carb vending machine
    items.

    Marsha

  27. Irwin Mayme Says:

    Marsha, can you eat wheat-free bread made from flax seed? My mom gave us
    a loaf. We loved it, and it didn’t have the texture of rubber. It didn’t
    spike my readings, either. I think she got it at Costco.

  28. Andrea Suzanna Says:

    Hi Pat,

    I agree with your decision to wait on the bypass surgery. I entered the
    pre-surgery program prior to starting Byetta. Part of the prep is to lose
    10% of my body weight so that the surgeons have a better chance of being
    able to perform the surgery by laparoscopy. At 400 pounds, my goal is to
    lose 40 pounds. Being on Byetta has made staying on the diet much easier.
    They recommended an 1800 calorie diet, but I am averaging around 1500.

    I’ve just completed the last of my evaluations (psych & cardio) so the next
    step will be for them to submit the request to my insurance company to make
    sure they’ll pay for it.

    Since starting Byetta, I have hope that I can lose the weight on my own
    without the surgery. I’ve always believed that the surgery should be the

    last drastic measure, and I’m just not there yet.

    Roy

    _____

    HI

    I will be starting Byetta on Friday after i see the dietian at my endo
    doctor. She said it would help with weight loss. In the beginning of
    the appointment she suggested Gastric baypass. I told her no for now.
    I have been through alot of surergies and i dont want to put my husband
    through that again. Unless it is my last hope.

    She just told me to cut out sweets, and eat whole grains instead of
    white.

    What should i be eating? I am on blood pressure meds. Clostriol meds,
    and metformin.

    Pat

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  29. Andrea Suzanna Says:

    Rebecca

    The surgery works in two ways. First, it makes your stomach very small so
    that what food you eat triggers the receptors at the top of the stomach to
    make you feel full. Second, it shortens the length of the small intestine
    that is exposed to the food you eat, so not all the food you do eat is
    absorbed before it reaches the large intestine.

    What I found out in the pre-surgery classes is that the surgery won’t do it
    by itself. Several people have had the surgery and have gained weight after
    the initial loss. This is because they don’t adhere to the lifestyle change
    that will keep them from ingesting more calories than they burn.

    This is a very simplistic explanation, but you get the idea.


    I’m hoping that with the help of Byetta, that I will be able to make the
    lifestyle change without the surgery.

    Roy

    _____

    So someone who does the bypass surgery has lack of ability to absorb
    thier food???
    I don’t think i need it, but its been mentioned to me. i’m 5′ and 206.
    I also saw a new Endo today. loved him! he wanted me to go up on to the
    10 mcg Byetta. So we’ll see. Was thinking of double injecting the last
    bit of 5 i have. maybe a 5 in morning and 10 at night. what do you think?
    He also put me on Amaryl Solfonyrea as he feels it should help bring
    down, what the Byetta hasnt. He sent me for tests and i go back next week.

    Rebecca

    Anything posted in this group is the opinion of the person who posted it.

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  30. Madelyn Teresita Says:

    Hi Janie,

    I can eat flax seed, but only in tiny amounts because it gives me the runs.
    Forget prunes, flax seed does it for me. I found that out years ago when I
    tried to use flax seed oil in my diet. Natural laxative, least for me.

    I have a good flax muffin recipe that does not taste gross (like most of them
    tend to taste) if you want it.

    In large part, I have simply given up on bread-like objects as more trouble than
    they are worth. I have my sandwiches of meat trimmings on one or two cheese
    puffs and I’m happy. In fact, my sandwiches are sometimes meat rolled up in
    slices of cheese or filling rolled up in lettuce. I can eat peanut butter off a
    spoon.


    I figure I’d have been much better off to be born before agriculture/grain
    revolution took place about 10,000 years ago. (wry smile)

    Marsha

  31. Cordell Dean Says:

    Roy, your going to have to keep us posted as you go through this whole
    process. I hope that both the byetta and the surgery get you the results
    your looking for.

    Jeanna

    Rebecca

    The surgery works in two ways. First, it makes your stomach very
    small so
    that what food you eat triggers the receptors at the top of the
    stomach to
    make you feel full. Second, it shortens the length of the small
    intestine
    that is exposed to the food you eat, so not all the food you do eat

    is
    absorbed before it reaches the large intestine.

    What I found out in the pre-surgery classes is that the surgery won’t
    do it
    by itself. Several people have had the surgery and have gained weight
    after
    the initial loss. This is because they don’t adhere to the lifestyle
    change
    that will keep them from ingesting more calories than they burn.

    This is a very simplistic explanation, but you get the idea.

    I’m hoping that with the help of Byetta, that I will be able to make
    the
    lifestyle change without the surgery.

    Roy

    _____

    So someone who does the bypass surgery has lack of ability to absorb
    thier food???
    I don’t think i need it, but its been mentioned to me. i’m 5′ and
    206.
    I also saw a new Endo today. loved him! he wanted me to go up on to
    the
    10 mcg Byetta. So we’ll see. Was thinking of double injecting the
    last
    bit of 5 i have. maybe a 5 in morning and 10 at night. what do you
    think?
    He also put me on Amaryl Solfonyrea as he feels it should help bring
    down, what the Byetta hasnt. He sent me for tests and i go back next
    week.

    Rebecca

    Anything posted in this group is the opinion of the person who posted
    it.

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    Anything posted in this group is the opinion of the person who posted
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  32. Andrea Suzanna Says:

    I’m hoping that the Byetta will work well enough that I can skip the
    surgery. But I’ll keep you posted either way.

    Roy

    _____

    Roy, your going to have to keep us posted as you go through this whole
    process. I hope that both the byetta and the surgery get you the results
    your looking for.

    Jeanna

    Rebecca


    The surgery works in two ways. First, it makes your stomach very
    small so
    that what food you eat triggers the receptors at the top of the
    stomach to
    make you feel full. Second, it shortens the length of the small
    intestine
    that is exposed to the food you eat, so not all the food you do eat
    is
    absorbed before it reaches the large intestine.

    What I found out in the pre-surgery classes is that the surgery won’t
    do it
    by itself. Several people have had the surgery and have gained weight
    after
    the initial loss. This is because they don’t adhere to the lifestyle
    change
    that will keep them from ingesting more calories than they burn.

    This is a very simplistic explanation, but you get the idea.

    I’m hoping that with the help of Byetta, that I will be able to make
    the
    lifestyle change without the surgery.

    Roy

    _____

    So someone who does the bypass surgery has lack of ability to absorb
    thier food???
    I don’t think i need it, but its been mentioned to me. i’m 5′ and
    206.
    I also saw a new Endo today. loved him! he wanted me to go up on to
    the
    10 mcg Byetta. So we’ll see. Was thinking of double injecting the
    last
    bit of 5 i have. maybe a 5 in morning and 10 at night. what do you
    think?
    He also put me on Amaryl Solfonyrea as he feels it should help bring
    down, what the Byetta hasnt. He sent me for tests and i go back next
    week.

    Rebecca

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  33. Madelyn Teresita Says:

    I know nursing homes are bad. I used to be a nursing home social worker for the
    state who did investigations in nursing homes and once was part of an
    investigation that shut one down. That isn’t all nursing homes are up to that’s
    unethical and I believe they are worse now than then in many respects.

    One of the problems is that that people do not confront bad medical
    care/doctors, etc. and therefore nothing gets done. I have walked out of
    medical appointments, fired doctors, etc. and everyone is amazed when it
    happens. I’ve reported doctors to licensing agencies and once filed a complaint
    with a D.A. for a doctor violating confidentiality.

    Nursing homes are able to have their incorporated little toes held to the fire
    too - it is just rarely done because patients often have little power.

    Marsha

  34. Madelyn Teresita Says:

    Darn! I forgot to take it when I got home (before dinner) - not that I had much
    - maybe 2 ounces of stir fried veggies and about 20 minutes later 6 oz tuna with
    2 teaspoons of mayo. My BG went from 136 to 171. I did the injection late
    (better late than never) and will post a sign on the door to remind myself.

    Does anyone get cramping in the muscles after the injection?

    Does anyone get what appears to be a bead of liquid on top of the injection
    site?

    I watched the needle go in, held down the plunger for a count of 10 and yet
    there was that bead of clear liquid. Very strange.

    I notice that when I turn the clicker to 5 that it starts beading up liquid on
    the needle tip - wonder if it is slightly defective? The box was slightly

    crushed and some of the shipment that went to the store was totally ruined by
    the shipper (crushed) but my pen actually appears okay.

    Marsha

  35. Maureen Hines Says:

    Pleased to report 24lbs since Jan (20 of it IN Jan right after starting the
    10 pen Christmas) and 64lbs total since 2003. That’s 13 inches in my waist.
    Fasting Bgs dropped from 350s to more like 170s.

    Carl E. Moore www.dcfx.com/cmoore

  36. issac190 Says:

    Hi Marsha

    Sorry i wasnt on after work. I was to tired. OK I will have to look into
    the Adktins bread. I didnt realize it had that much difference in carbs.

  37. Madelyn Teresita Says:

    Hi Pat,

    Understood - days can be long and tiring. I tried to find the low-carb english
    muffins last night and could not. However, the ATkins bread and other low carb
    breads are still around as is the low-carb Atkins milk. You can trim lots of
    carbs using products like that. - Marsha

    Sorry i wasnt on after work. I was to tired. OK I will have to look into
    the Adktins bread. I didnt realize it had that much difference in carbs.

    Pat

  38. Ursula Prudence Says:

    Great job Carl !!!!!!

    Jeanna

    Pleased to report 24lbs since Jan (20 of it IN Jan right after starting
    the
    10 pen Christmas) and 64lbs total since 2003. That’s 13 inches in my
    waist.
    Fasting Bgs dropped from 350s to more like 170s.

    Carl E. Moore www.dcfx.com/cmoore

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  39. issac190 Says:

    Hi Marsha

    Will check into it since i will be going shopping after the dietian
    appointment.

  40. Irwin Mayme Says:

    Marsha, I’d love to have the flax seed recipe, thanks!

  41. Leonel Aja Says:

    Marsha,
    Would you please share your Flax seed recipe with me too.
    Thank you in advance.
    Linda From Southern Ontario

    Janie

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  42. Madelyn Teresita Says:

    Stacey,

    I don’t recommend weight reduction surgery. In fact, after going through
    vicarious hell with my friends, I am exceptionally leery of it and would
    consider it only under far more serious circumstances than I am in now.

    However, there are studies which demonstrate that underfeeding extends life
    expectancy. I believe they are eating around 800 calories a day of balanced
    nutrition - protein, fat, vegetables, fruits and probably grain products as they
    are relatively low calorie. I can’t say as I have the documentation at hand
    right now, but I’ve seen a lot of research on it. Actually, the medical
    research I have read says that 800 is the cutoff line for a protein sparing diet
    and that’s a line I don’t go below unless I have flu or something and am
    upchucking.


    For me, it seems to be the only thing that will work to lose weight - and I have
    a desire to lose weight and be healthy, so I will continue to do so. When I
    used to weigh 110 pounds I was certainly a great deal healthier than I am now -
    no problems with diabetes or blood pressure. Nowadays, I get more vegetables in
    my diet than many vegetarians do and I’m not anemic nor do I have problems with
    osteoporosis.

    Part of the severe malnutrtion problems in places like Africa is that when they
    do get food it is western, carbed up food like wheat, which contains minimial
    nutritients. If we could airlift them their traditional foods theyd’ be fine,
    but we don’t and they don’t get sufficient protein and nutrients from what
    little they do get after their govermnents rip them off.

    And that amount is considered starvation and a reason to give people food in
    Africa and other places where people are starving. It isn’t healthy, and it
    requires that one be on lots of supplements and vitamins forever, while
    still suffering some of the effects of starving themselves. And we have no
    idea
    of whether one lives any longer with it anyway. Keep it away from me, I have
    no desire to be forced into anorexia under any circumstances, and I say that
    as a very fat woman who no longer tries to lose weight on purpose.

    Stacey

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  43. Maureen Hines Says:

    I wouldn’t do it.

    _____

    Stacey,

    I don’t recommend weight reduction surgery. In fact, after going through
    vicarious hell with my friends, I am exceptionally leery of it and would
    consider it only under far more serious circumstances than I am in now.

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