Bad News

Hi all!
I have been on Byetta since the day before Thanksgiving. My A1c is not dropping
enough. The doctor added glyburie and increased my avandia. I am going to go
on a low carb diet. I hope that those things together will help. I am most
concerned about weight gain that tends to go with insulin. Since I am already
on byetta then the shot does not scare me. I did that before when I was
pregnant.

12 Responses to “Bad News”

  1. ramonita_1 Says:

    Hello Pam, What is your current A!c and what was it before Byetta?

    How many carb gms/day do you currently eat?

    Do you take,or have you ever taken Metformin?

    Aloha, Marge

  2. Traci Mcgee Says:

    Hello Marge,
    my current A1c was 10.1. My last one was 11.1 so not much difference. I am
    taking Metformin and Avandia. I will start on glyburide again today. We will
    see what that does.

    Hello Pam, What is your current A!c and what was it before Byetta?

    How many carb gms/day do you currently eat?

    Do you take,or have you ever taken Metformin?

    Aloha, Marge

  3. Goldie Rana Says:

    Pam, my doc had me on a low carb diet when he first diagnosed me
    last summer. I had tried Atkins before with limited success but
    this time I tried Protein Power. After speaking to a diabetic
    nutritionist, I don’t feel I was getting enough carbs on that plan
    but it was much easier to stick with than any low carb plan I’d
    tried before and I lost about 35 pounds (though I put 5 back on
    after getting off the diet over the holidays). Good luck to you
    and I hope your A1C goes down. Mine went from 11.4 to 7.8 but now
    he’s added Byetta in hopes of getting it down even further.

    –Michael

  4. ramonita_1 Says:

    Hello Pam, It IS stressful,worrying and trying so hard to get BG in good
    range,lose weight and to add insult to injury we can’t even enjoy "diet"
    foods such as fruit and low fat carby stuff like popcorn. It’s rotten!

    I love carbs but can’t eat many of them and what works for me is mini
    meals,about 6/day with no more than 10 carb gms. at a time.This is about
    the only way I can keep BG okay even with the Byetta,Starlix,and
    Metformin.

    I’m glad you are on Metformin and in addition to the Byetta they will
    make you less likely to gain weight from the Glybiride and increased
    Actos.

    Let us know how low carb changes your numbers.


    Aloha, marge

  5. Traci Mcgee Says:

    Is starlix a kind of insulin?

    Hello Pam, It IS stressful,worrying and trying so hard to get BG in good
    range,lose weight and to add insult to injury we can’t even enjoy "diet"
    foods such as fruit and low fat carby stuff like popcorn. It’s rotten!

    I love carbs but can’t eat many of them and what works for me is mini
    meals,about 6/day with no more than 10 carb gms. at a time.This is about
    the only way I can keep BG okay even with the Byetta,Starlix,and
    Metformin.

    I’m glad you are on Metformin and in addition to the Byetta they will
    make you less likely to gain weight from the Glybiride and increased
    Actos.


    Let us know how low carb changes your numbers.

    Aloha, marge

  6. ramonita_1 Says:

    Hello Pam, Starlix and also a drug called Prandin are short acting meds
    that you take before meals to deal with BG after meals. They stimulate
    the pancreas to produce insulin but for a shorter time than Glybiride or
    other sulfs.

    It will take a bit of time to decrease your BG from the higher numbers
    you have been having. Just take it easy,if you must have a carby fruit
    etc. divy it up and have small amounts through out the day.

    Make sure you get proper rest. The stress of lack of sleep can really do
    a number on the BG.Since you have the responsibility of a baby I would
    put the both of you down for a daily nap and let nothing interfere with
    it.

    Also,I always want more carbs when I’m tired, a recipe for disaster!

    Aloha, Marge

  7. Traci Mcgee Says:

    Hi Marge,
    Yeah I have noticed that if I am tired I want carbs. I think it is leftover
    from when carbs gave us energy instead of causing blood sugar problems. I also
    notice that I don’t miss them as much if I don’t start eating them.

    Hello Pam, Starlix and also a drug called Prandin are short acting meds
    that you take before meals to deal with BG after meals. They stimulate
    the pancreas to produce insulin but for a shorter time than Glybiride or
    other sulfs.

    It will take a bit of time to decrease your BG from the higher numbers
    you have been having. Just take it easy,if you must have a carby fruit
    etc. divy it up and have small amounts through out the day.

    Make sure you get proper rest. The stress of lack of sleep can really do

    a number on the BG.Since you have the responsibility of a baby I would
    put the both of you down for a daily nap and let nothing interfere with
    it.

    Also,I always want more carbs when I’m tired, a recipe for disaster!

    Aloha, Marge

  8. Danial Johnston Says:

    Hi Marge,

    Your six ten carb meals per day sound very interesting to me, and I
    wonder what an average day looks like to you. Can you share one or two
    days with us?

    Jo

    Pam William wrote:

    >Hi Marge,
    >Yeah I have noticed that if I am tired I want carbs. I think it is leftover
    from when carbs gave us energy instead of causing blood sugar problems. I also
    notice that I don’t miss them as much if I don’t start eating them.
    >

    >Thanks for your help. I will work on the nap too.

  9. ramonita_1 Says:

    Hello Jo, Sure I can give you a typical day. I’m no Betty Crocker, and
    all I eat is easy to make.

    B……Glass of Hood’s Carb countdown milk, mixed with a cup of strong
    espresso from my little machine….3gms carb
    and
    egg white omelet with low fat cheddar cheese slice….2 carbs

    snack… a piece of Roman meal Carb Aware toast with butter ,tomato
    slice and a bit of salsa…., 10 carbs

    lunch …. salad with tomato,lettuce,slice of avacodo and low carb
    dressing,sometimes with a bit of sliced ham or turkey lunchmeat….under
    10 carbs


    snack …..a cup of chicken broth and a bowl of cucumber slices dressed
    with a bit of hot chili oil under 10 carbs.

    dinner…..chicken or other meat with 2 veggies….under 10 carbs OR
    low carb tortilla wrap with meat,veg and melted cheese slice .

    snack….dish of large olives,glass of red wine, 2 crackers with either
    Almond butter or cheese spread or other dip.

    other mini meals can include a half cup of lower carb yogurt,or a glass
    of Hood’s milk, a few stawberries or if I’m craving an apple or pear
    will cut it up and add a few slices at a time to meals through out the
    day.I will also do this with pasta serving…a few forkfuls at a time.

    Aloha, Marge

  10. Danial Johnston Says:

    Thanks very much, Marge, all sounds interesting and good. I am a
    retired person, at home most of the day, and every walk through the
    kitchen tempts me. I am going to give this a try for the next week and
    I feel quite certain it will work well for me. I am going to get out my
    carb count book and see what else I can come up with.

    Cheers,

  11. Debra Willene Says:

    Pam,
    I have been on insulin for 2 years and have gained not one pound. If you
    reduce your carbs you will probably see a drop in weight. Insulin may
    cause weight gain because your body was not functioning properly and you
    needed more calories to fuel it. ONce your glucose is under control you
    dont need that many so need to reduce your intake. A lot of people do
    the opposite. They can take the insulin to cover the extra food so they
    just shovel it in. Now I didnt say all do, and that isnt why all gain,
    but I have known pleanty that have done that then wonder why they are
    gaining*G*

    Take the meds, eat lower carb and watch for lows and look for lower
    numbers on the scale too.

  12. ramonita_1 Says:

    Hello Jo, Please let us know how it works for you. I’m at home also and
    I find this real easy to do.

    Looking over what I wrote you I see I should have mentioned quantity for
    dinner. My meat serving is only about 2 oz. and veggies say a few spears
    of broccoli and a bit of carrot. Tortilla is half tortilla.

    Since starting Byetta I’ve really lost interest in meats.

    Aloha, marge

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