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May 16th, 2008
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It's been a while since I last updated and I apologize for that. Sometimes life just takes over.

A lot has happened in the last few weeks. When I last checked in, my blood sugar was crazy high, my vision was suffering the consequences and my endo was terribly unresponsive. Since then, I changed doctors, went back on the meds I took prior to getting pregnant, got my blood sugar back under control and can read the clock on the DVR again. I feel so much better.

I still haven't officially told my endo that I don't want to see him any more. I plan on writing him a Dear John letter soon. The final straw was that I contacted him regarding my vision problems and my shakey control and he told me to take metformin again. I asked to go back on the meds I took before seeing him and he ignored me. I felt that I had humored him long enough.

I went back to my PCP, who admitted she's no diabetes expert, but felt that it was worth a try at the old meds. And if that doesn't work, we'll find me a new endo. She also humored me and did blood work, including the C-Peptide the endo refused to do. Unfortunately, the lab either didn't run the test or lost the results, so I still have no idea what's going on there. It did however show that something funny is going on with my liver. So last week, I went for a full liver and pancreas work up. I see the doctor later this week and should finally have some answers.

In the meantime, the meds are working great. I'm taking .5 mg of prandin, a short-acting pill that I think makes me make more insulin. It's supposed to last for about three hours, similar to taking humolog, but it seems to work longer for me. The doctor prescribed three pills a day (one with each meal), but I started having lows again, so I'm playing around with the dose, skipping the lunch pill and it is still working. I like it much better than Glyburide.

I'm also taking 1,500 mg of metformin, extended release. I'm not a big fan of metformin and have always doubted whether it actually does anything for me, but I think it is helping this time. We'll see.

Best of all, I am able to eat like a normal person again. Atkins really isn't for me. I tried it and it worked OK for a little while, but it really was making a mess of my blood sugars. And I think it may have caused my liver to work too hard. Of course, the downside of being able to eat carbs again is that it gives me liscense to eat like I'm not trying to lose weight, so my weight loss has stalled again. I haven't been following any sort of eating plan. I haven't been eating conciously, either. I'm not quite shoveling, but I'm not by any means savoring my food.

All in all, I'm doing a lot better than I was at the beginning of the month. The weather is lot nicer too, so I'm able to get out and exercise more. And while my goal of fitting into my pre-pregnancy summer clothes has pretty much been abandonned this year (25 more pounds to lose!), at least I know I'm back on track. And it's good to know I have a doctor who cares as much about my health as I do.



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hi, i was on prandin 20mg and januvia 100mg for about 6-7 months and had the same problem . i would take it at breakfast and dinner. but when i got to be more active, my sugar would just really drop, down to 40-60 range, this would happen about 4 -5 hours after i took my meds. so dr. told me to cut the pills in half,it helped for awhile.then i realized that i needed to eat more often, so i tried small meals and snacks about every 2 hours, i tried to eat aleast 20g of carbs per snack and 35g per meal and that worked for me.now i exercise 5 days a week, and take only 25mg januvia once a day and a1c went from 10.9 to 6.6 since then.i haven't lost but 7 lbs. but i have lost 12 inches,so i keep plodding along.Good luck and take care


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Rebecca Abma
What happens when a health writer develops a chronic illness? As Rebecca K. Abma can tell you, it turns into an obsession. Since being diagnosed with type 2 diabetes in December 2003, 90 percent of her non-work computer time is spent researching the disease and chatting with fellow diabetics. (Read More)

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Lindsey Guerin
Diagnosed with type 1 diabetes at the age of four, Lindsey is now 19 and a sophomore in college. She dreams of diabetes cures, never-ending cheesecake, and her own airplane. The rest you can discover in her blog!(Read More)

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