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October 12th, 2008
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My husband and I joke all the time about how I am likely the world's most impatient person. OK, my 4-year-old daughter runs a close second, but she had to learn from someone.

For example, literally as soon as I gave myself my first injection of Byetta just over two weeks ago I expected to be running for the bathroom and to immediately lose my appetite. I was disappointed, frankly, that I didn't.

I know it's weird, but I'm actually hoping to have the side effects that can come with Byetta. I love to eat and have yet to find something to help me curb my insatiable desire to shovel food into my mouth all the time. Right now, when I'm feeling great, I can say with some level of confidence that I want a medicine that will make me feel like crap so that I lose the will to eat. Yes, that's extreme, but I can't fight the hunger anymore, which I've managed to illustrate with my 9.0 A1C.

I've told myself that I have to wait and see what happens with this, that I can't be so judgmental after just 16 days on the smallest dose of the medicine. So far, I can say that I've had mild nausea only a handful of times. I've also found myself somewhat disillusioned with eating at times and actually feeling like I could skip a meal, although that didn't happen. I think the most concrete evidence I have lately of Byetta actually curbing my appetite was at a recent barbeque where I could force myself to eat only half of a hamburger. That part was great. The part where it didn't stop me from eating a piece of ice cream cake and hash brown casserole left me annoyed again.

And then there's the part where I get a high blood sugar with no way to bring it down. My endo assures me that Byetta is "self-regulating" and that I shouldn't couple it with a fast-acting insulin because I could really risk a low. But how do you approach a day when your fasting is 210 and your appetite is raging?

I'm giving this some time and I'm hopeful that when I start the higher dose next month that it will further curb my appetite and give me some faith that this is the crutch that will lead me to better habits.



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Michelle Kowalski
Michelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, has had type 2 diabetes since February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)

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