Office visit today. Interesting comments from Dr to nurse

**Posts:** 7 **Joined:** Fri Jul 24, 2009 4:59 pm

I have had diabetes for 10 years. I moved to a new state and I had my second office visit today. The first my a1c was 7.6. We accounted that to living out of a hotel for 9 months and eating bad. I increased my milage that I run ~ 20 miles a week and stopped cycling ~ 150 miles a week. Well the results are in. cholesterol down 30 points to 172, a1c up to 7.7 from 7.6. I was floored. We had not been eating out near as much as the prior test, no pie kitchen visits I had been good. Only thing that I can figure is my count is up because of job stress. I am dissapointed but I had a feeling I would be on med's sooner or later.

So we started talking about the different meds and of course we start with metformin ( I have had problems 2 different times, once when first found out it made my dizzy and light headed the second years later tried it again and my legs hurt bad.) The DR. believed the second problem but not the first, made me a little mad but oh well. Then we move on to avandia I said tried it after the leg hurting made my chest feel like it was being shreaded, the day after you have started a benchpress workout after not doing any lift for a while. He tosses his hands up and laughs saying I am almost out of options it might be down to insulin. So I am starting on the third option Actos 15 mg. I had been doing some research on it because I knew my numbers had been increasing so I think it is a good choice. We talked about the problems that had been associated with avandia and actos a few years back and how a couple of studies said one thing but several others said something else.

Oh almost forgot. While I was waiting to see the DR. the nurse was speaking to the Dr. about a new patient and said she was borderline diabetic, He quickly corrected her that there is no such thing either she was or was not diabetic.

Dave

The Doctor was right. I was just moved to Glipizide as well.

Good Luck!!

**Posts:** 4522 **Joined:** Sun Jul 22, 2007 5:07 pm

Correct Dave you either are or not diabetic. You might be prediabetic but the use of boderline makes people think they can skate. I know my brother and brother in law thought that and now there full blown type 2s. There are several other type 2 orals you can try but your body just doesnt seem to be putting out enough insulin or your insulin resistant. The one thing you didnt write about was your carb intake, I even need insulin I cant eat more than 30 gr of carbs per meal. At breakfast I have once slice of low carb bread and an egg and I still spike. We all are different I wish you good health.

**Posts:** 7 **Joined:** Fri Jul 24, 2009 4:59 pm

Oh I am not even close to being borderline this was a lady that just came in for her first visit.

I have a brother in law that was told he was borderline. I told him that he was diabetic. Well long story short he ended up in the hospital because his sugars were off the chart.

**Posts:** 531 **Joined:** Sun Jun 22, 2008 9:40 pm

DavePowers wrote:

I have had diabetes for 10 years. I moved to a new state and I had my second office visit today. The first my a1c was 7.6. We accounted that to living out of a hotel for 9 months and eating bad. I increased my milage that I run ~ 20 miles a week and stopped cycling ~ 150 miles a week. Well the results are in. cholesterol down 30 points to 172, a1c up to 7.7 from 7.6. I was floored. We had not been eating out near as much as the prior test, no pie kitchen visits I had been good. Only thing that I can figure is my count is up because of job stress. I am dissapointed but I had a feeling I would be on med's sooner or later.

So we started talking about the different meds and of course we start with metformin ( I have had problems 2 different times, once when first found out it made my dizzy and light headed the second years later tried it again and my legs hurt bad.) The DR. believed the second problem but not the first, made me a little mad but oh well. Then we move on to avandia I said tried it after the leg hurting made my chest feel like it was being shreaded, the day after you have started a benchpress workout after not doing any lift for a while. He tosses his hands up and laughs saying I am almost out of options it might be down to insulin.

So I am starting on the third option Actos 15 mg. I had been doing some research on it because I knew my numbers had been increasing so I think it is a good choice. We talked about the problems that had been associated with avandia and actos a few years back and how a couple of studies said one thing but several others said something else.

There are a number of us on Actos & a few on Avandia. Both are in the same family of drugs. There are some side affects however all orals have side affects. You may or may not have any side affects. Read up on the side affects of your med, so that you can be aware. It usually take awhile for your med to work at it's fullest, but then that varies with each individual. Be sure you keep a log of your bs readings as an adjustment in dosage may or may not be needed. Your doctor will want to see it & any reactions to it. Do not let the reputation of this drugs influence you, there are 2 sides of the coin. Personally, when I was diagnosed, I was a heart attack waiting to happen,I have been on this med many years & it hasn't happened.

Oh almost forgot. While I was waiting to see the DR. the nurse was speaking to the Dr. about a new patient and said she was borderline diabetic, He quickly corrected her that there is no such thing either she was or was not diabetic.

Dave

**Posts:** 126 **Joined:** Mon Oct 19, 2009 6:39 pm

DavePowers wrote:

Well the results are in. cholesterol down 30 points to 172, a1c up to 7.7 from 7.6. I was floored. We had not been eating out near as much as the prior test, no pie kitchen visits I had been good.
Dave

Apply this for three days. Then decide whether the problem is that you need more meds or actually your menu (click on the coloured text): Test, test, test.

Office visit today. Interesting comments from Dr to nurse

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