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The Question
08/16/09 09:05 PM

"I inject byetta 10mg twice daily, i am on diamicron mr 30mg 4 in the morning & metformin 500mg twice daily. Cipramil 60mg mane xanax o.5mg 2 qds"
Asked By: 03061954  

Background Info Hide
I was diagnosed with type 2 diabetes in 2002. my diabetes has got worse very much so during the past 12 months, my blood reading is 10.3. I was on Januvia daily & avandia 8mg daily but my meds have been changed to Byetta 10mg bd & 4 diamicron mr 30mg mane. I have had problems with varicose ulcers but these have been cleared up by 4 layers of compression bandages for 6 weeks. I have been told to wear elastic stockings but cannot get them on my legs due to swelling of my insteps & ankles. I also bought a back slide to make putting the elastic stockings on but i cannot put them on. I am using tubigrip but i feel with the swelling my leg ulcers are going to break down again. Please help i am at my wits end to get the swelling down. Thank you sincerely

Expert Answers (1)

08/18/09 01:43 PM

I sense that your greatest concern is the swelling in your legs. I would advise you to speak to your doctor about this problem and what is causing it. Ask him/her if a diuretic (water pill) might be helpful. Keep your legs elevated above your heart level for 20-30 minutes twice a day. Try applying a little powder to your legs before putting the stockings on. Put the stockings on in the morning. Ask about seeing an occupational therapist who may be able to help you learn to put the stockings on. I would also recommend that you be referred to a dietitian who may recommend food choices to help both the swelling and the diabetes. I am concerned about your A1C level of 10.3. The pills you are taking are not working to control your sugars. You have tried nearly all classes of diabetes pills yet your sugars are not in a safe zone because they are too high. When this happens, it usually means that your body is no longer making enough insulin. All people that have diabetes will eventually require insulin shots if they live a long life with the disease. It does not mean that you have failed or are to blame in any way! This is just the way it is. Insulin is the most effective way to control blood sugar levels. Insulin has less side effects than pills and it is very easy and painless to inject. It is time to ask your doctor about insulin. High blood sugars will make you tired, dehydrated, more prone to infection, and more prone to long term complications. It makes eveything worse. Ask your doctor about starting insulin. Thanks for the question and good luck.
Answered By: Donna Yuscavage
Accreditations: RN, BSN, CDE
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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