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From: Tiger_Lily on 9 Aug 2008 18:02 Larry wrote: > On Aug 8, 3:21 pm, Alan S <loralgtweightandca...(a)gmail.com> wrote: >> On Thu, 7 Aug 2008 21:34:51 -0700 (PDT), Larry >> >> >> >> >> >> <boelk...(a)aol.com> wrote: >>> On Aug 6, 2:19 pm, Susan <neverm...(a)nomail.com> wrote: >>>> x-no-archive: yes >>>> Larry wrote: >>>>> Thank you Susan for your input. Yes I do remember your comments about >>>>> Statins. Right now I am wondering about electroyte imbalance which >>>>> metformin may cause. Particulary high potassium levels that it may >>>>> cause. As you may know electrolyte imbalance can cause heart block in >>>>> some patients of which I am coping with at the moment. >>>> I think you need to have endocrine evaluation, and a standing renin and >>>> aldosterone test (stand upright for 30 minutes prior to and during blood >>>> draw) and other adrenal hormones. >>>> In addition, if you're having problems with electrolyte balance, perhaps >>>> you need to stop the metformin for a while and see if things improve. >>>> Also, don't ever pump your fist or allow a tight tournequet to be used >>>> for your serum testing; it raises the potassium results and renders them >>>> completely inaccurate, as will shaking of the test tube, or sitting out >>>> too long after draw. >>>> Susan >>> Hello Susan: Just saw my Endo. today here in San Diego. Pretty >>> competent young Doc I'd say. Anyway at my request GAD test was done >>> and results today show 14+... high and indicates LADA. I've been >>> diagnosed by at least 2 doc before as T2. I do believe the recent >>> findings particularly supported by todays GAD results. So now >>> metformin, actos are dc'd, amaryl tapered and more insulin ( bolus >>> PP ) added. Where is dear "old Al?" >>> Larry/T2 changed to T 1 1/2 after 6 years of IR drugs which did very >>> little. Misdiagnosis from the beginning. >> Remind me. Haven't you suspected this for a while? >> >> Good to know you can stop wondering and get on with the >> right treatment. >> >> Cheers, Alan, T2, Australia. >> -- >> Everything in Moderation - Except Laughter. >> Bloghttp://loraldiabetes.blogspot.com >> DLife columnhttp://tinyurl.com/5v74xrhttp://loraltravel.blogspot.com(The Taj Mahal)- Hide quoted text - >> >> - Show quoted text - > > Alan: I have never been overweight, metformin never seemed to improve > things. C-peptide seemed to show mid range endogenous insulin so doc > continued to assume I was T2 and treated as such adding on Actos and > then Amaryl. I managed to keep my A1c in low 7s with lots of exercise > and pretty good dieting. Actos didn't do anything and Amaryl worked to > improve fbg levels for a little while. I insisted to see an Endo and > also insisted that a GAD be done. So you know once again how patients > need to take charge as best they can. Consequently I've been over > medicated and have a heart block which could be related. This may > resolve itself since most orals are being tapered or dcd at this time. > Thanks for asking. > > Larry what was your GAD result? are you on insulin now that pills have been discontinued? -- kate type 1 since 1987 www.diabetic-chat.org www.diabetic-talk.org http://www.diabetes-support.org.uk/newly%20diagnosed.html
From: Larry on 10 Aug 2008 11:56 On Aug 9, 3:02 pm, Tiger_Lily <m...(a)privacy.net> wrote: > Larry wrote: > > On Aug 8, 3:21 pm, Alan S <loralgtweightandca...(a)gmail.com> wrote: > >> On Thu, 7 Aug 2008 21:34:51 -0700 (PDT), Larry > > >> <boelk...(a)aol.com> wrote: > >>> On Aug 6, 2:19 pm, Susan <neverm...(a)nomail.com> wrote: > >>>> x-no-archive: yes > >>>> Larry wrote: > >>>>> Thank you Susan for your input. Yes I do remember your comments about > >>>>> Statins. Right now I am wondering about electroyte imbalance which > >>>>> metformin may cause. Particulary high potassium levels that it may > >>>>> cause. As you may know electrolyte imbalance can cause heart block in > >>>>> some patients of which I am coping with at the moment. > >>>> I think you need to have endocrine evaluation, and a standing renin and > >>>> aldosterone test (stand upright for 30 minutes prior to and during blood > >>>> draw) and other adrenal hormones. > >>>> In addition, if you're having problems with electrolyte balance, perhaps > >>>> you need to stop the metformin for a while and see if things improve.. > >>>> Also, don't ever pump your fist or allow a tight tournequet to be used > >>>> for your serum testing; it raises the potassium results and renders them > >>>> completely inaccurate, as will shaking of the test tube, or sitting out > >>>> too long after draw. > >>>> Susan > >>> Hello Susan: Just saw my Endo. today here in San Diego. Pretty > >>> competent young Doc I'd say. Anyway at my request GAD test was done > >>> and results today show 14+... high and indicates LADA. I've been > >>> diagnosed by at least 2 doc before as T2. I do believe the recent > >>> findings particularly supported by todays GAD results. So now > >>> metformin, actos are dc'd, amaryl tapered and more insulin ( bolus > >>> PP ) added. Where is dear "old Al?" > >>> Larry/T2 changed to T 1 1/2 after 6 years of IR drugs which did very > >>> little. Misdiagnosis from the beginning. > >> Remind me. Haven't you suspected this for a while? > > >> Good to know you can stop wondering and get on with the > >> right treatment. > > >> Cheers, Alan, T2, Australia. > >> -- > >> Everything in Moderation - Except Laughter. > >> Bloghttp://loraldiabetes.blogspot.com > >> DLife columnhttp://tinyurl.com/5v74xrhttp://loraltravel.blogspot.com(TheTaj Mahal)- Hide quoted text - > > >> - Show quoted text - > > > Alan: I have never been overweight, metformin never seemed to improve > > things. C-peptide seemed to show mid range endogenous insulin so doc > > continued to assume I was T2 and treated as such adding on Actos and > > then Amaryl. I managed to keep my A1c in low 7s with lots of exercise > > and pretty good dieting. Actos didn't do anything and Amaryl worked to > > improve fbg levels for a little while. I insisted to see an Endo and > > also insisted that a GAD be done. So you know once again how patients > > need to take charge as best they can. Consequently I've been over > > medicated and have a heart block which could be related. This may > > resolve itself since most orals are being tapered or dcd at this time. > > Thanks for asking. > > > Larry > > what was your GAD result? > > are you on insulin now that pills have been discontinued? > > -- > kate > type 1 since 1987www.diabetic-chat.orgwww.diabetic-talk.orghttp://www.diabetes-support.org.uk/newly%20diagnosed.html- Hide quoted text - > > - Show quoted text - Kate: I am still on Amaryl at 4mg/day but expect to drop that drug very soon. Metformin and Actos are now dcd. ( I was just reading that some docs think Actos/Avandia can be beneficial in preserving the remaining little function of b-cells. I'm not sure about that). Lantus 9 IU at bedtime has been working wonders to improve fbg levels down to normal range for first time since diagnosed some years ago. Now I am starting Novalog short acting before breakfast and lunch. Maybe dinner as well but usually don't have high bg levels post dinner for some reason. I think of insulin therapy as a needed habit ... no more difficult than carrying a pack of cigarettes around for smokers I guess. .if you know what I mean. Larry
From: Tiger_Lily on 10 Aug 2008 12:36 Larry wrote: > On Aug 9, 3:02 pm, Tiger_Lily <m...(a)privacy.net> wrote: >> Larry wrote: >>> On Aug 8, 3:21 pm, Alan S <loralgtweightandca...(a)gmail.com> wrote: >>>> On Thu, 7 Aug 2008 21:34:51 -0700 (PDT), Larry >>>> <boelk...(a)aol.com> wrote: >>>>> On Aug 6, 2:19 pm, Susan <neverm...(a)nomail.com> wrote: >>>>>> x-no-archive: yes >>>>>> Larry wrote: >>>>>>> Thank you Susan for your input. Yes I do remember your comments about >>>>>>> Statins. Right now I am wondering about electroyte imbalance which >>>>>>> metformin may cause. Particulary high potassium levels that it may >>>>>>> cause. As you may know electrolyte imbalance can cause heart block in >>>>>>> some patients of which I am coping with at the moment. >>>>>> I think you need to have endocrine evaluation, and a standing renin and >>>>>> aldosterone test (stand upright for 30 minutes prior to and during blood >>>>>> draw) and other adrenal hormones. >>>>>> In addition, if you're having problems with electrolyte balance, perhaps >>>>>> you need to stop the metformin for a while and see if things improve. >>>>>> Also, don't ever pump your fist or allow a tight tournequet to be used >>>>>> for your serum testing; it raises the potassium results and renders them >>>>>> completely inaccurate, as will shaking of the test tube, or sitting out >>>>>> too long after draw. >>>>>> Susan >>>>> Hello Susan: Just saw my Endo. today here in San Diego. Pretty >>>>> competent young Doc I'd say. Anyway at my request GAD test was done >>>>> and results today show 14+... high and indicates LADA. I've been >>>>> diagnosed by at least 2 doc before as T2. I do believe the recent >>>>> findings particularly supported by todays GAD results. So now >>>>> metformin, actos are dc'd, amaryl tapered and more insulin ( bolus >>>>> PP ) added. Where is dear "old Al?" >>>>> Larry/T2 changed to T 1 1/2 after 6 years of IR drugs which did very >>>>> little. Misdiagnosis from the beginning. >>>> Remind me. Haven't you suspected this for a while? >>>> Good to know you can stop wondering and get on with the >>>> right treatment. >>>> Cheers, Alan, T2, Australia. >>>> -- >>>> Everything in Moderation - Except Laughter. >>>> Bloghttp://loraldiabetes.blogspot.com >>>> DLife columnhttp://tinyurl.com/5v74xrhttp://loraltravel.blogspot.com(TheTaj Mahal)- Hide quoted text - >>>> - Show quoted text - >>> Alan: I have never been overweight, metformin never seemed to improve >>> things. C-peptide seemed to show mid range endogenous insulin so doc >>> continued to assume I was T2 and treated as such adding on Actos and >>> then Amaryl. I managed to keep my A1c in low 7s with lots of exercise >>> and pretty good dieting. Actos didn't do anything and Amaryl worked to >>> improve fbg levels for a little while. I insisted to see an Endo and >>> also insisted that a GAD be done. So you know once again how patients >>> need to take charge as best they can. Consequently I've been over >>> medicated and have a heart block which could be related. This may >>> resolve itself since most orals are being tapered or dcd at this time. >>> Thanks for asking. >>> Larry >> what was your GAD result? >> >> are you on insulin now that pills have been discontinued? >> >> -- >> kate >> type 1 since 1987www.diabetic-chat.orgwww.diabetic-talk.orghttp://www.diabetes-support.org.uk/newly%20diagnosed.html- Hide quoted text - >> >> - Show quoted text - > > Kate: I am still on Amaryl at 4mg/day but expect to drop that drug > very soon. Metformin and Actos are now dcd. ( I was just reading that > some docs think Actos/Avandia can be beneficial in preserving the > remaining little function of b-cells. I'm not sure about that). Lantus > 9 IU at bedtime has been working wonders to improve fbg levels down to > normal range for first time since diagnosed some years ago. Now I am > starting Novalog short acting before breakfast and lunch. Maybe dinner > as well but usually don't have high bg levels post dinner for some > reason. I think of insulin therapy as a needed habit ... no more > difficult than carrying a pack of cigarettes around for smokers I > guess. .if you know what I mean. > > Larry > > interesting that you have been left on the Amaryl does the Dr have a reason for this, when you are on insulin? -- kate type 1 since 1987 www.diabetic-chat.org www.diabetic-talk.org http://www.diabetes-support.org.uk/newly%20diagnosed.html
From: Larry on 10 Aug 2008 17:17 On Aug 10, 9:36 am, Tiger_Lily <m...(a)privacy.net> wrote: > Larry wrote: > > On Aug 9, 3:02 pm, Tiger_Lily <m...(a)privacy.net> wrote: > >> Larry wrote: > >>> On Aug 8, 3:21 pm, Alan S <loralgtweightandca...(a)gmail.com> wrote: > >>>> On Thu, 7 Aug 2008 21:34:51 -0700 (PDT), Larry > >>>> <boelk...(a)aol.com> wrote: > >>>>> On Aug 6, 2:19 pm, Susan <neverm...(a)nomail.com> wrote: > >>>>>> x-no-archive: yes > >>>>>> Larry wrote: > >>>>>>> Thank you Susan for your input. Yes I do remember your comments about > >>>>>>> Statins. Right now I am wondering about electroyte imbalance which > >>>>>>> metformin may cause. Particulary high potassium levels that it may > >>>>>>> cause. As you may know electrolyte imbalance can cause heart block in > >>>>>>> some patients of which I am coping with at the moment. > >>>>>> I think you need to have endocrine evaluation, and a standing renin and > >>>>>> aldosterone test (stand upright for 30 minutes prior to and during blood > >>>>>> draw) and other adrenal hormones. > >>>>>> In addition, if you're having problems with electrolyte balance, perhaps > >>>>>> you need to stop the metformin for a while and see if things improve. > >>>>>> Also, don't ever pump your fist or allow a tight tournequet to be used > >>>>>> for your serum testing; it raises the potassium results and renders them > >>>>>> completely inaccurate, as will shaking of the test tube, or sitting out > >>>>>> too long after draw. > >>>>>> Susan > >>>>> Hello Susan: Just saw my Endo. today here in San Diego. Pretty > >>>>> competent young Doc I'd say. Anyway at my request GAD test was done > >>>>> and results today show 14+... high and indicates LADA. I've been > >>>>> diagnosed by at least 2 doc before as T2. I do believe the recent > >>>>> findings particularly supported by todays GAD results. So now > >>>>> metformin, actos are dc'd, amaryl tapered and more insulin ( bolus > >>>>> PP ) added. Where is dear "old Al?" > >>>>> Larry/T2 changed to T 1 1/2 after 6 years of IR drugs which did very > >>>>> little. Misdiagnosis from the beginning. > >>>> Remind me. Haven't you suspected this for a while? > >>>> Good to know you can stop wondering and get on with the > >>>> right treatment. > >>>> Cheers, Alan, T2, Australia. > >>>> -- > >>>> Everything in Moderation - Except Laughter. > >>>> Bloghttp://loraldiabetes.blogspot.com > >>>> DLife columnhttp://tinyurl.com/5v74xrhttp://loraltravel.blogspot.com(TheTajMahal)- Hide quoted text - > >>>> - Show quoted text - > >>> Alan: I have never been overweight, metformin never seemed to improve > >>> things. C-peptide seemed to show mid range endogenous insulin so doc > >>> continued to assume I was T2 and treated as such adding on Actos and > >>> then Amaryl. I managed to keep my A1c in low 7s with lots of exercise > >>> and pretty good dieting. Actos didn't do anything and Amaryl worked to > >>> improve fbg levels for a little while. I insisted to see an Endo and > >>> also insisted that a GAD be done. So you know once again how patients > >>> need to take charge as best they can. Consequently I've been over > >>> medicated and have a heart block which could be related. This may > >>> resolve itself since most orals are being tapered or dcd at this time.. > >>> Thanks for asking. > >>> Larry > >> what was your GAD result? > > >> are you on insulin now that pills have been discontinued? > > >> -- > >> kate > >> type 1 since 1987www.diabetic-chat.orgwww.diabetic-talk.orghttp://www.diabetes-support...Hide quoted text - > > >> - Show quoted text - > > > Kate: I am still on Amaryl at 4mg/day but expect to drop that drug > > very soon. Metformin and Actos are now dcd. ( I was just reading that > > some docs think Actos/Avandia can be beneficial in preserving the > > remaining little function of b-cells. I'm not sure about that). Lantus > > 9 IU at bedtime has been working wonders to improve fbg levels down to > > normal range for first time since diagnosed some years ago. Now I am > > starting Novalog short acting before breakfast and lunch. Maybe dinner > > as well but usually don't have high bg levels post dinner for some > > reason. I think of insulin therapy as a needed habit ... no more > > difficult than carrying a pack of cigarettes around for smokers I > > guess. .if you know what I mean. > > > Larry > > interesting that you have been left on the Amaryl > > does the Dr have a reason for this, when you are on insulin? > > -- > kate > type 1 since 1987www.diabetic-chat.orgwww.diabetic-talk.orghttp://www.diabetes-support.org.uk/newly%20diagnosed.html- Hide quoted text - > > - Show quoted text - Kate: GAD Ab was 13.5... I am just starting at low dose Novalog 1-2 IU prior to meals. I am sure Amaryl will be weaned off very soon as Insulin dose is increased. I guess I am getting some benefit from Amaryl in the meantime even though it might be a stressor on the pancreas. I agree sooner the better to get off Amaryl. Plan to check with Endo in a week or so. Larry
From: Tiger_Lily on 10 Aug 2008 17:43 Larry wrote: > On Aug 10, 9:36 am, Tiger_Lily <m...(a)privacy.net> wrote: >> Larry wrote: >>> On Aug 9, 3:02 pm, Tiger_Lily <m...(a)privacy.net> wrote: >>>> Larry wrote: >>>>> On Aug 8, 3:21 pm, Alan S <loralgtweightandca...(a)gmail.com> wrote: >>>>>> On Thu, 7 Aug 2008 21:34:51 -0700 (PDT), Larry >>>>>> <boelk...(a)aol.com> wrote: >>>>>>> On Aug 6, 2:19 pm, Susan <neverm...(a)nomail.com> wrote: >>>>>>>> x-no-archive: yes >>>>>>>> Larry wrote: >>>>>>>>> Thank you Susan for your input. Yes I do remember your comments about >>>>>>>>> Statins. Right now I am wondering about electroyte imbalance which >>>>>>>>> metformin may cause. Particulary high potassium levels that it may >>>>>>>>> cause. As you may know electrolyte imbalance can cause heart block in >>>>>>>>> some patients of which I am coping with at the moment. >>>>>>>> I think you need to have endocrine evaluation, and a standing renin and >>>>>>>> aldosterone test (stand upright for 30 minutes prior to and during blood >>>>>>>> draw) and other adrenal hormones. >>>>>>>> In addition, if you're having problems with electrolyte balance, perhaps >>>>>>>> you need to stop the metformin for a while and see if things improve. >>>>>>>> Also, don't ever pump your fist or allow a tight tournequet to be used >>>>>>>> for your serum testing; it raises the potassium results and renders them >>>>>>>> completely inaccurate, as will shaking of the test tube, or sitting out >>>>>>>> too long after draw. >>>>>>>> Susan >>>>>>> Hello Susan: Just saw my Endo. today here in San Diego. Pretty >>>>>>> competent young Doc I'd say. Anyway at my request GAD test was done >>>>>>> and results today show 14+... high and indicates LADA. I've been >>>>>>> diagnosed by at least 2 doc before as T2. I do believe the recent >>>>>>> findings particularly supported by todays GAD results. So now >>>>>>> metformin, actos are dc'd, amaryl tapered and more insulin ( bolus >>>>>>> PP ) added. Where is dear "old Al?" >>>>>>> Larry/T2 changed to T 1 1/2 after 6 years of IR drugs which did very >>>>>>> little. Misdiagnosis from the beginning. >>>>>> Remind me. Haven't you suspected this for a while? >>>>>> Good to know you can stop wondering and get on with the >>>>>> right treatment. >>>>>> Cheers, Alan, T2, Australia. >>>>>> -- >>>>>> Everything in Moderation - Except Laughter. >>>>>> Bloghttp://loraldiabetes.blogspot.com >>>>>> DLife columnhttp://tinyurl.com/5v74xrhttp://loraltravel.blogspot.com(TheTajMahal)- Hide quoted text - >>>>>> - Show quoted text - >>>>> Alan: I have never been overweight, metformin never seemed to improve >>>>> things. C-peptide seemed to show mid range endogenous insulin so doc >>>>> continued to assume I was T2 and treated as such adding on Actos and >>>>> then Amaryl. I managed to keep my A1c in low 7s with lots of exercise >>>>> and pretty good dieting. Actos didn't do anything and Amaryl worked to >>>>> improve fbg levels for a little while. I insisted to see an Endo and >>>>> also insisted that a GAD be done. So you know once again how patients >>>>> need to take charge as best they can. Consequently I've been over >>>>> medicated and have a heart block which could be related. This may >>>>> resolve itself since most orals are being tapered or dcd at this time. >>>>> Thanks for asking. >>>>> Larry >>>> what was your GAD result? >>>> are you on insulin now that pills have been discontinued? >>>> -- >>>> kate >>>> type 1 since 1987www.diabetic-chat.orgwww.diabetic-talk.orghttp://www.diabetes-support...Hide quoted text - >>>> - Show quoted text - >>> Kate: I am still on Amaryl at 4mg/day but expect to drop that drug >>> very soon. Metformin and Actos are now dcd. ( I was just reading that >>> some docs think Actos/Avandia can be beneficial in preserving the >>> remaining little function of b-cells. I'm not sure about that). Lantus >>> 9 IU at bedtime has been working wonders to improve fbg levels down to >>> normal range for first time since diagnosed some years ago. Now I am >>> starting Novalog short acting before breakfast and lunch. Maybe dinner >>> as well but usually don't have high bg levels post dinner for some >>> reason. I think of insulin therapy as a needed habit ... no more >>> difficult than carrying a pack of cigarettes around for smokers I >>> guess. .if you know what I mean. >>> Larry >> interesting that you have been left on the Amaryl >> >> does the Dr have a reason for this, when you are on insulin? >> >> -- >> kate >> type 1 since 1987www.diabetic-chat.orgwww.diabetic-talk.orghttp://www.diabetes-support.org.uk/newly%20diagnosed.html- Hide quoted text - >> >> - Show quoted text - > > Kate: GAD Ab was 13.5... I am just starting at low dose Novalog 1-2 IU > prior to meals. I am sure Amaryl will be weaned off very soon as > Insulin dose is increased. I guess I am getting some benefit from > Amaryl in the meantime even though it might be a stressor on the > pancreas. I agree sooner the better to get off Amaryl. Plan to check > with Endo in a week or so. > > Larry ahhhhhhhh you have things under control excellent! (question answered) -- kate type 1 since 1987 www.diabetic-chat.org www.diabetic-talk.org http://www.diabetes-support.org.uk/newly%20diagnosed.html
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