Amaryl and insulin
Common Questions and Answers about Amaryl and insulin
amaryl
taking diamicron MR in the morning and lunch and have insulin injection in evening .The reason she has to have insulin injection is that all other drugs upset her stomuch ( except diamicron MR ) .Doctor has prescribed her with Amaryl ,Glucophage ,Glucobay ,but they upset her stomuch .Although she take it after meal but she still have stomuch pain .So I want to ask what diabet drugs that don’t upset stomuch (because she hate to take insulin injection ).
We have decrmy Lantus to 10eased units in the even. and 1/2 Amaryl in the a.m. and p.m. I also take Januvia 100mg, and 2000 mg Metformin a day. My A1c has been 6.6 for a few years now, but have moved and have a new Dr. who wanted me to try the Victoza. My BS are running 154 (No lower) to as high as 272. OCCASIONALLY I might have a reading as high as 272 (My B'day celebration had to many sweets) :(. but not this high On a regular basis.
Yes, surgery is a stress to the body and any form of stress can cause increased blood sugar. The insulin mixes are a very old and not particularly effective type of insulin. If they don't control her blood sugar I would suggest speaking to an endo about putting her on a basal/bolus regimen. (Long-acting insulin once or twice a day and short-acting insulin with the dose to match the food she is actually eating before each meal) That is the standard of care for insulin use.
Amaryl and Metformin are about the limit of my expereince. I was on insulin for a while but goal was to get off all meds with behavior changes. As for the weight, I have the opposite problem. My walking burns the weight but my avoidance of a lot of foods keeps me from keeping up. I'm in the low end of BMI and I'm still trying to master the eating side of things which I haven't completely figured out yet.
I am maintaining a stage 3 and was on a 3 month regiment of vitamin d and we also eliminated metformin. I take Amaryl now, instead.. My blood glucose was out of control but my PCP put me on Victoza. That seems to be helping with the exception of BS levels being very low in the morning. My PCP has suggested she might take me off the Amaryl and just have me take more insulin along with the Victoza and Januvia. At this point we're experimenting with the meds to see what works better.
I have had Type 2 diabetes since October 07. I was put on Amaryl then and now am also on Metformin. I have since gained almost 5-8 pounds. Is this normal? I can't find this listed as a side effect in the drug info. I am about 20 pounds overweight and have been trying to lose that to help with the diabetes. I have a healthy diet and try to exercise as much as I can. I also have Crohn's disease (which may have contributed to the onset of diabetes), so heavy exercise is out for me.
Hi Verma
There are no medical professionals on this board; this is a peer board. If your A1C is creeping up (you don't say if it is going higher) that might mean that the oral meds are no longer effective because your pancreas is no longer producing sufficient insulin. Do you test on a regular basis? If your numbers are consistently high this also might be an indication of the above. Your doctor can do a c-peptide test which will assess how much insulin your pancreas is actually making.
Typically people with diabetes while pregnant are treated with diet, and if diet alone cannot control blood sugars then they are given insulin. This is because these drugs can cross the placenta and affect the baby. However, insulin does not cross the placenta.
Controlling blood sugar to normal levels during pregnancy is important to having a healthy pregnancy. Best wishes.
Hi Pete and welcome. First of all what you should do is take a deep breath. Diabetes is a lot to adjust to, especially when you are so young and don't expect illness. I won't tell you there isn't a lot to learn, there is, but the good news is that once you learn it, diabetes is a very manageable condition. You just have to get into the right habits. First of all, your fear about insulin is way premature.
You have lots of room to go up on your metformin before heading to insulin, so discuss this with your doctor. The usual dose of metformin, assuming your kidney and heart function are fine, is 1000 mg twice daily. It may also help with your weight loss. Continue with the dietary changes to lose some weight. You definitely need medication in the evenings if your morning blood sugars are the highest, so perhaps this second dose of metformin can first be added at night to help.
I have been controlling my type 2 diabetes with actos, lipitor, lisinopril, amaryl, and metfirman for the last 2 years. Recently, i was laying down and when I got up I felt my neck grinding. A few days later I noticed my tonuge was numb and tingling. then I noticed my right eye and right side of my face and head was numb. I have been having reduced mucle movement on that side. I do not have insurance and am unable to see a doctor. I get my diabetic medical treatment at a clinic.
I then eat 45 g of carbs and inject 3 units of insulin before the meal. Test 2 hours after starting to eat and my blood sugar is 140 (my target is < 120 after eating). This tells me that the insulin was not enough. Next time I eat 45 g of carbs I will try 4 units of insulin). I actually finally worked out that I need 1 unit of insulin for about 10 g of carbs.
It also helps to restrict carbs.
re having bad lows, then you need to further reduce your insulin dosing. Try reducing by say 10% and then if that is not enough reduce by a further 10%.
Are you using basal-bolus regime, with separate long and short acting insulin? If you are you can look up how to do basal testing. This will help you set your long acting insulin to optimal level.
An alterative approach to sliding scale is to dose fast acting insulin based on carb counting.
Type 2 is most often associated with adult-onset and can be a combination of insulin resistance (most often in overweight folks) and also sluggish/impaired insulin production. Type 2s are sometimes treated with insulin, sometimes with oral meds, sometimes both, and always in combination with diet & exercise.
I didn't have bruises as I switched around the sides where insulin was injected.Also, baby movement changes all the time，not necessarily the result of insulin. For me, the weird thing for insulin was the week b4 delivery，I don't need to rely on insulin at all. I was back to normal all a sudden. Dr. Said it was normal as the placenta wasn't working as well *** b4 as I close to the end. Good luck!
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