sitagliptin with insulin

I am at present taking metformin 2 tablets a day & 2 1/2 Gliclazide the metformin doesnt agree with me so would rather not increase these I 'm asking please if is it possable that if i take the drug sitagliptin it would mean i could reduce the gliclazide and stop the mrtformin my Diabetes is well controlled on the whole but my nurse as requested i increase the glicazide

Since Merck does not provide a clear understanding of dosage for the elderly you need to discuss this with your care provider and whether continuing with Janumet is appropriate for you. Hope this answers your question.

Do i gotta push myself even harder with the work outs. I recently lost 50lbs, was diagnosed with Type 2 Diabetes the same day as hypothyroidism and was told my cholesterol was slightly raised, and im only 21. Funny when i weighed 230lbs, i was healthy felt fine, lost the weight, and now i got all these problems. But now i gotta lose so that i can get healthier like when i was fat. jk.. i know being obese made me get these problems. So anyways.. Thyroid medicine..

Although insulin levels were never extraordinarily high, the increase between the 2nd and 3rd hours seems to be abnormal and indicative of delayed insulin response, a pattern associated with insulin resistance. Several years ago I had elevated cortisol throughout the day. Last year, is was below range for most of the day. It seems to have flip flopped, while DHEA has stayed consistently borderline high (but still in range) and testosterone is elevated.

First of all, I absolutely agree that it is a VERY bad idea to stop taking insulin in order not to gain weight for all the obvious reasons. That is, in fact, a type of eating disorder, called diabulimia. Many of us believe that it is not insulin per se that makes you gain weight but how you use the insulin and how you eat. There are some people who believe they can eat whatever they want and "cover it" with insulin; that obviously doesn't work.

t lose weight with hyperthyroidism due to insulin resistance (high insulin means the body is in fat storing mode). I already had severe insulin resistance due to eating a high % of refined sugar in my diet (I do not overeat due to a poor appetite) but hyperthyroidism worsened my insulin resistance further and I also developed pre diabetes due to hyperthyroidism as well.

However, PCOS is a constellation of symptoms where, depending on who you believe, insulin resistance (IR) is either associated with, or the cause of, PCOS. I was rail thin most of my adult life...effortlessly. But in my late 30s, I started to gain weight inexplicably. I worked out hard, every day, and ate next to nothing, yet continued to gain weight. I even did that Insanity program... which IS hard! I gained 2 lbs.

I usually find that when I drink, the mixers raise it first and the alcohol lowers it later. As for insulin, I use an insulin pump with a 1 unit / 11g of carb ratio. Because alcohol lowers my blood sugar, I will give less insulin than I normally would for the mixer itself. Example: If I use a cup of juice with my drink, I may take off 1/4 of the insulin amount I would give. This varies from drink to drink and from person to person, so it may take some time to figure out.

recent fasting blood work showed insulin of 109 with normal glucose. what does this mean?

i know there are compassionate release programs available to help with supplies of insulin in Canada. Generally they are able to give you 6 months of free supply. I am not sure if that's available in the States or not. Your best bet would be to go to a diabetes clinic and ask them. if it is available, the diabetes educators in the clinic would be able to sign you up for the program. Best of luck!

There is a big difference in the action of humalog 50/50 compared to regular. You should really only change your medication with the supervision and guidance of your doctor. Please do discuss this with your doctor.

Doses of NovoRapid will vary from person to person definitely. It depends how much you weigh, and whether your T1/T2. I'm a type one and 4 units of fast acting insulin wouldn't be enough to keep 60g of carbs at bay in my blood glucose. The best thing is to do trail and error for while, and eventually you'll be able to estimate precisely. The only way is to find out yourself. Every recommendation of doses from doctors i've had to adjust and find out what is best for myself.

I did check out this website, and must warn that although herbal remedies may help type 2 folks who actually produce insulin, type 1 diabetes is not at all a problem with insulin resistance, but is instead an autoimmune disease whereby the pancreas cells have actually been destroyed by the body's own immune system. A type 1 diabetic normally has no insulin resistance problems at all, but just cannot produce insulin.

is aptly named because that is what we try to do with our insulin usage. We are trying to mimic the action of the pancreas in people who don't have diabetes. Their bodies have a low level of background insulin all the time and that's why we take our basal which lasts 24 hours (sometimes not so we split the dose). Then their bodies give off spurts of more insulin when they perceive carbs being eaten.

s. She does have some stress currently, in vet tech school, but it seems her insulin is not working. She calculates it according to what she's eaten, and how she was taught, but some times it goes down fast. Other times, she can eat practically nothing, and it is high. When it is cold, it goes down very quick, but she catches it before it goes too low. How can you stabilize it without the sugar levels being a yo- yo, really high, or really low? Is insulin resistance a factor in this?

I was just diagnosed with PCOS a few days ago--I was born with a mild case of Adrenal Hyperplasia but was told by doctors it went away when I was about 12. (Adrenal Hyperplasia and PCOS are related and very similar) However, I never stopped showing a lot of the symptoms of PCOS and about a year and a half ago stopped getting my period. I went to the doctor about 6 months after not getting my period and the doctor seemed very unconcerned and didn't really do anything about it.

do you mean mixing a coudy insulin with a clear one?

This has happened all four times with shunt malfunction symptoms and with my insulin pump clogging. So, for me, flying affects both my shunt and insulin pump.

Beta blockers cause hyperkalemia b/c they inhibit the secretion of insulin. With no insulin secretion, a masked hypoglycemia and hyperkalemia occur. Therefore the antidotes for beta blocker toxicity consist of glucagon and calcium gluconate. For the hypoglycemia and hyperkalemia respectively." "Beta receptors are specifically linked to calcium-gated potassium channels, and their activation allows potassium to enter the cell directly. A blocker, therefore, will inhibit this uptake.

It seems to peter out sort of slowly sometime in that time frame, leaving very little Lantus working to help with his dinner-time quick-acting insulin. So it may take more insulin in the evenings than at other mealtimes to cover the same amount of carbs. Some of us prefer to split the Lantus dose, taking some in the morning and some in the evening to equal the complete dose. That way, only half is petering out after 20 hours, and the sugar levels stay more even throughout the day.

Are oral agents really needed with insulin for glucose control? And if not, how many units am I to increase her morning/evening insulin dose on each adjustment? How frequently to monitor? I myself am a doctor, so I know to always get the patient checked before any modification in treatment, but I just thought to also obtain the view of any experienced doctor over the internet as well. Any help would he appreciated.

Sitagliptin with insulin

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