QUOTE(samuraikacang @ Mar 18 2013, 05:20 PM)
How to try wheni' m on govt hospital prescription. I don't even think they gonna give me levemir which is better than insulataedHealth Type 1 diabetes & Type 2 diabetes
Health Type 1 diabetes & Type 2 diabetes
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Mar 18 2013, 10:48 PM
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Moderator
3,542 posts Joined: Jan 2003 From: Puchong, Selangor |
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Mar 18 2013, 11:06 PM
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Moderator
3,542 posts Joined: Jan 2003 From: Puchong, Selangor |
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Mar 19 2013, 09:38 AM
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Senior Member
710 posts Joined: Jan 2008 From: Kuala Lumpur |
QUOTE(stimix @ Mar 18 2013, 11:06 PM) Actually the thyroid tumor does happen to diabetes patient regardless of whether taking victoza or not. No conclusive study to show that Victoza actually promotes thyroid tumor. Victoza is design for type 2 but they have done clinical trial for type 1 and its improve BG control and promotes weight loss. the same effect for type 2 patient.Its off label in malaysia right now and only endocrinologist can prescribe the medicine. I'm on clinical trials by KKM to see the effect of victoza on Malaysia patient. I hope the government of Malaysia can sponsor victoza for patient in Government hospital cause it does help a lot. My previous hb1ac (in july 2012) was 11 before starting victoza, my current hb1ac is 5.1 (march 2013). Previously I went to university hospital they prescribe me lantus, doesn't help at all, and lantus promotes weight gain. So I went a get second opinion at Gleneagles. I'm happy with my current weight and current health. Already stop taking lipitor, micardis, casprin, levemir, diamicron xr, only on victoza 1.8 and metformin 1.5 g. |
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Mar 19 2013, 10:09 AM
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Moderator
3,542 posts Joined: Jan 2003 From: Puchong, Selangor |
QUOTE(samuraikacang @ Mar 19 2013, 09:38 AM) Actually the thyroid tumor does happen to diabetes patient regardless of whether taking victoza or not. No conclusive study to show that Victoza actually promotes thyroid tumor. Victoza is design for type 2 but they have done clinical trial for type 1 and its improve BG control and promotes weight loss. the same effect for type 2 patient. Nice result there Its off label in malaysia right now and only endocrinologist can prescribe the medicine. I'm on clinical trials by KKM to see the effect of victoza on Malaysia patient. I hope the government of Malaysia can sponsor victoza for patient in Government hospital cause it does help a lot. My previous hb1ac (in july 2012) was 11 before starting victoza, my current hb1ac is 5.1 (march 2013). Previously I went to university hospital they prescribe me lantus, doesn't help at all, and lantus promotes weight gain. So I went a get second opinion at Gleneagles. I'm happy with my current weight and current health. Already stop taking lipitor, micardis, casprin, levemir, diamicron xr, only on victoza 1.8 and metformin 1.5 g. However once I touch breakfast, my random BS after 2 hrs shoot up to ~ 9 and once I touch lunch, 2hrs later avg ~ 14 and for Dinner, also ~ 14-16. Meaning all the drugs that I took almost useless dy.. (On 1.7g metformin & 320mg dimicron (glicazide) By this Friday, most probably I will discuss wth my Doctor for another dose of Insulatard (Works wonder to me) on mid Morning after food |
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Mar 19 2013, 12:27 PM
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Senior Member
710 posts Joined: Jan 2008 From: Kuala Lumpur |
QUOTE(stimix @ Mar 19 2013, 10:09 AM) Nice result there Probably you can ask doctor on whether you can be introduce to Levemir since Levemir doesn't promote weight gain the way Insultard does. Also probably can adjust your diet plan to include more vegetables and less carbohydrate. I did that and my post prandial Blood Glucose would be around 5.5 to 6.1. The highest I hit now is 7.4 if I take more carbo.However once I touch breakfast, my random BS after 2 hrs shoot up to ~ 9 and once I touch lunch, 2hrs later avg ~ 14 and for Dinner, also ~ 14-16. Meaning all the drugs that I took almost useless dy.. (On 1.7g metformin & 320mg dimicron (glicazide) By this Friday, most probably I will discuss wth my Doctor for another dose of Insulatard (Works wonder to me) on mid Morning after food |
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Mar 19 2013, 12:54 PM
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Moderator
3,542 posts Joined: Jan 2003 From: Puchong, Selangor |
QUOTE(samuraikacang @ Mar 19 2013, 12:27 PM) Probably you can ask doctor on whether you can be introduce to Levemir since Levemir doesn't promote weight gain the way Insultard does. Also probably can adjust your diet plan to include more vegetables and less carbohydrate. I did that and my post prandial Blood Glucose would be around 5.5 to 6.1. The highest I hit now is 7.4 if I take more carbo. Yeah I was thinking of asking the doctor to give me Levemir earlier. However since insulatard works so well on me and beyond my expectation, I don't think to change this night insulin. However I probably asking what Morning insulin that they going to prescribe me.. I don't really like the idea of rapid acting insulin that required me jabbing on each meal Very nice result you got there...I should have change to insulin years ago..haizzz.. now only thinking after my eye got into complication i.e confirmed glaucoma |
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Mar 19 2013, 01:25 PM
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Senior Member
710 posts Joined: Jan 2008 From: Kuala Lumpur |
QUOTE(stimix @ Mar 19 2013, 12:54 PM) Yeah I was thinking of asking the doctor to give me Levemir earlier. However since insulatard works so well on me and beyond my expectation, I don't think to change this night insulin. However I probably asking what Morning insulin that they going to prescribe me.. I don't really like the idea of rapid acting insulin that required me jabbing on each meal You can ask doctor about novomix.Very nice result you got there...I should have change to insulin years ago..haizzz.. now only thinking after my eye got into complication i.e confirmed glaucoma |
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Mar 19 2013, 02:31 PM
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Moderator
3,542 posts Joined: Jan 2003 From: Puchong, Selangor |
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Mar 19 2013, 02:44 PM
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Senior Member
710 posts Joined: Jan 2008 From: Kuala Lumpur |
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Mar 19 2013, 03:40 PM
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Elite
9,006 posts Joined: Oct 2005 From: PJ |
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Mar 19 2013, 03:46 PM
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Elite
9,006 posts Joined: Oct 2005 From: PJ |
Gee. I never knee there were quite a few members with T2DM. I've had a patient came in with severe MI but was detected way late. High cardiac tissue death. His cardiac enzymes were elevated. He wasn't aware DM masks the symptoms of myocardial infarction. Chest pain in this case was a very late sign. Too bad he passed away soon after.
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Mar 19 2013, 05:06 PM
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Moderator
3,542 posts Joined: Jan 2003 From: Puchong, Selangor |
QUOTE(darklight79 @ Mar 19 2013, 03:40 PM) Basic but if works no problem. Instead of rapid insulin, I'm thinking asking the Doc to give me additional Morning insulatard too. Is this OK? Right now on 8 ut of night insulatard and FBS ranging from 4.2 to 6. However 2 hrs after light breakfast, avg BS=9 and 2 hrs after lunch ~ 14 & 2 hrs after Dinner from 13-16. Taking 1700mg Metformin slow release (Morning & nite) + Glicazide 320gm (max dose) Morning & Nite now. |
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Mar 19 2013, 10:53 PM
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Elite
9,006 posts Joined: Oct 2005 From: PJ |
QUOTE(stimix @ Mar 19 2013, 05:06 PM) Basic but if works no problem. Instead of rapid insulin, I'm thinking asking the Doc to give me additional Morning insulatard too. Is this OK? Right now on 8 ut of night insulatard and FBS ranging from 4.2 to 6. However 2 hrs after light breakfast, avg BS=9 and 2 hrs after lunch ~ 14 & 2 hrs after Dinner from 13-16. Taking 1700mg Metformin slow release (Morning & nite) + Glicazide 320gm (max dose) Morning & Nite now. Wei... no. Insulatard is slow acting. It's supposed to last through the night. Which means it's still working WHILE you take the other tds doses of Actrapid. It's gonna screw with your blood sugar and you don't want a hypoglycaemic attack. If you're already on Actrapid, you might need to adjust the dosage. How's your HbA1c? |
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Mar 19 2013, 11:01 PM
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor |
Not yetonactrapid. Still on the above drugs i mentioned earlier. Trying to reuce oral drugsandgoing onminsulin. I try not to takeactrapid. Troublesome esp every meal also need to jab
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Mar 19 2013, 11:18 PM
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Elite
9,006 posts Joined: Oct 2005 From: PJ |
QUOTE(stimix @ Mar 19 2013, 11:01 PM) Not yetonactrapid. Still on the above drugs i mentioned earlier. Trying to reuce oral drugsandgoing onminsulin. I try not to takeactrapid. Troublesome esp every meal also need to jab Yeah... but prob is... OHA isn't really doing much for your blood sugar man. |
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Mar 20 2013, 07:18 AM
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Moderator
3,542 posts Joined: Jan 2003 From: Puchong, Selangor |
QUOTE(darklight79 @ Mar 19 2013, 11:18 PM) Yeah... but prob is... OHA isn't really doing much for your blood sugar man. Have to admit my exercise getting leser nowadays. Only weekend 15km cycling & 2-3 days once light exercise b4 dinner.. My diet is the same year in year out but not really carb less diet |
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Mar 20 2013, 09:48 PM
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Newbie
3 posts Joined: Feb 2013 |
My late grandfather has diabetes, and this is a reminder to me, I think..or not?
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Mar 20 2013, 10:40 PM
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Junior Member
37 posts Joined: Mar 2013 |
QUOTE(stimix @ Mar 19 2013, 10:09 AM) Nice result there wah u use 1.5g oni ar However once I touch breakfast, my random BS after 2 hrs shoot up to ~ 9 and once I touch lunch, 2hrs later avg ~ 14 and for Dinner, also ~ 14-16. Meaning all the drugs that I took almost useless dy.. (On 1.7g metformin & 320mg dimicron (glicazide) By this Friday, most probably I will discuss wth my Doctor for another dose of Insulatard (Works wonder to me) on mid Morning after food gov klinik give me 500mg must eat 4 tablet every day btw i type 1 diabetic |
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Mar 20 2013, 10:58 PM
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Moderator
3,542 posts Joined: Jan 2003 From: Puchong, Selangor |
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Mar 20 2013, 11:29 PM
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Junior Member
37 posts Joined: Mar 2013 |
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