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Health Type 1 diabetes & Type 2 diabetes

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samuraikacang
post Mar 18 2013, 05:20 PM

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QUOTE(stimix @ Mar 9 2013, 01:26 PM)
Since ts no longer active since mid last year, I think I should add another type of diebetic that is less well known I.e type 1.5.  Yes it might look like a joke but it's indeed new term since early 90s. Another name is Latent autoimmune diabetes.  This mostly on ppl that earlier detected as type 2 but slowly, the oral drugs that they took or even the limited insulin the type 2 can produce slowly getting worse and developing condition like type 1. Read more here

http://en.wikipedia.org/wiki/Latent_autoimmune_diabetes

I am probably this type by now. Well need further confirmation and testing by doc for sure haha
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have you try victoza?
samuraikacang
post Mar 18 2013, 05:35 PM

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QUOTE(tlts @ Mar 18 2013, 05:27 PM)
this for type 2 diabetis only rite?
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Meant for type 2 treatment but clinical trials show that it helps Type 1 too.
samuraikacang
post Mar 19 2013, 09:38 AM

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QUOTE(stimix @ Mar 18 2013, 11:06 PM)
Darn found out this is not for type 1 and can cause tyroid tumor
http://www.victoza.com/
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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.
samuraikacang
post Mar 19 2013, 12:27 PM

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QUOTE(stimix @ Mar 19 2013, 10:09 AM)
Nice result there  rclxms.gif congratz.. My previous Hb1ac was also ~ 11 (hehe lost the Blood test liao  blush.gif ).  Anyway, my FBS reading since I started insulatard since 2 wks ago avg 4.2 to 5.8 depending on what I took the night b4. Super happy with the reading. I never ever dream of reaching this level  rclxm9.gif

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  hmm.gif  By then, I probably continue my Metformin at 1.5g and no more dimicron liao  hmm.gif
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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.
samuraikacang
post Mar 19 2013, 01:25 PM

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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  doh.gif  rclxub.gif

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  doh.gif
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You can ask doctor about novomix.
samuraikacang
post Mar 19 2013, 02:44 PM

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QUOTE(stimix @ Mar 19 2013, 02:31 PM)
Hmnn can try but I doubt Govt hospital willing to dispense newer & expensive insulin like levemir  biggrin.gif
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Probably can ask the doctor if they have any sponsorship program supplied by novo nordisk.
samuraikacang
post Mar 21 2013, 10:21 AM

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QUOTE(battosai @ Mar 21 2013, 10:14 AM)
yup 1st time detect haiz
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If you type 1 diabetes, doctor should start you on the insulin right? since type1 diabetes is lack of insulin


btw I'm meeting the doctor today, let me see if I can ask is there any sponsorship program or clinical trial that can include outside patient.

I believe losing weight is the best and only way to control your diabetes.
samuraikacang
post Mar 21 2013, 10:28 AM

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QUOTE(battosai @ Mar 21 2013, 10:22 AM)
i type 2 ler

felling really tired shi@t this sickness  cry.gif  or malas not sure
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How old are you?

I read your first posting, you wrote type 1 hehe.

I got type 2 when I was 23 back in 2003 now already 10 years and Alhamdulillah improving. I also have ups and down. I was hospital in 2007 for having neglected to take any medication and was diagnose with bacteria infection (cellulitis) which stiffen the joints.

in 2012, I made up my mind to start control the disease.
samuraikacang
post Mar 21 2013, 02:17 PM

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QUOTE(stimix @ Mar 21 2013, 07:18 AM)
Hmnn probably you 1st time detected? and thus the Doc trying 1st on medicine to test whether working on you kua?
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My doctor you may want to refer yourself to hukm. They supply levemir. Get a gp to refer u to hukm
samuraikacang
post Mar 21 2013, 04:24 PM

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QUOTE(stimix @ Mar 21 2013, 02:22 PM)
HUKM too far from me-lah.. Puchong to Cheras...no way man  biggrin.gif ..Atleast University Hospital still near. Anyway, HUKM similar to University is not Govt but semi. So the charges are not cheap. University Hospital per visit - GP - RM5 & Specialist = RM15 and drugs - 1 mth supply -RM20 and if special drugs - RM50/mth....Well, Total still cheaper than private but not free for sure  blush.gif  biggrin.gif
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Yeah. Since University Hospital is not funded by KKM.

By the way my visit with the doctor just now conclude with the reduction of my victoza to 1.2 from 1.8 unit dos and 1 g of glucophage from previously 1.5 g. he said that my body right now is in non diabetic since my hba1c is on normal area. 5.0. Need to keep exercising and watch my diet.
samuraikacang
post Mar 21 2013, 05:01 PM

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QUOTE(stimix @ Mar 21 2013, 04:58 PM)
Damn jealous  cry.gif ..Anyway congratz for such a good result... I am dreaming of getting this
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man man la. need to exercise regularly and watch diet. dont eat fried wantan too much.
samuraikacang
post Mar 22 2013, 08:45 PM

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QUOTE(stimix @ Mar 22 2013, 11:01 AM)
Just came back from govt clinic. After looking at my random bs, agreed that I'm more on type 1 now furthermore since 18 yrs old. She maintained my night insulatard 8 ut and actrapid every meal also at 8 ut each. She stopped me on glicazide but maintaining my 1500mg metformin

My hba1c result last wk was 9.7% Hope to reduce to 6.5 in nxt 2-3mth

Oh btw, reason she maintained the metformin is for the purpose of reducing cancer risk of diebetic as according to her, new studies show that metformin can reduce the risk of cancer...hmnnnn
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wow a government doctor who actually reads medical journal.

yeah recently studies shown that metformin reduce the risk of cancer and metformin actually helps in suppressing your appetite

samuraikacang
post Mar 24 2013, 12:32 AM

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QUOTE(stimix @ Mar 23 2013, 08:43 AM)
Ok 1st day report card after the doc prescribed me both intermediate & short acting insulin yesterday.

Well, yesterday was Abit yo yo. B4 came back home, I hv taken my last glicazide 160mg just b4 my late breakfast ~9:50am. After breakfast and reached home, I started jabbing 4 ut of actrapid just to stabilized my bs level. During lunch, I took 6 ut. ( my actual prescribed ut is 8 ut) the bad thing was by 4.30 pm I started to sweat even though inside aircon environment and the time I reached home ~ 6pm, I checked my bs and the reading was 4.2. To avoid hunger, I actually took the leftover popcorn b4 I jabbed only 6 ut + 750mg metformin. My dinner was heavy with normal rice + pear & mango. And 9pm my reading was 11.2 damnit  mad.gif  lucky this morning my reading was 5.2.

Now strictly following doc's prescription. Hopefully getting better although my breakfast just now now really healthy. 3 slices of White bread!
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substitute white bread with Gardenia Breakthru. Did wonder to my bloodsugar when I was on Carbohydrate.
samuraikacang
post Mar 24 2013, 06:00 PM

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good postprandial blood glucose.

I just had laksa and ais kacang. blood sugar at 7.5 after 1 hr.

My Endocrinologist said the best time to check blood glucose is after 30 minutes to 1 hour of taking simple carbohydrate like rice, bread, sweet drinks.
samuraikacang
post Mar 25 2013, 11:03 AM

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Or bring some snack with you. One bottle of 250ml milo can help with hypoglycemia.
samuraikacang
post Mar 25 2013, 12:05 PM

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QUOTE(stimix @ Mar 25 2013, 11:38 AM)
Yeah...Should start keeping stock of sweet/ glucose tablet liao.. blush.gif  - Yesterday 2 hrs after dinner result - 6.4 (Wantan mee + apple & mango for dessert) and this Morning 6.3...hmnnnnn..  sad.gif ...really funny result.. Expecting <6 this Morning wth the result a night earlier  rclxub.gif
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Usually the morning will depend on what you eat and did last night.

not enough sleep/ less quality sleep will bring the sugar high. stress also contribute to high sugar.

This post has been edited by samuraikacang: Mar 25 2013, 12:05 PM
samuraikacang
post Mar 29 2013, 11:00 AM

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Medical journal on incretin type drug i.e victoza.

http://diabetes.diabetesjournals.org/conte...7d-651738e22e43

summary: finding show potential of tumor arising from the usage of incretin type medication

anyone using victoza, byetta or anything incretin should discuss with your doctor.
samuraikacang
post Apr 4 2013, 04:12 PM

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I stop using Victoza since two weeks ago. No changes in appetite, blood sugar or weight.
samuraikacang
post Apr 8 2013, 12:44 AM

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QUOTE(stimix @ Apr 7 2013, 05:15 PM)
Hmnnn Why? I thought you are on clinical trial  hmm.gif .So now you on what drugs since u said everything OK?

BTW, I visited my Doc on last Friday. She asked me to maintain my  day insulin at 8 ut instead of 9 that I administered myself  blush.gif .. My reason, certain time esp breakfast & Lunch result >8 and few times >10. but there are many occasions of result below 5 too and she told me she rather me to be ~ 6-8 rather than below 5!...so go back to 8ut  blush.gif
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just on metformin 750mg. morning results between 4.8 - 5.2 and after food between 6.4 - 7.5
samuraikacang
post Apr 8 2013, 09:15 AM

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QUOTE(stimix @ Apr 8 2013, 07:18 AM)
Wah.. Your diebetic probably still in infancy..Metformin totally failed me years ago before I added in - glicamide & thereafter to Glicazide  smile.gif

However I still on metformin bcos the Doc said it is a cancer prevention drug  rclxms.gif
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I had diabetes since 2003 so basically 10 years already. Doctor said since I'm losing weight the condition has reversed. Currently the body no longer diabetic. Technically they said (i have two doctors on my diabetic) cure but since diabetes has no cure they just remind me to keep up whatever i did with the diet and exercise.

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