Health Type 1 diabetes & Type 2 diabetes
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 Mar 9 2013, 01:16 PM
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#1
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor   
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QUOTE(tlts @ Mar 8 2013, 10:23 PM) halo Once you are confirmed diebetic, no insurer will give you or sell u any medical insurance. There are so many insurance co approached me even when I was in the 20's and after medical checkup and hearing I have diebetic, none of them wanted to give meany medical insurance. Life insurance yes but with loading@&$&@ i age 30 can i buy insuran and how much ya i got diabetis 170cm 53kg    |
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Mar 9 2013, 01:26 PM
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#2
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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Since ts no longer active since mid last year, I think I should add another type of diebetic that is less well known I.e type 1.5.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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Mar 18 2013, 10:48 PM
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#3
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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QUOTE(samuraikacang @ Mar 18 2013, 05:20 PM) have you try victoza? How to try wheni' m on govt hospital prescription. I don't even think they gonna give me levemir which is better than insulataed |
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Mar 18 2013, 11:06 PM
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#4
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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Mar 19 2013, 10:09 AM
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#5
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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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.  congratz.. My previous Hb1ac was also ~ 11 (hehe lost the Blood test liao  ). 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  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  By then, I probably continue my Metformin at 1.5g and no more dimicron liao |
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Mar 19 2013, 12:54 PM
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#6
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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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, 02:31 PM
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#7
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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QUOTE(samuraikacang @ Mar 19 2013, 01:25 PM) You can ask doctor about novomix. Hmnn can try but I doubt Govt hospital willing to dispense newer & expensive insulin like levemir  |
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Mar 19 2013, 05:06 PM
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#8
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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QUOTE(darklight79 @ Mar 19 2013, 03:40 PM) We're still using insulatard and actrapid. All basic stuff. 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, 11:01 PM
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#9
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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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 20 2013, 07:18 AM
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#10
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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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 Have you combined it with lifestyle control also? ..Lunch time..normal normal hawker wantan mee/ kueh teow soup or even 3/4 rice chapfan. but I love eating fruits after each meal.. normally a pc of guava after lunch & apple/ pear after dinner. For dinner, I normally take brown rice . |
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Mar 20 2013, 10:58 PM
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#11
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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QUOTE(battosai @ Mar 20 2013, 10:40 PM) wah u use 1.5g oni ar I can't take >1500mg/day otherwise sure lousai gov klinik give me 500mg must eat 4 tablet every day btw i type 1 diabetic very sever stomachache ...Hmnnn type 1 mostly insulin why u on metformin? |
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Mar 21 2013, 07:18 AM
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#12
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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QUOTE(battosai @ Mar 20 2013, 11:29 PM) docter give i take lor she say try 1 week 1st next week gonna meet her again for some test 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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Mar 21 2013, 02:22 PM
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#13
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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QUOTE(samuraikacang @ Mar 21 2013, 02:17 PM) My doctor you may want to refer yourself to hukm. They supply levemir. Get a gp to refer u to hukm HUKM too far from me-lah.. Puchong to Cheras...no way man ..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 |
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Mar 21 2013, 04:58 PM
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#14
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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QUOTE(samuraikacang @ Mar 21 2013, 04:24 PM) Yeah. Since University Hospital is not funded by KKM. Damn jealous 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.  ..Anyway congratz for such a good result... I am dreaming of getting this |
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Mar 22 2013, 11:01 AM
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#15
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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QUOTE(samuraikacang @ Mar 21 2013, 05:01 PM) man man la. need to exercise regularly and watch diet. dont eat fried wantan too much. 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 metforminMy 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 This post has been edited by stimix: Mar 22 2013, 02:03 PM |
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Mar 23 2013, 08:43 AM
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#16
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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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  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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Mar 24 2013, 07:24 AM
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#17
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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QUOTE(samuraikacang @ Mar 24 2013, 12:32 AM) substitute white bread with Gardenia Breakthru. Did wonder to my bloodsugar when I was on Carbohydrate. Surprisingly ok bcos my ytay 2hr after that 3 slices of white bread=5.1 anyway my normal bread massimo wheat germ haha. Last wk can't find massimo so got gardenia white only Ytay lunch was bad. Full of carbo ninja joe porky rice set. So 2 hr after lunch result -8.6 and dinner also carbo rich hokien mee but surprisingly result was good at 5.7. With the last basal insulin jab during mid nite, my fsb moment ago stabilized at 5.6 Ok just taken a slice of bread for my 15km bike ride after this post |
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Mar 24 2013, 09:02 PM
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#18
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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Phew. My worse experience of hypo this afternoon. After my last posting, took 1 slice of bread and went for 16km bicycle ride and thereafter continue washing my car b4 jabbing 8 ut of actrapid and 2 slices of breads.
Went to the curve ~11 am and by 12pm, I started sweating inside cool aircon environment and by 12.15pm, hand shaking and feel hunger. Lucky found the fruitl stall nearby and just ate a pc of papaya...only feeling Abit better 15min later b4 looking for my lunch. Yet to check my bs level till now hehe. In future, if I went for bike ride, I should hv reduced 2 ut of insulin. Scary This post has been edited by stimix: Mar 25 2013, 11:32 AM |
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Mar 25 2013, 11:38 AM
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#19
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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QUOTE(samuraikacang @ Mar 25 2013, 11:03 AM) Or bring some snack with you. One bottle of 250ml milo can help with hypoglycemia. Yeah...Should start keeping stock of sweet/ glucose tablet liao.. - Yesterday 2 hrs after dinner result - 6.4 (Wantan mee + apple & mango for dessert) and this Morning 6.3...hmnnnnn.. ...really funny result.. Expecting <6 this Morning wth the result a night earlier This post has been edited by stimix: Mar 25 2013, 11:40 AM |
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Mar 29 2013, 10:46 AM
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#20
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3,542 posts Joined: Jan 2003 From: Puchong, Selangor
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After a week on 100% insulin jab i.e 8 ut Insulatard b4 bed and 8ut of Actrapid on every meals during day time.. My results seems to be yoyo
Certain days..I'm getting good result of ~ 4.8-5.6 FSB and also reasonable 2hrs BS reading of ~ 6.8 to 8.8But during last week, I got 2 incident of Hypo..i.e last Sunday afternoon as mentioned earlier and 2 nights ago when I woke up middle of the night and feeling so cold & hand shaking. I straight away took the reading and it was 3.9! And on certain day..my random hrs after meals reading wer horrible..ranging from 11 to the high of 18 damn I suspect all those high readings were due to the timing I took the reading & also more carbo food I took..for eg.. the reading of 18 was ~ 3.5hrs after lunch and ~4 hrs after insulin. and I took one big canto fried ying yong that day Hopefully my 2nd week will be better as I started increasing to 9 ut MYSELF from Today  |
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