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Diabetes Meds & Heart Failure
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 Posted: Sun Jun 24th, 2012 09:48 PM
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Mortis
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Stumbled over this.... Doc has me on Metformin & Glipizide for my diabetes.

Me thinks I gonna have a LONG talk with Doc PDQ.

http://news.yahoo.com/metformin-outperforms-common-class-diabetes-drugs-study-160405357.html



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 Posted: Mon Jun 25th, 2012 12:06 AM
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williamwaco
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I take metformin.

I am lucky enough to be able to keep a1c at about 5.9 with only metformin but DAMN I miss my carbs.


.



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 Posted: Mon Jun 25th, 2012 12:04 PM
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16gauge
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BEWARE OF ANY DRUG STUDY FUNDED BY A PHARMACEUTICAL COMPANY!


Let me repeat that..............

BEWARE OF ANY DRUG STUDY FUNDED BY A PHARMACEUTICAL COMPANY!

Over the years, I have found that the purpose of alot these "studies" is to frighten folks (both lay people and medical) into doing things that they might not otherwise do.

Case in point:  There used to be  drug on the market called "Traysolol"....it was suppose to enhance clotting/decrease bleeding post op on redo (2nd time) heart surgery patients.  The drug was Uber expensive, and personally, I didn't see any benefit to it (I didn't see a decrease in the number of returns for post op bleeding from before).  They wanted us to put that drug in the heart/lung machine....since I am VERY opposed to putting ANYTHING in the heart/lung machine that might promote clotting, I was opposed to the drug being there.  I read the information that came with the drug (flyer sheet), and low and behold, it said that this drug was not suppose to be mixed with heparin.....which we routinely put in our pump.  I asked the drug rep about it, and his response was "well, they just don't want you to mix it in a syringe together".....to which my reply was "the circuit is heparin coated, and contains injected heparin as well; wouldn't you think of that as a big "syringe"?  His reply was, "Well, I'll check and get back with you".

.....I am still awaiting his reply (It's been about 20 years).

Since that incident, I would go to medical meetings and there was all this literature out there re: the benefits of Traysolol.....couldn't get away from it.  I begged my surgeons to do their own study to see if there was any difference, but they just continued to use the drug blindly, taking the word of the "studies".   Here is the kicker:  each and every 'study' was funded by Bayer, the pharmaceutical company that made the drug.
  Long story short....the FDA got involved because of complaints of kidney failure and deaths.....and Bayer had to be forced to pull the drug from the market. 

Kinda makes you wonder, don't it................:confused:

You also have to wonder: not long ago there was a study done which showed that a certain antidiabetic drug (Actos) was linked to an increase in bladder cancer.  The drug worked well for me, but I after doing a little more research, I decided NOT to continue taking the drug, and my physician put me on something else.
  .....but, low and behold, shortly after that study came out, so did the lawyers and their "class action" law suit!:rolleyes:

Mortis:  I would strongly encourage you (and everyone else who has concerns) to talk with your physician about your concerns.......too many folks DON'T do this.  They do whatever they are told, and trust completely in the skill/knowledge of their physician (who might just be an idiot!)......sound familiar?  Can you see a similarity between this & congress?

  One thing the study DOESN'T mention is that metformin also has a side benefit of LOWERING HDLs and tryglicerides.......maybe THAT'S the reason there were higher deaths from the sulfonylurias group only. 
  Just a thought......but they didn't mention that in the study now, did they?  Come to think of it.....they didn't even publish the study or it's data, just it's conclusions.

Hmmmmm..........................................:confused::rolleyes:


BTW: I'm on metformin as well, and I miss my carbs also.



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 Posted: Mon Jun 25th, 2012 08:35 PM
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DesertMarine



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I also take Metformin for diabetes. 
Thanks 16guage for the info.
I find that with excercise and Metformin my A1C is down to 5.?, forgot the other part of it.  I eat just about everything I like but in moderation.  Have lost around 20 lbs.
My HDL's, trigylcrides have gone down with good cholestrol (whatever it's called) has gone up.



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 Posted: Tue Jun 26th, 2012 01:14 AM
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Rockydog



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I was on metformin for a while about 10 years ago. I had extremely high blood sugar. Cut virtually all carbs from my diet and lost 70 pounds. I was pushing 350. But I'm 6'4". Once I lost the weight I was crashing on a daily basis. Went off metformin and now I can pretty much eat what I want. I've been normal for my A1C for over 9 years. Keeping my fingers crossed that this lasts. RD



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 Posted: Tue Jun 26th, 2012 12:00 PM
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16gauge
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Rockydog & desertmarine;
  You guys are giving me hope....I just 'flipped' and became diabetic overnight.  I was into my doctors for a routine physical, and all my tests came back normal....two weeks later I was diagnosed with type II diabetes.
  My life style is such that I work screwball hours and tend to live out of vending machines much of the time......really, REALLY hard to change that habit, esp. when the cafeterias are closed off shift.
  Working on loosing weight had been pretty much a loosing proposition, but recently I noticed I dropped 7 lbs, so that's some encouragement to keep trying....that and your stories.
  Desertmarine:  the 'good' cholesterols are the LDLs (low density lipoprotiens).....most folks can increase the number with exercise.



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 Posted: Tue Jun 26th, 2012 05:19 PM
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DesertMarine



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Rockydog wrote:  Once I lost the weight I was crashing on a daily basis.
What did your crashing feel like.  Reason for question, is once in a while, especially around 9:30-10 AM if I haven't eaten breakfast, I'll start feeling dazed and confused. 
Normally not in a position to check blood sugar when I have those problems.  Plan on discussing with Dr.
But I also have ear problems that can caused dizziness especially if I lie down.



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 Posted: Fri Jul 20th, 2012 02:47 PM
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Kilkenny
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DesertMarine, I take the same meds you do for about 12 years now what you are feeling is blood sugar dropping to low. My Dr. told me to keep a hard sugar candy handy when this happens to me. Sometimes when I feel the same thing you are talking about I take my blood sugar it will be 59-63 that is to low any thing with sugar will bring it right back up. I got home yesterday had that same feeling blood sugar was 63 took a small drink of milk and was feeling better in min. Hope this helps just eat healthy and everything will be good.



 Posted: Sat Jul 21st, 2012 02:10 AM
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Rockydog



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DM, When I was getting low I'd get a bit confused, my ears would start ringing and I'd have sinking feeling in my stomach. This is nothing to fool around with. Low blood sugar can lead to shock, loss of control of a vehicle, dangers when operating machinery etc. A single piece of hard candy can SAVE YOUR LIFE! Orange juice, a half can of regular pop can help. Diet pop does no good at all. I used to carry Honey Packets from KFC biscuits in my truck. Bread will work but takes a while. Call your doctor. Be careful and test when you can if you feel this way so you can recognize your symptoms. Good Luck. RD



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Light hunting rifles; Gravity is permanent, recoil is temporary.Your Choice


 Posted: Sat Jul 21st, 2012 02:29 AM
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Rockydog



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16 Gauge, Losing weight is a challenge. I'm going to be brutal here and share what my doctor told me. Scared the crap out of me and the weight off of me. Forgive me ahead of time.

I was 47 at the time and weighed 350 pounds. Size 46 pants, 58" jacket, XXXXL shirts with a 20" neck.  The doctor said, " Here's the deal. You've got Type II  diabetes. You need to lose weight. NOW! 50 pounds at the least, 100 would be better. Here's your choices. You can do nothing. If your Blood sugar stays this high in about 18 months you'll come in here with a black toe. The sugar in your blood will block the small capillaries in your extremities. Because the cappillaries are blocked your toes get no oxygen. They die and turn black. They'll have no feeling because they are dead. You can watch me take them off with no anasthetic and you'll feel nothing. I just use a pair of sidecutters like you'd use to cut wire. No pain, but the crunching is a bit nasty. About a year after your toes we'll be taking a foot off for the same reason. By the time we get up to your knees the 50 pounds will be gone. You won't need to walk anyway because you won't see where you are going anyway. By then the cappillaries in your eyes will be clogged and shutting down your vision. Your choice... 50 pounds now or 50 pounds later."

Didn't take much more convincing.

You need to find a wat to change your diet. Whole grain breads digest slowly and level out your glycemic index. Substitute Splenda for sugar. NO regular pop. Go easy on the starches. potatoes. sweet corn. spaghetti. Read labels in the store. Pay attention to carbhydrate levels. Some brands of Spaghetti sauce and dressings for example have twice as many carbs as others that taste just as good. Ask your doctor for a refferal to a dietician. They can be a big help. Some hospitals and Ins. plans offer this for free. Get a copy of a carbohydrate guide. They even compare McDonalds to BK etc. Watch for hidden carbs.  RD 



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Light hunting rifles; Gravity is permanent, recoil is temporary.Your Choice


 Posted: Sat Jul 21st, 2012 02:46 AM
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DesertMarine



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Thanks guys, that is what I thought.  I had another episode the other day .  Started getting confused, heartburn and pain in the back.  Since I have had 5 heart attacks already, first thing I thought of and prepared to go to the hospital.  Then I checked my blood sugar, at 100.  Then I started shaking.  Drank a glass of orange juice and ate a piece of fruit.  Within 15 minutes I was back to normal.

What happened was that I ate a bowl of oatmeal for breakfast.  For whatever reason, I did not think of eating lunch.  All this happened around 2 in the afternoon.  Once I ate, I was fine.

The confusion has happened mainly on Sunday mornings.  I have a church choir and we play at 8:30 Mass in the morning.  So I do not eat breakfast and by about 8:30 I start feeling it.  What I am now doing is I take a water bottle around 16 oz and put two teaspoons of sugar in it and take sips during the Mass.  Worked good.



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"American by birthright… U.S. MARINE by the Grace of GOD!"

"And on the 8th day God created Marines and like fish, we came from the sea!"


 Posted: Sat Jul 21st, 2012 02:56 AM
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Rockydog



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DM, I switched to this instead of straight oatmeal. I get it at the local grocery but you can get it on line too. The whole grains last longer. Smaller meals more often is the key. RD

http://www.bobsredmill.com/7-grain-hot-cereal.html?&cat=9



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“Those that beat their rifles into plow shares will plow for those who didn’t”. Jefferson

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 Posted: Sat Jul 21st, 2012 03:02 AM
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Charley



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I've got my own health problems, but thank God diabetes isn't one of them.



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 Posted: Sun Jul 22nd, 2012 03:15 PM
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daboone
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Ditto Charley's comment. I've got prostrate CA and I've had a heart bypass but those option are better than diabetes. There are just way to many problems associated with diabetes.



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 Posted: Fri Jul 27th, 2012 02:06 AM
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Poacher



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Honey is a great thing to keep in your truck or desk. It lasts for ever and while it won't be smooth and runny after awhile it will be edible. You may have to use a spoon or your finger to eat it.

That being said don't go over board on it. Eat some and monitor what's going on. If you are feeling that dizzy and or confused with the ringing in the ears I would suggest you get a co worker to kind of hang by for a few minutes. Better to have someone know what's going on before somthing major happens than for you to black out and NO one know what happened.

One of the scariest times for me as a EMT was when we had a guy stop in the middle of the road. He was talking and then boom. out like a light. No one in the car with him nothing. I got lucky and smelled fruity sweat. I called his house on his cell that I found and sure enough he was Diabetic. We got some sugar in him via the gums and he snapped right back. we still had the wagon take him to the hossy.

One last thing wear a med alert bracelet or neck chain. They can truly be a life saver.

Take care Be safe Poacher.



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