Glipizide

[no_one@no_where.invalid]

With my AVG fasting BG running 150 and bedtime running about the same
I had a talk with the doctor suggesting that I need a change in my
meds. I was on one 5mg pill once a day. He bumped it up to four 5mg
pills twice a day. I have been following that dose for about a week
or more. I have not observed any change in any of my readings, so
far. It may be that it takes a while for the meds to get up to speed
but with a change from 5mg/day to 40mg/day I thought there should be a
dramatic change. I do not recall seeing this med mentioned in this
group in the past. Has anyone any experience with this med?
--

[Julie Bove]

<no_one@no_where.invalid> wrote in message
news:[email protected]..
> With my AVG fasting BG running 150 and bedtime running about the same
> I had a talk with the doctor suggesting that I need a change in my
> meds. I was on one 5mg pill once a day. He bumped it up to four 5mg
> pills twice a day. I have been following that dose for about a week
> or more. I have not observed any change in any of my readings, so
> far. It may be that it takes a while for the meds to get up to speed
> but with a change from 5mg/day to 40mg/day I thought there should be a
> dramatic change. I do not recall seeing this med mentioned in this
> group in the past. Has anyone any experience with this med?
> --
First, a few questions.

Why are you on this med? Metformin is the one that a person is usually
started on.

What do you eat? Maybe you are eating too many carbs?

[outsider]

On 5/4/2012 5:55 PM, no_one@no_where.invalid wrote:
> With my AVG fasting BG running 150 and bedtime running about the same
> I had a talk with the doctor suggesting that I need a change in my
> meds. I was on one 5mg pill once a day. He bumped it up to four 5mg
> pills twice a day. I have been following that dose for about a week
> or more. I have not observed any change in any of my readings, so
> far. It may be that it takes a while for the meds to get up to speed
> but with a change from 5mg/day to 40mg/day I thought there should be a
> dramatic change. I do not recall seeing this med mentioned in this
> group in the past. Has anyone any experience with this med?

Have you thought about changing your eating habits instead?

[Charles Coughran]

no_one@no_where.invalid wrote in
news:[email protected]:

> With my AVG fasting BG running 150 and bedtime running about
> the same I had a talk with the doctor suggesting that I need a
> change in my meds. I was on one 5mg pill once a day. He
> bumped it up to four 5mg pills twice a day. I have been
> following that dose for about a week or more. I have not
> observed any change in any of my readings, so far. It may be
> that it takes a while for the meds to get up to speed but with
> a change from 5mg/day to 40mg/day I thought there should be a
> dramatic change. I do not recall seeing this med mentioned in
> this group in the past. Has anyone any experience with this
> med?

Your timing is pretty good, the ADA has just released a position
paper on "Management of Hyperglycemia in Type 2 Diabetes: A
Patient-Centered Approach". It is aimed at both the diabetic
population and treating physicians. There are several
organizations who produce diabetic treatment guidelines, I prefer
the American Association of Clinical Endocrinologists (AACE)
versions, but the rate at which new type 2 medications have been
arriving is high. The ADA paper is about as up to date as it is
possible to be. You can find it at:

http://care.diabetesjournals.org/con...12/04/19/dc12-
0413.full.pdf+html

Glipizide is in the class of second generation sulfonylureas and
is well known, widely used, and relatively cheap. Its primary
effect is to increase pancreatic insulin secreation.
Sulfonylureas used to be the only non insulin medication for type
2. A second class, biguanides, was introduced around 1990 (date
is from memory and someone will correct me if I'm wrong). Since
then, depending on exactly how you count, the number of classes
of medications has risen to a dozen. Since there are multiple
members of many of the classes, there are about two dozen
individual medications from which to choose. As you can see,
choosing medications can become somewhat complex. Thus papers
like the ADA's are published.

One of the "Golden Rule(s)" of diabetes is that the patient is in
large part responsible for his treatment. You see the doctor
several times a year, you treat the patient, at a minimum, once a
day. Therefore, the better you understand your disease and its
treatment, the better off you are going to be.

As a quick introduction, here is a brief outline of the state of
medication selection. It is widely agreed that the best class of
first diabetic treatment medication is biguanides, of which there
is a single medication available, metformin. Metformin's primary
action is to reduce hepatic, liver, glucose production. Wide
agreement stops there. Oddly, you are on glipizide. This could
be due to inability to tolerate metforin, other
countraindications against metforin, your doctor is behind the
times, or a half dozen other possible reasons.

Learn as much as you can, ask your doctor questions (what, why,
what else is available), and become your own advocate. Good luck
and good outcome.






--
___________
[email protected]

--- Posted via news://freenews.netfront.net/ - Complaints to [email protected] ---

[no_one@no_where.invalid]

"Julie Bove" <[email protected]> wrote:

snip on this med? Metformin is the one that a person is usually
>started on.

That is what the Dr. ordered.
>What do you eat? Maybe you are eating too many carbs?
>
I pay *very* close attention the what I eat. I keep a spreadsheet of
all foods and the readings takin 1 and two hours after a meal. From
this I have a lost of OK foods and ones to avoid.
--

[no_one@no_where.invalid]

outsider <[email protected]> wrote:

>On 5/4/2012 5:55 PM, no_one@no_where.invalid wrote:
>> With my AVG fasting BG running 150 and bedtime running about the same
>> I had a talk with the doctor suggesting that I need a change in my
>> meds. I was on one 5mg pill once a day. He bumped it up to four 5mg
>> pills twice a day. I have been following that dose for about a week
>> or more. I have not observed any change in any of my readings, so
>> far. It may be that it takes a while for the meds to get up to speed
>> but with a change from 5mg/day to 40mg/day I thought there should be a
>> dramatic change. I do not recall seeing this med mentioned in this
>> group in the past. Has anyone any experience with this med?
>
>Have you thought about changing your eating habits instead?
Not much I can change.
--

[BessieBee]

On 5/4/2012 11:10 PM, Julie Bove wrote:

> Why are you on this med? Metformin is the one that a person is usually
> started on.

Not always. My husband was started on metformin AND glipizide. He has
since been switched to insulin only, but it's been only a few days since
the switch.
--
BessieBee

"I was gratified to be able to answer promptly, and I did.
I said I didn't know."
-Samuel Clemens

[no_one@no_where.invalid]

"Julie Bove" <[email protected]> wrote:

>
><no_one@no_where.invalid> wrote in message
>news:[email protected]. .
snip
>Why are you on this med? Metformin is the one that a person is usually
>started on.

From drugs.com, To make sure you can safely take metformin, tell your
doctor if you have any of these other conditions:

liver disease; or

a history of heart disease.

Sadly I have both. Sigh...

>What do you eat? Maybe you are eating too many carbs?
>
--

[Julie Bove]

<no_one@no_where.invalid> wrote in message
news:[email protected]..
> "Julie Bove" <[email protected]> wrote:
>
> snip on this med? Metformin is the one that a person is usually
>>started on.
>
> That is what the Dr. ordered.
>>What do you eat? Maybe you are eating too many carbs?
>>
> I pay *very* close attention the what I eat. I keep a spreadsheet of
> all foods and the readings takin 1 and two hours after a meal. From
> this I have a lost of OK foods and ones to avoid.

Why would you need a spreadsheet? And how can you say that some foods are
okay if you are not getting good readings?

[Julie Bove]

<no_one@no_where.invalid> wrote in message
news:[email protected]..
> outsider <[email protected]> wrote:
>
>>On 5/4/2012 5:55 PM, no_one@no_where.invalid wrote:
>>> With my AVG fasting BG running 150 and bedtime running about the same
>>> I had a talk with the doctor suggesting that I need a change in my
>>> meds. I was on one 5mg pill once a day. He bumped it up to four 5mg
>>> pills twice a day. I have been following that dose for about a week
>>> or more. I have not observed any change in any of my readings, so
>>> far. It may be that it takes a while for the meds to get up to speed
>>> but with a change from 5mg/day to 40mg/day I thought there should be a
>>> dramatic change. I do not recall seeing this med mentioned in this
>>> group in the past. Has anyone any experience with this med?
>>
>>Have you thought about changing your eating habits instead?
> Not much I can change.

Perhaps you could list a sample meal?

[Julie Bove]

<no_one@no_where.invalid> wrote in message
news:[email protected]..
> "Julie Bove" <[email protected]> wrote:
>
>>
>><no_one@no_where.invalid> wrote in message
>>news:[email protected] ..
> snip
>>Why are you on this med? Metformin is the one that a person is usually
>>started on.
>
> From drugs.com, To make sure you can safely take metformin, tell your
> doctor if you have any of these other conditions:
>
> liver disease; or
>
> a history of heart disease.
>
> Sadly I have both. Sigh...
>
Oh, okay.
>>What do you eat? Maybe you are eating too many carbs?

You still haven't told us what you are eating.

[no_one@no_where.invalid]

"Julie Bove" <[email protected]> wrote:

>
snipe.
>
>Perhaps you could list a sample meal?
>
Last nights supper was fresh salmon with frozen asparagus. Just a pat
of butter on the veg.

The night before was a chicken leg with enchilada sauce, and brown
rice.
--

[Julie Bove]

<no_one@no_where.invalid> wrote in message
news:[email protected]..
> "Julie Bove" <[email protected]> wrote:
>
>>
> snipe.
>>
>>Perhaps you could list a sample meal?
>>
> Last nights supper was fresh salmon with frozen asparagus. Just a pat
> of butter on the veg.
>
> The night before was a chicken leg with enchilada sauce, and brown
> rice.

How much enchilada sauce and brown rice? That's a carby meal. The other
meal may contain too few carbs.

[no_one@no_where.invalid]

"Julie Bove" <[email protected]> wrote:

>
><no_one@no_where.invalid> wrote in message
>news:[email protected]. .
>> "Julie Bove" <[email protected]> wrote:
>>
>>>
>> snipe.
>>>
>>>Perhaps you could list a sample meal?
>>>
>> Last nights supper was fresh salmon with frozen asparagus. Just a pat
>> of butter on the veg.
>>
>> The night before was a chicken leg with enchilada sauce, and brown
>> rice.
>
>How much enchilada sauce and brown rice? That's a carby meal. The other
>meal may contain too few carbs.
>
The can label indicates only 1 carb. Guess of 1/3 cup rounded of
rice.
--
Help make Usenet a better place: English is read
downwards,please don't top post. Trim replies to
quote only relevant text.

[no_one@no_where.invalid]

"Julie Bove" <[email protected]> wrote:

>
><nosniphis I have a lost of OK foods and ones to avoid.
>
>Why would you need a spreadsheet? And how can you say that some foods are
>okay if you are not getting good readings?
>
The spreadsheet is where I record the foods I have eaten and all of
my BG tests.
--
Help make Usenet a better place: English is read
downwards,please don't top post. Trim replies to
quote only relevant text.

[Susan]

x-no-archive: yes

On 5/6/2012 10:47 AM, no_one@no_where.invalid wrote:

> The spreadsheet is where I record the foods I have eaten and all of
> my BG tests.

Here's the best method of gaining control and producing useful
information to guide dietary changes for better control you're ever
going to see:

http://www.phlaunt.com/diabetes/22229807.php

Susan

[Larry]

On May 6, 7:59*am, Susan <su...@nothanks.org> wrote:
> x-no-archive: yes
>
> On 5/6/2012 10:47 AM, no_one@no_where.invalid wrote:
>
> > * The spreadsheet is where I record the foods I have eaten and all of
> > my BG tests.
>
> Here's the best method of gaining control and producing useful
> information to guide dietary changes for better control you're ever
> going to see:
>
> http://www.phlaunt.com/diabetes/22229807.php
>
> Susan

My experience with Glipizide drug was effects lasting 2 weeks only.
Higher dose lasted another 2 weeks. C-peptide indicated low insulin
release and eventual LADA was diagnosed. Something to consider if all
other variables like food intake are accounted for.

Larry

[W. Baker]

Julie Bove <[email protected]> wrote:

: <no_one@no_where.invalid> wrote in message
: news:[email protected]..
: > "Julie Bove" <[email protected]> wrote:
: >
: >>
: > snipe.
: >>
: >>Perhaps you could list a sample meal?
: >>
: > Last nights supper was fresh salmon with frozen asparagus. Just a pat
: > of butter on the veg.
: >
: > The night before was a chicken leg with enchilada sauce, and brown
: > rice.

: How much enchilada sauce and brown rice? That's a carby meal. The other
: meal may contain too few carbs.

Too few by your standards , not many others.

Wendy

[Susan]

x-no-archive: yes

On 5/6/2012 12:32 PM, W. Baker wrote:

> Too few by your standards , not many others.
>

Salmon with asparagus sounds like an ideal meal to me.

Susan

[Cheri]

"Susan" <[email protected]> wrote in message
news:[email protected]..
> x-no-archive: yes
>
> On 5/6/2012 12:32 PM, W. Baker wrote:
>
>> Too few by your standards , not many others.
>>
>
> Salmon with asparagus sounds like an ideal meal to me.
>
> Susan

It sounds really good too. :-)

Cheri

[Julie Bove]

<no_one@no_where.invalid> wrote in message
news:[email protected]..
> "Julie Bove" <[email protected]> wrote:
>
>>
>><no_one@no_where.invalid> wrote in message
>>news:[email protected] ..
>>> "Julie Bove" <[email protected]> wrote:
>>>
>>>>
>>> snipe.
>>>>
>>>>Perhaps you could list a sample meal?
>>>>
>>> Last nights supper was fresh salmon with frozen asparagus. Just a pat
>>> of butter on the veg.
>>>
>>> The night before was a chicken leg with enchilada sauce, and brown
>>> rice.
>>
>>How much enchilada sauce and brown rice? That's a carby meal. The other
>>meal may contain too few carbs.
>>
> The can label indicates only 1 carb. Guess of 1/3 cup rounded of
> rice.

What brand? I want some!

[Julie Bove]

"W. Baker" <[email protected]> wrote in message
news:jo692q$bmk$[email protected]..
> Julie Bove <[email protected]> wrote:
>
> : <no_one@no_where.invalid> wrote in message
> : news:[email protected]..
> : > "Julie Bove" <[email protected]> wrote:
> : >
> : >>
> : > snipe.
> : >>
> : >>Perhaps you could list a sample meal?
> : >>
> : > Last nights supper was fresh salmon with frozen asparagus. Just a pat
> : > of butter on the veg.
> : >
> : > The night before was a chicken leg with enchilada sauce, and brown
> : > rice.
>
> : How much enchilada sauce and brown rice? That's a carby meal. The
> other
> : meal may contain too few carbs.
>
> Too few by your standards , not many others.

Now that's just not true!

[W. Baker]

Julie Bove <[email protected]> wrote:

: "W. Baker" <[email protected]> wrote in message
: news:jo692q$bmk$[email protected]..
: > Julie Bove <[email protected]> wrote:
: >
: > : <no_one@no_where.invalid> wrote in message
: > : news:[email protected]..
: > : > "Julie Bove" <[email protected]> wrote:
: > : >
: > : >>
: > : > snipe.
: > : >>
: > : >>Perhaps you could list a sample meal?
: > : >>
: > : > Last nights supper was fresh salmon with frozen asparagus. Just a pat
: > : > of butter on the veg.
: > : >
: > : > The night before was a chicken leg with enchilada sauce, and brown
: > : > rice.
: >
: > : How much enchilada sauce and brown rice? That's a carby meal. The
: > other
: > : meal may contain too few carbs.
: >
: > Too few by your standards , not many others.

: Now that's just not true!

Well, for one, it is not low by my standards. I may not always eat that
low in carbs, but may well do so if not hungrey enough fo a green salad
adn small fruit. It causes meno problem, just a nice low pp reading.

Wendy

[Julie Bove]

"W. Baker" <[email protected]> wrote in message
news:jo7bkb$89v$[email protected]..
> Julie Bove <[email protected]> wrote:
>
> : "W. Baker" <[email protected]> wrote in message
> : news:jo692q$bmk$[email protected]..
> : > Julie Bove <[email protected]> wrote:
> : >
> : > : <no_one@no_where.invalid> wrote in message
> : > : news:[email protected]..
> : > : > "Julie Bove" <[email protected]> wrote:
> : > : >
> : > : >>
> : > : > snipe.
> : > : >>
> : > : >>Perhaps you could list a sample meal?
> : > : >>
> : > : > Last nights supper was fresh salmon with frozen asparagus. Just a
> pat
> : > : > of butter on the veg.
> : > : >
> : > : > The night before was a chicken leg with enchilada sauce, and brown
> : > : > rice.
> : >
> : > : How much enchilada sauce and brown rice? That's a carby meal. The
> : > other
> : > : meal may contain too few carbs.
> : >
> : > Too few by your standards , not many others.
>
> : Now that's just not true!
>
> Well, for one, it is not low by my standards. I may not always eat that
> low in carbs, but may well do so if not hungrey enough fo a green salad
> adn small fruit. It causes meno problem, just a nice low pp reading.

Your standards have changed recently then. Because you used to say you ate
some carbs. 1 serving of carbs is hardly high carb.

[hemyd]

"Julie Bove" <[email protected]> wrote in message
news:jo7dhg$vtd$[email protected]..
>
> "W. Baker" <[email protected]> wrote in message
> news:jo7bkb$89v$[email protected]..
>> Julie Bove <[email protected]> wrote:
>>
>> : "W. Baker" <[email protected]> wrote in message
>> : news:jo692q$bmk$[email protected]..
>> : > Julie Bove <[email protected]> wrote:
>> : >
>> : > : <no_one@no_where.invalid> wrote in message
>> : > : news:[email protected]..
>> : > : > "Julie Bove" <[email protected]> wrote:
>> : > : >
>> : > : >>
>> : > : > snipe.
>> : > : >>
>> : > : >>Perhaps you could list a sample meal?
>> : > : >>
>> : > : > Last nights supper was fresh salmon with frozen asparagus. Just
>> a pat
>> : > : > of butter on the veg.
>> : > : >
>> : > : > The night before was a chicken leg with enchilada sauce, and
>> brown
>> : > : > rice.
>> : >
>> : > : How much enchilada sauce and brown rice? That's a carby meal. The
>> : > other
>> : > : meal may contain too few carbs.
>> : >
>> : > Too few by your standards , not many others.
>>
>> : Now that's just not true!
>>
>> Well, for one, it is not low by my standards. I may not always eat that
>> low in carbs, but may well do so if not hungrey enough fo a green salad
>> adn small fruit. It causes meno problem, just a nice low pp reading.
>
> Your standards have changed recently then. Because you used to say you
> ate some carbs. 1 serving of carbs is hardly high carb.
>
I find my standard have changed over the years. Since diagnosis I have been
eating less and less carbs. The biggest reduction came after I started using
insulin, and measured my bg more frequently. I had my bg meter screaming at
me every time I ate what I had previously though of as not too bad. Nowdays
I get my carbs almost entirely from fruit, and use exercise and insulin to
counter those.

Henry

[W. Baker]

Julie Bove <[email protected]> wrote:

: "W. Baker" <[email protected]> wrote in message
: news:jo7bkb$89v$[email protected]..
: > Julie Bove <[email protected]> wrote:
: >
: > : "W. Baker" <[email protected]> wrote in message
: > : news:jo692q$bmk$[email protected]..
: > : > Julie Bove <[email protected]> wrote:
: > : >
: > : > : <no_one@no_where.invalid> wrote in message
: > : > : news:[email protected]..
: > : > : > "Julie Bove" <[email protected]> wrote:
: > : > : >
: > : > : >>
: > : > : > snipe.
: > : > : >>
: > : > : >>Perhaps you could list a sample meal?
: > : > : >>
: > : > : > Last nights supper was fresh salmon with frozen asparagus. Just a
: > pat
: > : > : > of butter on the veg.
: > : > : >
: > : > : > The night before was a chicken leg with enchilada sauce, and brown
: > : > : > rice.
: > : >
: > : > : How much enchilada sauce and brown rice? That's a carby meal. The
: > : > other
: > : > : meal may contain too few carbs.
: > : >
: > : > Too few by your standards , not many others.
: >
: > : Now that's just not true!
: >
: > Well, for one, it is not low by my standards. I may not always eat that
: > low in carbs, but may well do so if not hungrey enough fo a green salad
: > adn small fruit. It causes meno problem, just a nice low pp reading.

: Your standards have changed recently then. Because you used to say you ate
: some carbs. 1 serving of carbs is hardly high carb.

Of course I eat some cars, but a meal without a full carb portion of 16
grams is not out of the possibility, particularly if some other meal of he
day or snack hada bit more carbs than usual. I have plenty of low carb
bread and pita and tortillas in my fridge and freezer, but, of course, one
of those would not be a full 15 gram carb serving. Now that I mostly am
cooking for one I don't make a starch dish like potatos or rice or pasta,
etc unless one of my kids or aa guest is over for dinner, then I usually
make hose very small red potatoes adn treat myself to 2, still well less
than a full carb serving. At dinner fruit, as a dessert, is my usual carb
treat. I find that I snack or pick at things that are to come degree
carby that I don't necessaril have to program them into my meals. I don't
sseem to be prone to hypos with the meds I take.

Wendy