Gumbo wrote in message ...
>looking to ask my doc to switch meds as my sugars are slowing going up.
>Can't get much below 180 and wondering how this new med is. as of now I'm
>on Actoplus 20mg with Metaformin 800mg
>
>
To reinforce what Susan posted:
Diabetics balance carb and meds: more carb = more meds. The problem we
have, however, is that it's too easy to "beat" the meds with more carb.
You can take up to 30 mg of
Actos and up to 2500 mg of
metformin so you have
a little bit of wiggle room there.
Byetta and
Januvia add to the effects of
Actos and metformin (though AFAIK, they have close to the same effect so
you only get to "pick one" [or your doc does]).
After that, it's
insulin.
Seems simple but there's a hidden problem. More carb usually means more
work for your beta cells and for T2, that means more damage to them.
That speeds the Diabetes Progression towards total insulin dependency.
Umm. . .that's where I am and I suggest you won't like joining me.
OTOH, low carb + Actos + metformin + (Byetta or Januvia) = slower Diabetic
Progression.
To reinforce Peter C., I also suggest that you look at upping your
metformin dose into the recommended 1500-2500 mg/day range. You're asking
for a lot from that small dose you're taking now.
Regards
Old Al
JANUVIA - anyone on this? How is it working? 
Linear Mode
