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Medical Forum / Diseases and Disorders / Diabetes / August 2007Results from changing meds
3 months ago I stopped taking glucovance (glyburide/metformin) which I was taking 3 times per day for a total of 3.75 mg glyb and 750 mg of metformin. I was running an A1C of 5.8%. All seemed fine, but I was concerned about taking glyburide which forces the beta cells to produce insulin whether you need it or not. Besides, having to make sure that I got enough carbs to not go hypo, I was worried about the long term affect of forcing the insulin. My NP agreed to let me drop the glucovance and we tried (2)850 mg tablets of Metformin. After 3 months, A1C is still 5.8%. I'm thrilled. I'm also learning that if I know I'm going to eat a bad meal (bad carbs) like out in a restaurant or at a party, I can take a glucovance before the meal and it really helps keep things in control. I don't do that very often, so I don't worry about long term affect of doing it that way once in a awhile. Ed >3 months ago I stopped taking glucovance (glyburide/metformin) which I was >taking 3 times per day for a total of 3.75 mg glyb and 750 mg of metformin. [quoted text clipped - 11 lines] > don't worry about long term affect of doing it that way once in a awhile. > Ed hehe.... that's what we need.... a morning after pill. John johnniemccoy@ presented the following explanation : >>3 months ago I stopped taking glucovance (glyburide/metformin) which I was >> taking 3 times per day for a total of 3.75 mg glyb and 750 mg of metformin. [quoted text clipped - 15 lines] > > John Actually, more like a morning before pill. Whatever works. ....Ed > johnniemccoy@ presented the following explanation : >>>3 months ago I stopped taking glucovance (glyburide/metformin) which I [quoted text clipped - 19 lines] > > Actually, more like a morning before pill. Whatever works. ....Ed Really, I wonder if that could be an answer for those of us who'd like to go out for a normal dinner once in a while. John johnniemccoy@ was thinking very hard : >> johnniemccoy@ presented the following explanation : >>>>3 months ago I stopped taking glucovance (glyburide/metformin) which I was [quoted text clipped - 24 lines] > > John Could be, if you're careful. I was at a wedding Saturday evening. I started with a glucovance pill. Then had 2 rum and diet cokes, couple of glasses of wine with dinner, coffee, some seafood wraps for appetizers, some pasta, potato chips (homemade, couldn't resist), meats, salads and some delicious deserts. I felt really bloated when I left at 8pm. Got home and measured after about 90 minutes since eating. Measured 73. I couldn't believe how low I was. I do think that alcohol with glyburide can make you get low, so you have to be careful. > Really, I wonder if that could be an answer for those of us who'd like to > go out for a normal dinner once in a while. Prandin or Starlix could be useful for that. bj > 3 months ago I stopped taking glucovance (glyburide/metformin) which I > was taking 3 times per day for a total of 3.75 mg glyb and 750 mg of [quoted text clipped - 12 lines] > that way once in a awhile. > Ed My normal course of oral meds consists of metformin ER 4x500. I started with the VA in January, and because of their archaic regimen, the doc said the only thing she could prescribe was glyburide (also told that was not what she would do in private practice). I have continued with the metformin and take a glyburide once in a while when I'm running 'high' at bedtime - it seems to have helped, overall. My last A1C was 5.2. >> 3 months ago I stopped taking glucovance (glyburide/metformin) which I >> was taking 3 times per day for a total of 3.75 mg glyb and 750 mg of [quoted text clipped - 19 lines] > metformin and take a glyburide once in a while when I'm running 'high' at > bedtime - it seems to have helped, overall. My last A1C was 5.2. Very similar regiman. Thanks for the support. I asked my doc if I should try 2000 mg/day to get A1C lower. Her answer was that 5.8 was fine, why take more drugs. Not sure I agree, but I'll go along with it for now. ed >>> 3 months ago I stopped taking glucovance (glyburide/metformin) which I >>> was taking 3 times per day for a total of 3.75 mg glyb and 750 mg of [quoted text clipped - 25 lines] > for now. > ed IMHO - 5.8 is not fine. 4.8 might be fine. How are you doing with diet and exercise? I find I need all three to keep numbers where I want them. YMMV. Ed, we all have to find what works for each of us individually. You have adopted a PLAN that is good for you and I think that is wonderful I have learned that if I am going to have a higher carb meal, I can take a glyset and it will be fine. Of course, I will have the runs, but sometimes a piece of cake is just worth it. :-) Loretta. > Ed, we all have to find what works for each of us individually. You > have adopted a PLAN that is good for you and I think that is wonderful [quoted text clipped - 4 lines] > > Loretta. ...lol, Loretta. That one made me laugh.... a peice of cake is worth the runs....lol John That's OK when you know where you're running ... "Loretta Eisenberg" <sassybklynlady@webtv.net> a écrit ... > Ed, we all have to find what works for each of us individually. You > have adopted a PLAN that is good for you and I think that is wonderful [quoted text clipped - 4 lines] > > Loretta. > Ed, we all have to find what works for each of us individually. You > have adopted a PLAN that is good for you and I think that is wonderful [quoted text clipped - 4 lines] > > Loretta. I totally agree Loretta. If Loretta had written 'beer' instead of 'cake', I would also agree with you and her ... Sadly ... "Ed" <mail@nospammers_edkirstein.com> a écrit ... >> Ed, we all have to find what works for each of us individually. You >> have adopted a PLAN that is good for you and I think that is wonderful [quoted text clipped - 6 lines] >> > I totally agree Loretta. > Ed, we all have to find what works for each of us individually. You > have adopted a PLAN that is good for you and I think that is wonderful [quoted text clipped - 4 lines] > > Loretta. FWIW - I tend to agree - however, I've noticed that since modifying my diet it takes a much smaller serving to satisfy me, so often I'm still within bounds. : I'm also learning that if I know I'm going to eat a bad meal (bad : carbs) like out in a restaurant or at a party, I can take a glucovance : before the meal and it really helps keep things in control. I don't do : that very often, so I don't worry about long term affect of doing it : that way once in a awhile. : Ed My endo has given me Starlix, which is also a beta cell pusher, but of much shorter duration than the glyburide. I use this when eting out or for holidy meals, etc. Currently, as I am just gettign back on the Metformin after my recent hospitalization, I will be using the Starlix a bit more to keep my BGs in contrl while ramping back up on teh metformin EX I use. Wendy |
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