I was on a few different oral meds for about 6 months, the last one was JANUMET. Was it the meds or the fact i swore off carbs for the most part? both i'm sure. My Dr.'s thought at the time was don't worry about the after meal spikes just be back down below 120 at your next meal. If I had the choice again I would start insulin ASAP. The oral meds really messed me up. Insulin is great. It took about 3 weeks for the Janumet junk to get out of my system and for me to feel good again.
i'm still on metformin 1000 mg 2 x a day and victoza, in addition to lantus and novolog. i was misdiagnosed as a type 2 and was taking those meds prior to the rediagnosis. the dr. said i should stay on the metformin and victoza for now since i still have a little bit of beta cell function left. who knows? i don't take that much insulin, so maybe they do help; i take 10 units of lantus at night and anywhere between 2-5 units of novolog before meals, depending on carbs.
I've only been on insulin since April 2010 when they did a GAD and c-peptide test on me. i'm probably still in the "honeymoon" stage which could explain why i don't need that much insulin. or maybe its because i exercise a lot; who knows. my last a1c was 6.8, which the dr. tells me is good, but i still swing high and low every day! and yes, i have had hypos at that low dosage, especially in the middle of the night or when i wake up.
HI LiL Mama,
I was on janumet and a actos for a short period of time. I would not reccommend the actos due to the water retention. I am currently on low doses of insulin: 5 units of Lantus and 1-3 units of Apidra if I'm eating more than 30 grams carbs. I have found that it's easier to treat the hypos in the am. So I tend eat my carbs in the am and not in the pm. Hope this helps!
I was on oral meds for 14 months before I realized I'd been misdiagnosed. But for me the oral meds (a combination, don't ask me to remember which!) worked very well for those 14 months before my numbers started to go back up. I don't know what the protocol is today for LADAs who are correctly diagnosed from the start. I have heard it is advisable to start insulin to preserve beta cells, but haven't researched that in depth since it is no longer relevant to me. By the time I got on insulin 19 months after initial (mis)diagnosis, it was the only thing that worked.
It really varies, Smile. Some people need insulin in a couple months,. some in a couple years. And if I were newly diagnosed LADA I would do more research on the idea that insulin started right away protects beta cells longer. I know it's easy to dread insulin, but many people find it's no big deal once they start it, gives them easier management of their blood sugar and prevents side effects from oral meds.
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