(no subject)

[furrbear]

F**KITTY F**K F**K!

A1c = 7.3%

That's up 0.4% over three months. Meet with Dr. Scott tomorrow to discuss and change meds.

Comments

[furrbear.livejournal.com]

OUCH! I think Quest's test goes off-scale around 13.5%

I'm strongly thinking the glucovance is losing effectiveness. Needless to say, I was NOT HAPPY when I picked up the results from my fax machine.

[mikedude.livejournal.com]

Eh, it happens. I had a patient a few weeks ago who was ecstatic that his triglycerides were DOWN to the 700's. "My sugars must be getting better too!" 7.3% is not the end of the world. :)

What doses are you currently on, if I may ask?

[furrbear.livejournal.com]

5/500 qid

[mikedude.livejournal.com]

And that's all you take? You've got nothing to worry about.

[furrbear.livejournal.com]

I know, but it's not helping with getting the weight off or getting A1c < 6.0.

The daily 20/2000 is maxed, so it's time to look at alternatives/additions. Byetta would probably be a good choice it it wasn't for being self-employed; cost is a big factor.

[mikedude.livejournal.com]

A1c < 6.0 is rough. Getting most patients to 7 without hypoglycemic incidents is bad enough.

Byetta is pretty pricey, I will admit that. I've seen really good results with it, if you can handle the nausea/vomiting. Januvia is not an unreasonable option. I'm not sure on your thoughts on the safety of Actos.

[barengeist.livejournal.com]

The endocrinologist was nice enough to finally be straight with me about the Byetta after a year or so of use. Many adjustments with timing etc. to no avail. "Well it's SUPPOSED TO MAKE YOU SICK!" Um, that is not the primary desired effect in the literature. I put the Byetta option on the "never again" shelf along with the Avandia.

[winstonthriller.livejournal.com]

Januvia has been very, very good for me. Pricey (my plan pays half), but good results. I take it along with metformin and glipizide. A1C's around 5, and dramatic weight loss. And no nausea like with Byetta.