Doctor insights on:
Diabetes: The four medications work in 4 different mechanisms with the end goal of keeping blood sugar under control. Would suggest taking Glimepiride in mornings, metformin & Byetta before meals & Lantus (insulin glargine) at bedtime. Goal fasting blood sugar of 100 & hba1c of 6.5 good luck. ...Read more
Not much different: Some minor differences but all in all, they are fine. Once/week vs. Once/day. The main thing is Bydureon (exenatide) takes 6-10 weeks to reach maximum strength so your numbers might be higher at the beginning. If you ride it out, you will be ok in 8 weeks. I use the two interchangeably depending on insurance coverage. ...Read more
Not in humans: Hi. In rodents, Victoza (liraglutide) (and all GLP-1 receptor agonists) can cause C-cell hyperplasia and MEDULLARY thyroid cancer (MTC), NOT regular thyroid cancer (papillary or follicular); ergo the black box warning. MTC is a VERY rare form of thyroid cancer seen in a few genetic syndromes and vanishingly rarely sporadically outside of those syndromes. In humans, there are no data the GLP-1's do that. ...Read more
Rapid acting insulin: Like other Insulin analogs Humalog (insulin lispro) (lispro) is a rapid acting meal time insulin. It can be injected before or immediately after meal. It has a quick onset, short duration of action, less variation in absorption and decrease chances of low blood sugar (hypoglycemia) if use appropriately. Indicated for management of diabetes mellitus. Humalog (insulin lispro) is administered subcutaneously only. Can be use in pumps. ...Read more
No conversion: Hi. There is no standard conversion factor between Victoza (liraglutide) and Januvia. Victoza (liraglutide) is much more efficacious and also causes weight loss, which Januvia does not. Victoza (liraglutide) can cause nausea and general GI problems, whereas Januvia causes no GI problems. eat healthily and exercise regularly. Control your diabetes well. Good luck! ...Read more
Sulfonylurea.: That seems like a lot of sulfonylurea type medication - Glimepiride and Glyburide. The reason why that's important is that they can cause hypoglycemia (low blood sugar) which can be dangerous. I'd like to see you on more Metformin and less sulfonylurea to reduce your risk of hypoglycemia. ...Read more
I take victoza (liraglutide), (liraglutide) metformin, glipizide but i read that victoza (liraglutide) causes sinus? i have been diagnosed with acute sinusitis is this true fact?
Sinusitis: The medications you report are not related to sinusitis. For sinusitis you should seek an ear, nose, and throat doctor Regarding your three diabetes medicines do you really need them. Your medicines are type 2 diabetes and over time, with help from your doctor or nurse practitioner, you will no longer have type 2 diabetes. ...Read more
No: Metformin is not known to be toxic to the kidneys. The concern may be when a patient has naturally kidney function and they take metformin. That person may then be at (rare, but still documented) risk of a condition called lactic acidosis - a potentially dangerous, body-wide build-up of lactic acid that interferes with the delivery with oxygen. ...Read moreSee 1 more doctor answer
Lantus (insulin glargine): I am assuming that your insulin injections have been started not long ago. Injections should not cause weight gain but there is a more important issue. Type 2 diabetes can and should be corrected such that you no longer have diabetes. Insulin injections should not cause weight gain. With that in mind, talk to your doctor about diabetes and also have a dietitian help you with your weight. ...Read more
NovoRapid (insulin aspart) is Novolog: Novorapid (insulin aspart) is Insulin aspart, a rapid-acting Insulin analog (this means it's been biochemically engineered to be more rapid acting than regular human insulin). Novorapid (insulin aspart) is the name used outside the usa for this product. Here in the usa, it is known as novolog. ...Read more
My fastingbg is96 &postprandial bg=typically 95.I'm on victoza, (liraglutide) metformin but also oxyelite pro.Lowcarb diet.Could oxyelite pro be raising myfastingbg?
Dangerous supplement: Your fbg is normal. Hopefully your a1c is also good, so it looks like you are controlling your diabetes well. Oxyelite pro contains caffeine, but also dmma. Dmma was designed as a nasal decongestant but is a powerful stimulant that may have caused a number of deaths. It is a banned olympic additive. You don't need this! ...Read more