My doctor has me taking 1mg of Prandin 15 to 30 minutes before lunch and
dinner. This has been going on for approx. 1 1/2 months. In that time
I’ve gained 12 pounds even though my diet is basically the same as it
was before I started using Prandin. Prandin is the ONLY change.
I know that Prandin causes my beta cells to dump more insulin into my
bloodstream. Is that increase causing my weight gain?
Me: T2 taking 12u Humolog with each meal 3× per day, 66u Lantus
between 9:00 and 10:00pm, 1mg Prandin with lunch and dinner.












My endocrinologist makes a big point that insulin and drugs that cause the
body to produce more insulin cause weight gain. She also warned me intensely
that Actos/Avandia have caused weight gain in most of her patients and that
she doesn’t like to prescribe them for that reason.
Since you are already injecting insulin, it seems odd to be taking a drug
that pushes your cells to make more insulin. Why not just inject a bit more?
My HMO won’t pay for Prandin or Starlix except at the very highest co-pay
level, which they say is because they aren’t happy with its effects on
patients. They will pay for quite a few other new drugs at lower co-pay
levels.
– Jenny - Low Carbing for 5 years. Below goal for weight. Type 2 diabetes,
hba1c 5.7 .
Cut the carbs to respond to my email address!
Jenny’s new site: What they Don’t Tell You About Diabetes
http://www.geocities.com/lottadata4u/
Jenny’s Low Carb Diet Facts & Figures
http://www.geocities.com/jenny_the_bean/
Looking for help controlling your blood sugar?
Visit http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm
"daveosaurus" <dsau…@webtv.net> wrote in message
news:253-412FBE31-29@storefull-3217.bay.webtv.net…
My doctor has me taking 1mg of Prandin 15 to 30 minutes before lunch and
dinner. This has been going on for approx. 1 1/2 months. In that time
I’ve gained 12 pounds even though my diet is basically the same as it
was before I started using Prandin. Prandin is the ONLY change.
I know that Prandin causes my beta cells to dump more insulin into my
bloodstream. Is that increase causing my weight gain?
Me: T2 taking 12u Humolog with each meal 3× per day, 66u Lantus
between 9:00 and 10:00pm, 1mg Prandin with lunch and dinner.
daveosaurus wrote in message
<253-412FBE31…@storefull-3217.bay.webtv.net>…
My doctor has me taking 1mg of Prandin 15 to 30 minutes before lunch and
dinner. This has been going on for approx. 1 1/2 months. In that time
I’ve gained 12 pounds even though my diet is basically the same as it
was before I started using Prandin. Prandin is the ONLY change.
I know that Prandin causes my beta cells to dump more insulin into my
bloodstream. Is that increase causing my weight gain?
Me: T2 taking 12u Humolog with each meal 3× per day, 66u Lantus
between 9:00 and 10:00pm, 1mg Prandin with lunch and dinner.
You are taking two power-insulins (Humalog and Lantus) in a reasonable,
modern basal-bolus regime. You ought to have excellent control with no
need for Prandin, i.e. adjust your Humalog to control your after meal
sugars; adjust your Lantus to control your fasting blood sugar.
Many docs regard insulin injections as a "replacement" for beta stimulator
such as Prandin not a supplement.
You are shooting quite a bit of insulin. That and the fact that you didn’t
mention an anti-Insulin Resistance med makes me think you aren’t taking one.
Anti-Insulin Resistance meds are considered anti-diabetic heart attack meds,
and premature heart attack is considered the #1 problem for Type 2 diabetes.
You might ask your doc about metformin which is about the most popular
anti-Insulin Resistance med in use.
Some light reading
Metformin cuts blood sugars and heart attack risk in T2
http://www.diabetesnet.com/diabetes_treatments/metformin.php
Regards
Old Al
The description of "wet macular degeneration" sounds identical to me to that
given for diabetic retinopathy–growth of blood vessels in the retina which
leak and cause blindness.
Are these really the same entity or is there some significant difference
I’ve missed?
– Jenny - Low Carbing for 5 years. Below goal for weight. Type 2
diabetes, hba1c 5.7 .
Cut the carbs to respond to my email address!
Jenny’s new site: What they Don’t Tell You About Diabetes
http://www.geocities.com/lottadata4u/
Jenny’s Low Carb Diet Facts & Figures
http://www.geocities.com/jenny_the_bean/
Looking for help controlling your blood sugar?
Visit http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm
"oldal4865" <oldal4…@yahoo.com> wrote in message
news:2pa3sjFiv213U1@uni-berlin.de…
- Hide quoted text — Show quoted text -
> daveosaurus wrote in message
> <253-412FBE31…@storefull-3217.bay.webtv.net>…
> My doctor has me taking 1mg of Prandin 15 to 30 minutes before lunch and
> dinner. This has been going on for approx. 1 1/2 months. In that time
> I’ve gained 12 pounds even though my diet is basically the same as it
> was before I started using Prandin. Prandin is the ONLY change.
> I know that Prandin causes my beta cells to dump more insulin into my
> bloodstream. Is that increase causing my weight gain?
> Me: T2 taking 12u Humolog with each meal 3× per day, 66u Lantus
> between 9:00 and 10:00pm, 1mg Prandin with lunch and dinner.
> You are taking two power-insulins (Humalog and Lantus) in a reasonable,
> modern basal-bolus regime. You ought to have excellent control with no
> need for Prandin, i.e. adjust your Humalog to control your after meal
> sugars; adjust your Lantus to control your fasting blood sugar.
> Many docs regard insulin injections as a "replacement" for beta
stimulator
> such as Prandin not a supplement.
> You are shooting quite a bit of insulin. That and the fact that you
didn’t
> mention an anti-Insulin Resistance med makes me think you aren’t taking
one.
> Anti-Insulin Resistance meds are considered anti-diabetic heart attack
meds,
> and premature heart attack is considered the #1 problem for Type 2
diabetes.
> You might ask your doc about metformin which is about the most popular
> anti-Insulin Resistance med in use.
> Some light reading
> Metformin cuts blood sugars and heart attack risk in T2
> http://www.diabetesnet.com/diabetes_treatments/metformin.php
> Regards
> Old Al
"daveosaurus" <dsau…@webtv.net> wrote in message
news:253-412FBE31-29@storefull-3217.bay.webtv.net…
I know that Prandin causes my beta cells to dump more insulin into my
bloodstream. Is that increase causing my weight gain?
Probably. I was started on Prandin (0.5mg), and I did get a weight peak the
first couple of weeks, but this didn’t prevent weight loss to start the
following weeks. It just felt weird, because I was barely eating these first
few weeks (stress from learning my diabetic state had a dramatic effect on
my appetite), yet the weight was creeping on.
I must say I’m glad to be off that drug now (and any drug for that matter).
After a while, I was getting constant reactive hypoglycemia after my meals,
something I never had before. Besides, I have always eaten small breakfast
without problems, but Prandin was incompatible with that and forced me to
eat a large breakfast without being hungry or face feeling like shit from
hypoglycemia the whole morning. Hypoglycemia also got in the way of
exercising, and the answer of my doc to that was not very satisfactory
("stop exercising").
Though I must admit it was pretty easy on the side effects; except for the
hypoglycemia I didn’t get any. Just be warned that the drug is pretty
sensitive to how long you take it before the meal. The worst memory was
taking the drug before going to a restaurant (most of my friends don’t know
I’m diabetic, I don’t like publicizing the fact) and drinking a glass of
alcohol, and then waiting for ages to get my meal while both the drug and
alcohol where driving me into hypoglycemia. :p Even taking the drug 5 or 30
minutes before the meal instead of 15 minutes could make a lot of difference
(I guess depending on whether it leaves the stomach before the food
arrives).
It does feel weird that you inject on top of Prandin though.
"Jenny" <lottadataca…@hotmail.com> wrote in message <news:41308873$0$19722$61fed72c@news.rcn.com>…
> The description of "wet macular degeneration" sounds identical to me to that
> given for diabetic retinopathy–growth of blood vessels in the retina which
> leak and cause blindness.
> Are these really the same entity or is there some significant difference
> I’ve missed?
I’ve wondered the same thing. Of course, I didn’t think to ask my eye
doctor.
My father supposedly had macular degeneration from smoking and not
protecting his eyes from the sun. My mom supposedly has it from 2nd
hand smoke and not protecting her eyes from the sun (hers improved
after she lost some weight and started eating a better diet). I
suspect that, in my mom’s case, she might have a bg problem she’s
hiding from me (she’s almost 87 and very secretive).
pc
On 29 Aug 2004 20:59:09 -0700, poodlebre…@netscape.net (pinecone)
wrote:
- Hide quoted text — Show quoted text -
>"Jenny" <lottadataca…@hotmail.com> wrote in message <news:41308873$0$19722$61fed72c@news.rcn.com>…
>> The description of "wet macular degeneration" sounds identical to me to that
>> given for diabetic retinopathy–growth of blood vessels in the retina which
>> leak and cause blindness.
>> Are these really the same entity or is there some significant difference
>> I’ve missed?
>I’ve wondered the same thing. Of course, I didn’t think to ask my eye
>doctor.
>My father supposedly had macular degeneration from smoking and not
>protecting his eyes from the sun. My mom supposedly has it from 2nd
>hand smoke and not protecting her eyes from the sun (hers improved
>after she lost some weight and started eating a better diet). I
>suspect that, in my mom’s case, she might have a bg problem she’s
>hiding from me (she’s almost 87 and very secretive).
>pc
I am one that requires frequent laser burns to seal leaking blood
vessels. in the retina area. This a diabetes problem.
The link will give a lot of info. on the more general problem.
http://www.mayoclinic.com/invoke.cfm?id=DS00284
Guy
On Sat, 28 Aug 2004 09:25:19 -0400, "Jenny"
<lottadataca…@hotmail.com> wrote:
>The description of "wet macular degeneration" sounds identical to me to that
>given for diabetic retinopathy–growth of blood vessels in the retina which
>leak and cause blindness.
>Are these really the same entity or is there some significant difference
>I’ve missed?
> — Jenny - Low Carbing for 5 years. Below goal for weight. Type 2
>diabetes, hba1c 5.7 .
>Cut the carbs to respond to my email address!
the macula is the very small portion of the eye that allows you to
read, and see detail. the retina is much larger than the macula.
damage to one can be independent of the other.
Mâck©®
Type 1 since 1975
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http://www.diabetic-talk.org
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