[Diabetes-Talk] Januvia issues

Sun Oct 9 13:48:22 UTC 2022

Two not a doctor thoughts; first is that Januvia is supposed to change effectiveness depending on blood sugar levels, I. E. Be more effective when sugar is high, and less effective when sugars are low… perhaps this effect is not compatible with your body system.

Second thought, perhaps during times you are not testing, I. E. Like at night, you are actually getting lows which are causing your liver to dump glycogen into your bloodstream, resulting in the highs by the time you test again in Europe, where I got my diabetes education, this phenomenon was called dawn syndrome… Where you would have slight lows at night which would cause highs in the morning. I would also be concerned about concentrating all your calories in a 7 to 8 hour timeframe… Depending on your digestive efficiency, this could cause highs at odd times. Just a couple thoughts you may consider bringing up with your doctor.

Sent from my iPhone

> On Oct 9, 2022, at 06:04, diabetes-talk-request at nfbnet.org wrote:
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> Today's Topics:
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>   1. Odd experience after starting new medication (Terri Stimmel)
>   2. Re: Odd experience after starting new medication (Milton)
> 
> 
> ----------------------------------------------------------------------
> 
> Message: 1
> Date: Sat, 8 Oct 2022 22:51:35 -0500
> From: Terri Stimmel <icecreamlover76 at outlook.com>
> To: diabetes-talk at nfbnet.org
> Subject: [Diabetes-Talk] Odd experience after starting new medication
> Message-ID:
>    <BY3PR05MB89223B0F78CAA46F043290CCA8219 at BY3PR05MB8922.namprd05.prod.outlook.com>
>    
> Content-Type: text/plain; charset=UTF-8; format=flowed
> 
> Hello everyone,
> 
> 
> About a week ago, I was placed on a different medication, after trying 
> to take the lowest dose of Ozempic without much luck. Ozempic was quite 
> rough on my body, even at the lowest dose.
> 
> 
> At my last appointment with my diabetes specialist, she told me that I 
> was doing quite well. She stated she wished most of her patients were 
> doing as well. My A1C was 7.3.
> 
> 
> She had some concerns about my fasting readings, as they were high. I 
> was concerned about this as well. I told her that I was still struggling 
> with eating snacks. But that overall I was really working to make 
> changes. We eat quite a bit more veggies now. We also don't order out as 
> much. So things are improving.
> 
> 
> She told me that 70 percent of the time, my numbers are within range. So 
> I was feeling quite good about all this. I expressed to her that I was 
> considering trying to eat more of a vegetarian way of eating, or more 
> plant based. She told me that this could help with inflamation, and 
> lowering cancer risk. But that no one way of eating was really better 
> than another. That mostly I just needed to focus more on eating to live. 
> And also to try not to eat too much things like, bread, pasta, rice, and 
> potatoes. And of course to limit the amount of sugar, and refined flour.
> 
> 
> She felt that I needed a medication. I was hesitant to take one again, 
> because of all the struggle I have been having with them lately.
> 
> However, I thought I would give this one a try. What a mistake I feel 
> this has been.
> 
> 
> She put me on Januvia. It's a 100 MG pill that I take once a day, in the 
> mornings.
> 
> 
> Please know that I am not asking for medical advice. I just want to 
> share what has happened with me, since I started the medication. And to 
> find out if anyone else has ever experienced such a thing. I am planning 
> to contact my diabetes specialist this coming Monday.
> 
> 
> So I have been taking the medication for a week now, and my blood sugar 
> readings have gone sky high! This is absolutely ridiculous, and scary. I 
> don't know why this is happening. I don't understand how this could be 
> happening.
> 
> 
> I am now having numbers, throughout the day, in the mid 200's, and even 
> as high as 370. I've honestly not had these types of readings for years. 
> In the low 200's at times, yes. But nothing as to what I am dealing with 
> now.
> 
> 
> I even have tried fasting again. I don't eat until around Noon, and I 
> stop eating by about 7:00, or 8:00. But this doesn't seem to matter.
> 
> 
> Before I started the medication, I would sometimes have fasting readings 
> at 160, up to about 180. But this was not an every morning thing. And on 
> most evenings, two hours after dinner, my numbers would be in the 140's, 
> sometimes 150.
> 
> 
> I am very concerned by all this. I don't know why this has all of a 
> sudden happened. I feel like the control I was working on, is now just 
> gone. It's really overwhelming me.
> 
> 
> Has anyone ever dealt with this before?
> 
> Or know why this sort of thing could be happening?
> 
> 
> Any thoughts, or support would be very much appreciated.
> 
> 
> Thank you,
> 
> 
> Terri
> 
> 
> 
> 
> ------------------------------
> 
> Message: 2
> Date: Sun, 9 Oct 2022 06:48:38 -0500
> From: "Milton" <mota1252 at gmail.com>
> To: "'Diabetes Talk for the Blind'" <diabetes-talk at nfbnet.org>
> Subject: Re: [Diabetes-Talk] Odd experience after starting new
>    medication
> Message-ID: <002201d8dbd5$1282f940$3788ebc0$@gmail.com>
> Content-Type: text/plain;    charset="us-ascii"
> 
> Hi,
> You talk about the change of medication and the change of your diet to going
> more veggies but you don't mention if you are doing any form of exercise
> along with the medication that you are taking and the change you have been
> making in your food intake.
> I have found for myself when I started changing my exercise from just a
> floor stationary peddle to riding my stationary bike that had handle bars
> that move, giving movement not only to my legs but also to my arms. I have
> made a slight change in the amount of food I eat at each meal and not eating
> too much red meat. My meals are spread out to about every 5 to 6 and a half
> hours. I do snack or use sugar tablets when I sense my blood sugar is going
> too low.
> I can only suggest that you take it one step at a time and do your best.
> 
> 
> -----Original Message-----
> From: Diabetes-Talk <diabetes-talk-bounces at nfbnet.org> On Behalf Of Terri
> Stimmel via Diabetes-Talk
> Sent: Saturday, October 8, 2022 10:52 PM
> To: diabetes-talk at nfbnet.org
> Cc: Terri Stimmel <icecreamlover76 at outlook.com>
> Subject: [Diabetes-Talk] Odd experience after starting new medication
> 
> Hello everyone,
> 
> 
> About a week ago, I was placed on a different medication, after trying to
> take the lowest dose of Ozempic without much luck. Ozempic was quite rough
> on my body, even at the lowest dose.
> 
> 
> At my last appointment with my diabetes specialist, she told me that I was
> doing quite well. She stated she wished most of her patients were doing as
> well. My A1C was 7.3.
> 
> 
> She had some concerns about my fasting readings, as they were high. I was
> concerned about this as well. I told her that I was still struggling with
> eating snacks. But that overall I was really working to make changes. We eat
> quite a bit more veggies now. We also don't order out as much. So things are
> improving.
> 
> 
> She told me that 70 percent of the time, my numbers are within range. So I
> was feeling quite good about all this. I expressed to her that I was
> considering trying to eat more of a vegetarian way of eating, or more plant
> based. She told me that this could help with inflamation, and lowering
> cancer risk. But that no one way of eating was really better than another.
> That mostly I just needed to focus more on eating to live. 
> And also to try not to eat too much things like, bread, pasta, rice, and
> potatoes. And of course to limit the amount of sugar, and refined flour.
> 
> 
> She felt that I needed a medication. I was hesitant to take one again,
> because of all the struggle I have been having with them lately.
> 
> However, I thought I would give this one a try. What a mistake I feel this
> has been.
> 
> 
> She put me on Januvia. It's a 100 MG pill that I take once a day, in the 
> mornings.
> 
> 
> Please know that I am not asking for medical advice. I just want to 
> share what has happened with me, since I started the medication. And to 
> find out if anyone else has ever experienced such a thing. I am planning 
> to contact my diabetes specialist this coming Monday.
> 
> 
> So I have been taking the medication for a week now, and my blood sugar 
> readings have gone sky high! This is absolutely ridiculous, and scary. I 
> don't know why this is happening. I don't understand how this could be 
> happening.
> 
> 
> I am now having numbers, throughout the day, in the mid 200's, and even 
> as high as 370. I've honestly not had these types of readings for years. 
> In the low 200's at times, yes. But nothing as to what I am dealing with 
> now.
> 
> 
> I even have tried fasting again. I don't eat until around Noon, and I 
> stop eating by about 7:00, or 8:00. But this doesn't seem to matter.
> 
> 
> Before I started the medication, I would sometimes have fasting readings 
> at 160, up to about 180. But this was not an every morning thing. And on 
> most evenings, two hours after dinner, my numbers would be in the 140's, 
> sometimes 150.
> 
> 
> I am very concerned by all this. I don't know why this has all of a 
> sudden happened. I feel like the control I was working on, is now just 
> gone. It's really overwhelming me.
> 
> 
> Has anyone ever dealt with this before?
> 
> Or know why this sort of thing could be happening?
> 
> 
> Any thoughts, or support would be very much appreciated.
> 
> 
> Thank you,
> 
> 
> Terri
> 
> 
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> 
> End of Diabetes-Talk Digest, Vol 179, Issue 3
> *********************************************