Re: carbs Ninaxx /Kat

[Guest guest]

Hi, Debbie, hope that you are getting treatment for the depression, I have it

too and am on Paxil, as for the weight gain, you said that you took it off in

just a year, how long had it taken for you to put it on? for me, I am a

recovering alcoholic/addict, when I went in to rehab for that, in 1994, I

weighed 135 pounds, on my exit interview 90 days later, I was about 145...and

then over the course of the next 8 years, I have added 10 pounds per year.. I

ended up at 227 when I was diagnosed in July this year. I am heading in the

other direction, like I had told everyone that was giving me trouble about my

weight gain, that when the time was right, I would take it off..but until then,

If they didn't like what they were looking at, turn their D*** heads, as I

didn't ask them to look in the first place. I liked me then, and I like me now,

and I am starting to get excited about taking some of this excess baggage off..

Told the hubby that when I could get into a size 16 without looking like I

needed Pam and a shoe horn to do it... that I was getting a new

wardrobe...currently in a 20-22 dress size.. might hold out for the 14

though...lol...

Don't beat yourself up over this, to many people get in a hurry to lose the

weight and end up gaining what they lost plus more back again... My Hubby last

time we were at the DE's I gave a 3 pound goal, he said to challenge myself,

told him I did..lol. that was a 4 month weight gain, that I was aiming to take

off in a month.. No big hurry, no major life changes needed, just some small

steps and adjustments to portion size, and what you eat..

For me diets won't work, cause they make you feel like you are punishing

yourself... why on earth would you want to do that..? I love salads, they are on

the free foods list, so I can have all that I want...I switched from blue cheese

dressing to fat free Italian, and still have the blue cheese on a dinner out

night.. about 3 times per month..

Have your doctor check your meds for depression, if they aren't helping, then

maybe you need to change...

Take care,

Carmen

Re: Re: carbs Ninaxx /Kat

what meds are you on..some will make u gain im taking avandia and think

thats

what is causing me to gain...

[Guest guest]

LadybugsRecipes wrote about taking Avandia and associating that with

weight gain. Avandia is one of the " glitazones, " and is not known to

cause weight gain. It is designed to decrease insulin resistance,

which is desirable. Decreasing calorie intake and increasing activity

can help with weight loss - even if it's only a half-pound a week.

Susie

[Guest guest]

Debbie wrote:

<< I'm doomed to be fat and take a lot of pills. (Or maybe it is my

depression talking >>

You are a warrior woman - an Amazon. Diabetes is " only " an 800-pound

gorilla. Pin that great big monkey to the mat! You lost the weight

before, and you can do it again. Just pace yourself, and be your own

best friend. Sometimes we beat ourselves up over this disease. Think

of the weight loss like climbing a mountain - just one step at a

time. With just a 15-pound weight loss, you may see a 50 percent

improvement in insulin resistance, which it at the core of type 2

diabetes.

Susie

[Guest guest]

Dear Eunice,

I see that your heart is in the right place, but I must speak up when

others make erroneous assumptions. You were hypoing on a low-carb

diet because you were on a sulfonylurea, Glyburide. The reason you

can eat carbohydrates now is that you lost so much weight, which

greatly reduced your insulin resistance.

I'm really happy for you regarding your phenomenal weight loss, but

when you urge others, who haven't lost all that weight and are still

highly insulin-resistant, to *add* carbohydrates (the culprit for us

diabetics) to their diet, I must respond.

Susie

[Guest guest]

but one of the side effects of avandia, is water retention,

excerpt from avandia web site

What is Avandia?

Avandia is one product in a class of prescription drugs called

thiazolidinediones (thigh-a-zol-a-deen-die-owns) or TZDs. It is used to treat

type 2 diabetes by helping the body use the insulin that it is already making.

Avandia comes as pills that can be taken either once a day or twice a day to

help improve blood sugar levels.

What should I discuss with my doctor before taking Avandia?

Avandia in combination with insulin may increase the risk of serious

heart problems. Because of this, talk to your doctor before using Avandia and

insulin together. Avandia may cause fluid retention or swelling, which could

lead to or worsen heart failure, so tell your doctor if you have a history of

these conditions. You should also talk to your doctor if you have liver

problems, or if you are nursing, pregnant or thinking of becoming pregnant. If

you are a premenopausal woman who is not ovulating, you should know that Avandia

therapy may result in the resumption of ovulation, which may increase your

chances of becoming pregnant. Therefore, you may need to consider birth control

options.

Back to top

What are the possible side effects of Avandia?

Avandia was generally well tolerated in clinical trials. The most

common side effects reported by people taking Avandia were upper respiratory

infection (cold-like symptoms) and headache. As with most other diabetes

medications, you may experience an increase in weight. You may also experience

edema (swelling) and/or anemia (tiredness). If you experience any swelling of

your extremities (e.g., legs, ankles) or tiredness, notify your doctor. Talk to

your doctor immediately if you experience edema, shortness of breath, an

unusually rapid increase in weight, or other symptoms of heart failure.

Get the whole scoop here

http://www.avandia.com/global/avandia_faq.jsp#watpseoa

Re: carbs Ninaxx /Kat

LadybugsRecipes wrote about taking Avandia and associating that with

weight gain. Avandia is one of the " glitazones, " and is not known to

cause weight gain. It is designed to decrease insulin resistance,

which is desirable. Decreasing calorie intake and increasing activity

can help with weight loss - even if it's only a half-pound a week.

Susie

[Guest guest]

Eunice wrote:

<< I was on Glyburide. My doctor cut my dosage in half. I had started

adding more carbs, but was still getting lows, so she discontinued

the meds. Low-carbing does not work for me. >>

Eunice, what did not work for you was the Glyburide, a sulfonylurea.

Of course you were getting lows with the combo of a dangerous

sulfonylurea and low-carbing. I am very glad you gave up the

Glyburide. Sulfonylureas work by forcing the pancreas to churn out

insulin - whether we need it or not. When you lowered your

carbohydrate intake, your worn-out pancreas was plunging you into

dangerous territory. When we are diagnosed type 2, our pancreas beta

cells are already exhausted. Sulfonylureas go about treating diabetes

the wrong way, by forcing the pancreas to crank out even more

insulin, in a futile effort to overcome our insulin resistance. The

real trick is to reduce our insulin resistance. If you had remained

on that Glyburide, odds are that you would have lost your pancreas

function and become an induced type 1, having to rely upon injected

insulin to maintain your glucose readings.

Susie

[Guest guest]

So are you saying, it is better to let the liver make the sugar than to eat the

right amount of carbs, even when the level bg goes over 150. Is the sugar from

the liver unharmful? verses the sugar from ingested food?

I would be very happy to limit the carbs even more if it is more healthy to do

so.

My doctor put me on metformin and lipator when I was diagnosed. Lipator because

the diabetes had my trigli something or other out of wack.

Re: carbs Ninaxx /Kat

Dear Eunice,

I see that your heart is in the right place, but I must speak up when

others make erroneous assumptions. You were hypoing on a low-carb

diet because you were on a sulfonylurea, Glyburide. The reason you

can eat carbohydrates now is that you lost so much weight, which

greatly reduced your insulin resistance.

I'm really happy for you regarding your phenomenal weight loss, but

when you urge others, who haven't lost all that weight and are still

highly insulin-resistant, to *add* carbohydrates (the culprit for us

diabetics) to their diet, I must respond.

Susie

[Guest guest]

Carolyn wrote:

<<you saying, it is better to let the liver make the sugar than to

eat the right amount of carbs, even when the level bg goes over 150.

Is the sugar from the liver unharmful? verses the sugar from ingested

food? I would be very happy to limit the carbs even more if it is

more healthy to do so. My doctor put me on metformin and lipator when

I was diagnosed. Lipator because the diabetes had my trigli something

or other out of wack. >>

Our livers only produce a form of glucose when we are hypoglycemic.

If our glucose readings have been, say, 200-400, and they drop to 100

(which is where we want them to be), our livers might freak out and

crank out glucagon, thinking that we're in trouble. It is a matter of

fine-tuning our diabetes control so that the body comes to accept

readings of around 100 as safe and normal, and doesn't panic unless

we get down around 65.

Make sure you have your liver function checked every few months,

because both the Metformin/Glucophage and the Lipitor can hurt your

liver. Generalized itching is one sign of a haywire liver. Elevated

triglycerides (there's that word! - another term for blood fats)

often go along with type 2 diabetes. Many of us find that if we can

get our diabetes in good control, the triglycerides come down to

normal levels, and our (healthy) HDL levels climb.

Those morning spikes are often a result of what happened the previous

day. So keeping carbohydrate intake low at dinner can help, as can

eating the evening meal as early as possible, and adding in exercise,

to counteract the impact of the carbohydrates. Also, I call those

stubborn morning spikes - if our other readings are good -

the " rooster effect " - Our bodies going cockadoodledoo! to greet the

day. I commonly have a morning reading of 150, but it goes away. As

long as those elevations resolve themselves in hours, apparently no

harm is done. I suspect the morning spikes are akin to an alarm clock

going off ... get up and get busy!

Susie

[Guest guest]

That sounds wonderful... The highest reading ever had been 287 and that was the

day the doctor tested my blood but it was the first one. I had breakfast at

Mc's on the way to his office. So at best it was only an hour before he

did the test. I was not headed to the doctor for a fasting blood test. I was

going for my asthma but I had been feeling like I had an infection. Nasuea and

Sweating at night. Hungry all the time, and often after eating headache and

tired. I asked him to check for a stomach infection he found doing a check for a

perticular arthritis, because I thought it might have come back. Diabetes

because it runs in the family, and Enemia because I have had it before. It seams

that diabetes was the cause of all the symptons because now that I am on

medication, these symptons are much better.. The hunger is definately under

control, thank god. Still have the nasua and sweat on ocassion. Oh and the

tops of my feet were itching. It seams I have had hives all over the place a few

times a year, some place or other, most of my life. Nothing is itching much

right now.

Re: carbs Ninaxx /Kat

Carolyn wrote:

<<you saying, it is better to let the liver make the sugar than to

eat the right amount of carbs, even when the level bg goes over 150.

Is the sugar from the liver unharmful? verses the sugar from ingested

food? I would be very happy to limit the carbs even more if it is

more healthy to do so. My doctor put me on metformin and lipator when

I was diagnosed. Lipator because the diabetes had my trigli something

or other out of wack. >>

Our livers only produce a form of glucose when we are hypoglycemic.

If our glucose readings have been, say, 200-400, and they drop to 100

(which is where we want them to be), our livers might freak out and

crank out glucagon, thinking that we're in trouble. It is a matter of

fine-tuning our diabetes control so that the body comes to accept

readings of around 100 as safe and normal, and doesn't panic unless

we get down around 65.

Make sure you have your liver function checked every few months,

because both the Metformin/Glucophage and the Lipitor can hurt your

liver. Generalized itching is one sign of a haywire liver. Elevated

triglycerides (there's that word! - another term for blood fats)

often go along with type 2 diabetes. Many of us find that if we can

get our diabetes in good control, the triglycerides come down to

normal levels, and our (healthy) HDL levels climb.

Those morning spikes are often a result of what happened the previous

day. So keeping carbohydrate intake low at dinner can help, as can

eating the evening meal as early as possible, and adding in exercise,

to counteract the impact of the carbohydrates. Also, I call those

stubborn morning spikes - if our other readings are good -

the " rooster effect " - Our bodies going cockadoodledoo! to greet the

day. I commonly have a morning reading of 150, but it goes away. As

long as those elevations resolve themselves in hours, apparently no

harm is done. I suspect the morning spikes are akin to an alarm clock

going off ... get up and get busy!

Susie

[Guest guest]

Here are three readings

146 2 hours after eating dinner at 4PM approximately 45 carbs, low fat

101 at bed time 5 to 6 hours after dinner around 9 or 10 PM

158 Morning before eating around 8AM .

Which is better, eat something before going to bed to get a lower reading in the

morning or just let the 158 happen.

I like the idea of just letting it happen because it means less calories and

more weight loss. if it is ok to be over 150

Re: carbs Ninaxx /Kat

Carolyn wrote:

<<you saying, it is better to let the liver make the sugar than to

eat the right amount of carbs, even when the level bg goes over 150.

Is the sugar from the liver unharmful? verses the sugar from ingested

food? I would be very happy to limit the carbs even more if it is

more healthy to do so. My doctor put me on metformin and lipator when

I was diagnosed. Lipator because the diabetes had my trigli something

or other out of wack. >>

Our livers only produce a form of glucose when we are hypoglycemic.

If our glucose readings have been, say, 200-400, and they drop to 100

(which is where we want them to be), our livers might freak out and

crank out glucagon, thinking that we're in trouble. It is a matter of

fine-tuning our diabetes control so that the body comes to accept

readings of around 100 as safe and normal, and doesn't panic unless

we get down around 65.

Make sure you have your liver function checked every few months,

because both the Metformin/Glucophage and the Lipitor can hurt your

liver. Generalized itching is one sign of a haywire liver. Elevated

triglycerides (there's that word! - another term for blood fats)

often go along with type 2 diabetes. Many of us find that if we can

get our diabetes in good control, the triglycerides come down to

normal levels, and our (healthy) HDL levels climb.

Those morning spikes are often a result of what happened the previous

day. So keeping carbohydrate intake low at dinner can help, as can

eating the evening meal as early as possible, and adding in exercise,

to counteract the impact of the carbohydrates. Also, I call those

stubborn morning spikes - if our other readings are good -

the " rooster effect " - Our bodies going cockadoodledoo! to greet the

day. I commonly have a morning reading of 150, but it goes away. As

long as those elevations resolve themselves in hours, apparently no

harm is done. I suspect the morning spikes are akin to an alarm clock

going off ... get up and get busy!

Susie

[Guest guest]

Thank you so much Carmen for all the good advise.

You are right, it took me my whole life to put it on and it is not going to come

off and stay off in a few months. A realistic goal for me is about a pound a

week.

I am taking a whole mix for the depression, Neurontin, Zyprexa, prozac(they

switched me to this because the Paxil was causing weight gain), and wellbutrin.

We cut back on the wellbutrin, maybe I need to go back again. All my deductables

are going up again, so I wanted to save money. I do great most of the time, but

occasionally slip into a bit of a depression. I have special needs kids I

adopted, and they are tough to raise. My son is the one out of control today.

<grin>

Love, Debbie

Re: Re: carbs Ninaxx /Kat

what meds are you on..some will make u gain im taking avandia and think

thats

what is causing me to gain...

[Guest guest]

I walked the treadmill yesterday at the fitness center, so I give myself a pat

on the back for that. Now with thanksgiving upon me, I don't have a lot of hope

for this weekend.

Also Sunday is my wedding anniversary, so tonight my husband is taking me to the

Shedaisy concert, and out to eat. Then we are going out to eat on Sunday. So I

am going to try to do good, but not beat myself up if I don't this weekend. Too

much going on.

Love, Debbie

Re: carbs Ninaxx /Kat

Debbie wrote:

<< I'm doomed to be fat and take a lot of pills. (Or maybe it is my

depression talking >>

You are a warrior woman - an Amazon. Diabetes is " only " an 800-pound

gorilla. Pin that great big monkey to the mat! You lost the weight

before, and you can do it again. Just pace yourself, and be your own

best friend. Sometimes we beat ourselves up over this disease. Think

of the weight loss like climbing a mountain - just one step at a

time. With just a 15-pound weight loss, you may see a 50 percent

improvement in insulin resistance, which it at the core of type 2

diabetes.

Susie

[Guest guest]

In a message dated 11/27/2002 7:52:22 AM Eastern Standard Time,

s.muir@... writes:

> , what did not work for you was the Glyburide

Hi Susie,

What did not work for me was letting someone on another group tell me what I

could or could not eat. For a couple of weeks, I stopped listening to my

doctor. I have a great team of doctors who know what they are doing and I

would not trade them for any others.

Eunice

[Guest guest]

Carolyn wrote:

<< Here are three readings

146 2 hours after eating dinner at 4PM approximately 45 carbs, low

fat

101 at bed time 5 to 6 hours after dinner around 9 or 10 PM

158 Morning before eating around 8AM .

Which is better, eat something before going to bed to get a lower

reading in the morning or just let the 158 happen.

I like the idea of just letting it happen because it means less

calories and more weight loss. if it is ok to be over 150 >>

I just shrug off those unexplained (rooster effect) morning readings.

Some diabetics shoot a little basal insulin such as UltraLente to

counteract them; others take 500-1000 mg Glucophage/Metformin before

bed. We are told that as long as the elevated readings don't stay

there for many hours, no glycosylation occurs. Glycosylation shows up

in elevated HbA1c's. If you are having regular HbA1c's of 6.0 or

lower, I'd say don't give a second thought to those morning readings;

if your HbA1c's are higher, you will want to make corrections, such

as cutting back on your evening meals, eating earlier, doing some

after-dinner exercise.

I'm just one fellow diabetic, but it doesn't make sense to me for

type 2 diabetics to eat more food, right before bed, to try to

correct something (an overactive liver) that can probably be

addressed more sensibly by improving glucose levels. I can't help but

think that dietiticans have come into practice during the age of

sulfonylureas (Glucotrol, Diabeta, etc.), or the combo of N and R

insulins, which create the glucose rollercoaster ride ... hypos and

hypers on a regular basis. Then we go blind and have what the medical

folks call " slice-and-dice surgery " ... first the toes, then the

feet, then the lower legs ... and we lose our kidney function and so

on. And then the white-coats say, " Oh well, diabetes is progressive, "

meaning we sacrifice our body parts and our quality of life, and die,

on average, 15 years following diagnosis.

I try to reason it all out ...

* We are not diabetic because we are fat ... we are fat because we're

diabetic.

* We are not diabetic because we are lazy or weak ... we inherited

diabetic genes, and the disease process gets aggravated by our

modern, high-carbohydrate diet, in combination with a sedentary

lifestyle. Although we cannot " cure " the diabetes, we can pretty much

reverse it by cutting our carbohydrate intake and exercising

regularly and losing weight.

* Eating extra food before going to bed is counterproductive to our

attempts to lose weight and reduce overnight glucose levels. I think

there are better approaches.

* If those morning spikes are just temporary, they are probably no

big deal anyway, since glycosylation occurs only after several hours

of elevated readings.

Susie

[Guest guest]

Dear Debbie,

Happy Anniversary! Please grant yourself permission to enjoy your

special occasions, and love and forgive yourself (we human beings are

by nature imperfect). Do your best to chip off those pounds. (For me,

it is like pushing a large rock up a hill.) And please continue to

share your feelings with your listmates. We really do understand ...

Susie

[Guest guest]

> such

> as cutting back on your evening meals, eating earlier, doing some

> after-dinner exercise.

I'm not sure that this is the answer. It sounds like the amount or

type of food at supper is not a problem.

> 101 at bed time 5 to 6 hours after dinner around 9 or 10 PM

> 158 Morning before eating around 8AM .

If, 5-6 hours after eating, the bg is down to 101 then I think the

supper was fine. If there was a problem with supper, the spike would

occur before this time... and would still possible show up 5-6 hours

later, not what I have calculated to be 14-15 hours after eating.

Most sugars would have been used or eliminated in waste by then.

~ Jayd

[Guest guest]

I like walking my neighborhood or the mall better than the treadmill. I like

being able to look around at things, its not so boring. And tv watching while on

the treadmill is boring too. Maybe I should stick to that, although the mall

walking will be tough with all the shoppers.

Love, Debbie

Re: carbs Ninaxx /Kat

Dear Debbie,

Happy Anniversary! Please grant yourself permission to enjoy your

special occasions, and love and forgive yourself (we human beings are

by nature imperfect). Do your best to chip off those pounds. (For me,

it is like pushing a large rock up a hill.) And please continue to

share your feelings with your listmates. We really do understand ...

Susie

[Guest guest]

In a message dated 11/26/2002 5:18:49 PM Central Standard Time,

LadybugsRecipes@... writes:

>

> what meds are you on..some will make u gain im taking avandia and think

> thats

> what is causing me to gain...

I am taking Avandia and Prandin. I was wondering about the Avandia.

[Guest guest]

I take 4mg a day also. To be honest I can't tell a difference with my BS

levels if I take the Avandia or not. The only thing that I can tell makes a

difference with my numbers is Prandin.

[Guest guest]

Evening Deb... I think that it is wonderful that you have adopted some of God's

special kids. so many folks just turn their backs on them and dump them in a

group home..

Why on earth does the Doctor have you on so many pills at one time? and how long

have you been on them, I think he might want to dump the mix, and try you on

just one at a time with a variance in the dosage... every time that I went to

get my prescriptions filled when I was taking 20mg Paxil along with 150

Welbutrin, I had to go through the ringer with the insurance company and the

pharmacist, as they were worried about me taking two at once..

What kind of a diet does the Dietitian have you on? are you on a restricted carb

diet like most of us? I get 45-60 per meal, and try to stick to the 45 with 15

left for a snack, somedays I do good and others, I would not want to show the

dietitian my food list...lol... she just would not understand... Keep your

wieght loss slow and easy, don't beat yourself up if you don't lose a pound in a

week, you hit a platue sometimes that you won't lose for a bit, and then you

start dropping again... most of the diets out there say light breakfast, light

lunch, heavy dinner, as diabetic's, we need medium on all...to keep us balanced,

Take care and you can email me in private anytime that you would like, my addy

is carmen33@... and I also have the yahoo messenger screen name

glenn_n_carmen

Carmen

Re: Re: carbs Ninaxx /Kat

what meds are you on..some will make u gain im taking avandia and think

thats

what is causing me to gain...

[Guest guest]

personal opinion, not good for the 158, even with the calories, better to have

something lite, than let that happen...

Talk to your dietitian and see what they have to say..

Carmen

Re: carbs Ninaxx /Kat

Carolyn wrote:

<<you saying, it is better to let the liver make the sugar than to

eat the right amount of carbs, even when the level bg goes over 150.

Is the sugar from the liver unharmful? verses the sugar from ingested

food? I would be very happy to limit the carbs even more if it is

more healthy to do so. My doctor put me on metformin and lipator when

I was diagnosed. Lipator because the diabetes had my trigli something

or other out of wack. >>

Our livers only produce a form of glucose when we are hypoglycemic.

If our glucose readings have been, say, 200-400, and they drop to 100

(which is where we want them to be), our livers might freak out and

crank out glucagon, thinking that we're in trouble. It is a matter of

fine-tuning our diabetes control so that the body comes to accept

readings of around 100 as safe and normal, and doesn't panic unless

we get down around 65.

Make sure you have your liver function checked every few months,

because both the Metformin/Glucophage and the Lipitor can hurt your

liver. Generalized itching is one sign of a haywire liver. Elevated

triglycerides (there's that word! - another term for blood fats)

often go along with type 2 diabetes. Many of us find that if we can

get our diabetes in good control, the triglycerides come down to

normal levels, and our (healthy) HDL levels climb.

Those morning spikes are often a result of what happened the previous

day. So keeping carbohydrate intake low at dinner can help, as can

eating the evening meal as early as possible, and adding in exercise,

to counteract the impact of the carbohydrates. Also, I call those

stubborn morning spikes - if our other readings are good -

the " rooster effect " - Our bodies going cockadoodledoo! to greet the

day. I commonly have a morning reading of 150, but it goes away. As

long as those elevations resolve themselves in hours, apparently no

harm is done. I suspect the morning spikes are akin to an alarm clock

going off ... get up and get busy!

Susie

[Guest guest]

We tried each pill and different doses, and went by my reactions. We started

with Zoloft, by the time they had me to 200 mg I was suicidal. So they sent me

to a shrink, and he started me on Paxil. Then we slowly added what I needed.

Like I wouldn't get out of bed all day, couldn't and didn't care. Hence the

wellbutrin. The Neurontin is for Bipolar 2 which means I get the depression and

not the manic like bipolar. I have diabetes 2, major depression, and anxiety

disorder. Oh, and I don't know what the zyprexa is for but he refuses to take me

off of it because I scared my doc last year. I've known him since he was out of

med school so I trust him with my life. So it must have to do with not caring if

I live or not. I was one mixed up puppy. I belonged in a hospital and knew it,

but wouldn't let on to anyone how bad I was doing.

Now I'm going to go back to my regular dose of Wellbutrin (we tried to cut it in

half) because the depression is sneaking in. We also tried a new combination of

Metaformin and Avandia and my blood sugars went through the roof so I went back

to taking them separately. Believe me, I need every pill I take or I would be

off of them.

Love, Debbie

Re: Re: carbs Ninaxx /Kat

what meds are you on..some will make u gain im taking avandia and

think thats

what is causing me to gain...

[Guest guest]

[unnamed person] wrote:

<< I take 4mg a day also. To be honest I can't tell a difference with

my BS levels if I take the Avandia or not. The only thing that I can

tell makes a difference with my numbers is Prandin. >>

Prandin works like the old-fashioned sulfonylureas, but in a shorter

time. Are you finding that you have to " feed the hypos, " which are

reported by a third of Prandin users?

Susie