Bill's Progress

[Guest guest]

I did have my evaluation with an endocrinologist last week, and tomorrow

will finally see the nephrologist concerning my diabetes management and the

636 microalbumin-creatinine level I talked about earlier.

The endo made only one change thus far, having me take a fourth Metformin,

so now instead of one with each meal it's one at breakfast and lunch along

with one Glyburide for those two meals, then two Metformins at dinnertime,

nothing at bedtime. Though I'm worried about taking so much Metformin, his

idea seems to be working so far, as I get good fasting glucoses and my

two-hour postprandial sugars stay under 115.

He had said that if this did not work, he would consider re-adding a lower

dose of Actos and cut back on the Metformin, but he didn't want to use that

as a first line of defense.

Now I will need to see what the nephro guy says tomorrow though.

Oh, one more thing, I did some checking on the Centrum vs. Diabetes

Nutrition issue I raised recently, and actually, for the most part thw two

are the same, except it seems the Diabetes Nutrition does have more calcium

but it also has green tea, which Centrum Silver lacks. The tradeoff is that

from an economical standpoint, Centrum Silver is one pill as opposed to 5,

and I can buy much more of it for about the same money as a 60-day supply of

the Diabetes Nutrition, but just taking either of these alone would not be

enough vitamins, so if I take Centrum Silver it seems I'd still need some

add-ons and ditto for Diabetes Nutrition. I might try switching to the

Centrum Silver when my curent supply runs out, then take an extra calcium

supplement and extra vitamin C supplement and see how I do on that regimen.

Bill Powers