Re: Thanks so much...More info about my husband (((to everyone.)))

[Guest guest]

If he wants to do Atkins I recommend that both of you read the book.

Dr. Atkins New Diet Revolution. Follow the diet recommendations for the

first two weeks, strictly, no processed foods whatsoever, no bread

whatsoever (for the first two weeks, mind you), and see if that will

help. If the bgs come down during the first two weeks he can continue

the Induction diet, or start adding carbs according to the carb ladder

until bgs start back up, then drop back to a carb level that keeps the

bgs down. This will be a little higher fat diet than is wanted for the

pancreatitis, but if the pancreas is shot anyway and he still has his

gall bladder it might work.

CarolR

wrote:

> Thanks so everyone who replied to my post last night. I wil address

> everyone here in one message. As to the strict diet he is on for

> lack of a better phrase we have pretty much gone Atkins.

[Guest guest]

whimsy2 wrote:

>I fault the doctor for putting it that way. Four shots a day? So what?

>Your husband already takes insulin so he knows it doesn't hurt.

>Inconvenient? Hardly. It's very easy to get used to. And it sounds l

>ike your husband is willing to make the effort, so I think he will do

>very well with MDI (multiple daily injections). I use this method

>myself. Or possibly even a pump.

>

Let me just cast anothr vote in favor or Whimy's advice. From

what you wrote, your husband is making a full-out effort to control his

glucose levels. Diet exercise etc. Going to multiple injections a

day seems like the best and most logical thing to do. Continue the

Lantus as a basal, and add Humalog/Novalog as a quick acting insulin to

cover each meal. Also continue the Avandia because it improves insulin

resistance and will reduce the amount of insulin he needs. Avandia can

be a very slow drug to become effective. Someone has already posted

that it needs two weeks. Other sources I've read suggest it may take as

long as two or three months to become fully effective. Each person is

different.

Most doctors deal with patients who are very fearful of injections,

so they tend to offer insulin as a last resort. They don't want to be

yelled at by their patients, so the put off delivering bad news as long

as possible even when it's the best medical treatment at hand. You're a

nurse; I'm sure you've seen this. Your husband's doctor is probably

assuming your husband will be resistant to more injections. Don't let

the doctor's timidity intefere with your husband's health. Meet with

him and insist that you two want to proceed with multiple injections.

I'm sure it will give your husband the control he needs.

Edd

[Guest guest]

wrote:

>His meds are currently avandia 8mg twice a day and 60 units of Lantus

>at 8pm.

>

Warning! Taking avandia with insulin is NOT recommended. There is a

whole FDA warning (from July of 2001) to GlaxoKline on the need to

change their advertising and package inserts. Here is a short exerpt:

> l The use of Avandia in combination therapy with insulin is not indicated

> l In clinical studies, an increased incidence of heart failure and

> other cardiovascular

> adverse events were seen in patients on Avandia and insulin

> combination therapy

> compared to insulin plus placebo

> l Three of 10 patients who developed heart failure on Avandia plus

> insulin combination

> therapy had no known prior evidence of congestive heart failure (CHF)

> or pre-existing

> cardiac failure

So I would definitely do some research on this and ask your doctor about

it. I'm sure you don't want to add heart failure to your husband's

other problems!

--

el (andreafrankel at sbcglobal dot net)

" wake now! Discover that YOU are the song that the morning brings... "

[Guest guest]

Your pharmacist is also remiss if he didn't tell you this shouldn't be used with

insulin. Check out Eli Lilly or call them and see what they tell you. I am sure

they have a 1-800 number.

Kay W.

Re: Thanks so much...More info about my husband (((to

everyone.)))

wrote:

>His meds are currently avandia 8mg twice a day and 60 units of Lantus

>at 8pm.

>

Warning! Taking avandia with insulin is NOT recommended. There is a

whole FDA warning (from July of 2001) to GlaxoKline on the need to

change their advertising and package inserts. Here is a short exerpt:

> l The use of Avandia in combination therapy with insulin is not indicated

> l In clinical studies, an increased incidence of heart failure and

> other cardiovascular

> adverse events were seen in patients on Avandia and insulin

> combination therapy

> compared to insulin plus placebo

> l Three of 10 patients who developed heart failure on Avandia plus

> insulin combination

> therapy had no known prior evidence of congestive heart failure (CHF)

> or pre-existing

> cardiac failure

So I would definitely do some research on this and ask your doctor about

it. I'm sure you don't want to add heart failure to your husband's

other problems!