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From Apple Valley, California, USA:

I am a 46 year old female who was diagnosed with type 2 diabetes about nine months ago. Metformin almost killed me, and Amaryl [glimepiride] wasn't much better since I am allergic to sulfa drugs. I was then put on Actos, gained 16 pounds in six weeks, and made me feel weak, have weird dreams, headaches, etc. I quit taking all medications, and I feel fine.

I am following a low carbohydrate diet, I have an exercise bicycle that I use, and I drink plenty of water during the day, but my fasting blood sugar is 165-200+ mg/dl [9.2-11.1 mmol/L], even though my sugar is completely normal the night before. I am 100 pounds overweight, and I cannot lose weight at all, even when I have been on the strict Atkins diet.

What can I do without medication to keep my liver from producing sugar during the night? Would it be wise to start drinking a three ounce glass of dry wine at night before gong to bed to lower the sugar? What has happened to my body? HELP!!


The most important thing I can remind you about is that the current sugars you are now reporting are still too high and require therapy. I understand you could not tolerate sulfonylurea, metformin, or Actos [pioglitazone]. However, there are things you could use in your treatment. First, you can make sure you have a diet and exercise plan that will help you lose weight and improve your overall health. Second, your physician could consider prescribing a dose of NPH insulin at bedtime to keep the sugars down. I realize you may not want to be on insulin. However, you have exhausted the other oral medications and still need treatment.


Original posting 30 Dec 2002
Posted to Daily Care and Type 2


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