We didn’t have to talk about Actos very long. As soon as I told him of the edema, he said he was taking me off it, end of story.
He is a big fan of statins but since my Lipid numbers have dropped he didn’t bother to mention it.
The spike conversation surprised me. First, I’ve lost another 5 lbs. He didn’t want to see anymore weight loss so he was unhappy with that. "Dude", I said, "I got a six pack and a body that looks like a twenty year old. Screw the weight!" He felt, ok, maybe that five pounds isn’t so bad but no more. No byetta, no smylin – you’re going to vanish if you go on that stuff.
He once again returned to insulin. "That’s what you should have went on from the start." We then bounced around the fact that I was now below the point of taking a basal. I said let’s do a bolus. He thought about it while we looked at my numbers. I explained that all I wanted was to knock 20 to 30 off those numbers.
He thought that this was going to be too fine a hair to pull off because he believed I would be extremely sensitive to insulin and that he could see that my numbers still were trending down on my basal.
He suggested "Starlix" instead. He said this stuff is weak. It gets in blocks the spike, goes away quickly and works well with met.
I didn’t like the idea of a drug that stimulates beta cells. He got that but said this was very short term and that studies had shown that beta cells actually performed better after its use. He couldn’t say it was do to the lessening of glucose toxicity or some more direct action on the cells but it definitely was not implicated in burning out beta cells. So now I’m about to start 500 extended Met twice a day and Starlix as needed.
Here we go again.
Mike