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How many drugs is too many drugs?
Friend has had pretty serious type2 diabetes treated by PCPs for many years. He's never learned much about diet and was running an A1C over 10 for many years even medicated. He got a new PCP about a year ago and that's brought his A1C down to a little over 6. That's good news! So in honor of this he says his doctor wants to discontinue one of his drugs.
He's currently on Ozempic, Jardiance, metformin, and pioglitazone. Doctor suggests discontinuing the last one.
Are other people on that many drugs at the same time?
FWIW he's about 60yo, about 5-6 and maybe 140 pounds. Running around with A1C of 10 for years didn't slow him down, and he seems to be tolerating all the drugs pretty well. He gets a modest amount of exercise, not a lot but certainly more than zero. I've never seen him eat a lot but so far I've been unable to get him to pay much attention to selectivity.
Also I keep suggesting he switch off his PCP to an endocrinologist, but his various providers and health plans don't seem to suggest it.
Thanks.
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@celia16 that's interesting, I've never really looked into guidelines for those with these newfangled (!) insulin pumps.
Advice for everyone is always to link carbs and diet to physical activity not to mention body size. My endocrinologist when I was starting out recommended 60-75 carbs per meal, and I'm not a big guy, not even a young guy, so many people thought that was a pretty high target. I mostly tend to lower numbers now, or at least I count anything much above 60 per meal (plus snacks) as "cheating". And I have many meals down around 20 or lower, like the ever lovin' chicken salad, lol, I may have one for lunch today.
You can eat very well with these low carb targets, you just have to be a little more careful.
Oh yes, and once you have the carbs under control the next issue is: fats! Omega-3, -6, -9, saturated, mono-unsaturated, poly-unsaturated, trans (bad), ALA, DHA, EPA - all omega-3 but ALA builds DHA builds EPA, short chain and long chain, ... It's very complicated and there is little guidance. But I've noticed that red meat and also milk and cream products seem to affect my blood glucose much more than other meats and other fats and oils in the same family. Do you get any chatter about watching the fats in your diet, regarding type1?
@carbcounter , I focus on a avocados, olive oil, nuts, fish, etc. for my fats. And, as many other type ones, I usually count fats when calculating my insulin boluses. Not just carbs will spike my BG.
But, from what I read many super carb counters and Keto fans consume a lot of fat on purpose….like butter, whole cream, etc. They explain why it’s important, but I don’t care for those foods.