Glyburide & low blood sugars
I have already been advised against this by a pharmacist and the
ADA. I wonder if any of you can shed some light on this.
My diabetes is caused by my goiter from an overactive thyroid. The
last time I had my HGA1c it was 7.8, the time before that it was
7.6.
My doctor is on vacation and he had his Nurse Practioner see me. I
told her that my thyroid had been over active and that it was
starting to get back into the normal range because I was feeling much
better. My TSH was 1.33. It had been down to 0.4, so it’s getting
back to norm slowly.
Now here’s the part about Glyburide. My perscription says to take
1/2 tablet 30 minutes before breakfast. The full dose is 2.75 of
which I am only getting 1.something. The doctor has student doctors
that he is training and I got a call from my doctors nurse telling me
to up my pill to a whole pill before breakfast. Later that day I
walked over there and asked that they give me a photocopy of my lab
reports and when they gave it to me, the increase order was
prescribed by the student doctor and signed by the nurse manager.
These are general practitioners, not endocrinologists. They are
ignoring the fact that my blood sugar dropped to 52 on Monday of this
past week. There is to be no increase in calories with the
additional half pill. Now to me, this is suicidal. I refuse to up
the medication. One hour after eating my sugar is 126 and three
hours after eating I was 116. This is insane for them to think
anything else. My thyroid was over active for the whole month of
August but now it is getting back to normal. I am one of those
people who bounce from over active to normal to under active and back
again because of food allergies.
The ADA says that 70 and below is too low. I feel that HGA1c should
be eliminated. Your blood sugar is what it is now and to average it
out is ludicris. Any comments?
Janice
March 24th, 2004 at 11:37 am
-Janice,
In your shoes I would tests and re-tests myself and
keep a log of your readings and exactly what you eat,
maybe your eatings habits might have a play in your
problems and keep away from student doctors…as for
nurse practioners they generally follow what ever they
have been told..Good luck.
Michael