Re: Managing diabetic unfriendly meds
- From: Jenny <lottadata@xxxxxxxxxxx>
- Date: Mon, 06 Mar 2006 09:43:46 -0500
Bastian wrote:
Switching from Mirtazapine to something a little friendlier is not an option and that is a personal choice.
Bastian - T2, UK, 1g Drain-O, Cinnamon (A1c 5.5%)
Bastian,
It looks like this is a drug that is used for anorexia and is associated with weight gain, so it looks like part of what it might do is create hunger. I know from personal experience that anything that causes relentless hunger can be tough to deal with and that it can get me eating things that further push up the blood sugar. Cortisone will do that for me as will progesterone. Changing eating patterns and even strict low carbing to keep blood sugars flat didn't help.
If it is raising your blood sugar, or causing it to yo-yo up and down, and if that is what is causing the hunger, perhaps adding a basal insulin to your daily regimen would help? Or you might talk to your doctor about using a fast acting insulin after meals. Your goal would be to avoid the swings in blood sugar that trigger the hunger response, as well as avoiding blood sugars high enough to damage your beta cells permanently.
If the blood sugars are flat, then all you can do is resist the urge to eat everything in sight because your brain thinks your starving. That's very hard to do. I just went through a bout of that kind of hunger recently when I was a bit ill. My blood sugar only went up maybe 10-15 mg/dl but I was starving all the time and nothing I ate would satisfy that hunger.
Whatever you do, watch the weight. A friend's slim teenaged daughter
was put on olanzapine and gained something like 50 lbs very quickly which only made her self-esteem problems much worse. Talk to your doctor if things get out of control and make sure that the drug is the best for you if the side effects are uncontrollable.
Here's hoping your case works out without the problems!
--Jenny
http://www.phlaunt.com/diabetes Diabetes Info
http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood Sugar Under Control
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