Diabetes Medications

Discussion in 'Diabetes' started by stumpy, Jul 11, 2004.

  1. stumpy

    stumpy New Member

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  2. sooner1938

    sooner1938 New Member

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  3. jimmymac2

    jimmymac2 New Member

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    You can talk to your doctor until you are blue in the face. The VHA doctors are excellent and provide excellent medical services. However, they have no idea what C&P physicals you have had or are going to have. You have to file a VA Form 21-526 (request for Compensation & Pension) and have a C&P physical. If you are type II (non insulin) you better have other major conditions if you want it raised to 40% (type I insulin dependent diabetes). There are cases when it is allowed BUT you need to talk to TinCanMan & Rainvet. They are virtual experts on this. The point I am making is VA is not set up to talk to each other! The VRO has no idea what your medical problems are until you ask for compensation!

    Your Blood Sugar is out of whack and needs to be controlled more than you need a C&P physical!
  4. TinCanMan

    TinCanMan Active Member

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    I'm told most oral meds lose their potency over time. having said that, I note my mother is still on oral, she's 95. ????? FWIW, I test my glucose level daily and record caloric intake daily. My glucose level has crept up over the past 5 years from 80's to 140's while my metformin prescription has gone from 500Mg/d to 2000Mg w/5Mg of Glybruide. I'm not eating any more but I'm completely exhausted all day long w/muscle and joint pain and have difficulty staying awake more than 2-3 hours at a time. I blame most of my problem on lack of exercises. I get about 1-2 miles of walking in daily at best while I was jogging 2-4 miles and walking another 4 miles 5 years ago. Simply too tired to keep it up. I know I need more exercises but am too tired. If I don't do something about it, it'll kill me in 5 more years. Doctors don't seem to know what to do about it except increase the meds and recommend exercises. Shit, I already know that.

    In your case, you ought to be talking with your doctors yesterday. Glucose levels in the mid 200's are cause for losing fingers and toes as well as retinopathy. Don't put it off.
  5. sooner1938

    sooner1938 New Member

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  6. rhusak

    rhusak New Member

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    Sooner..
    No insulin alone will not increase you to 40%. I am insulin dependant and still regularly see 200's on my blood sugars.. I just got an AIC at 9.5% and I am at 20%
    I am relativly new to the VA system.. I am finally getting a regular care giver in a couple of weeks.. I hope I can impress on them how badly I want this to get better.. I seem to be VERY insulin resistant.. But I am also waiting for an endocrinology appointment so we can begin to address some of this..
    I am appealing my disability claim as they disallowed my heart issues.. After my bypass in 2000 I have had to have stents placed several more times.. I am told it was because of my diabetes.. If that isn't aggrivation I don't now what is..
    But I am prepared for the long term blizzard of paperwork this is probably going to cause..
    Good Luck..
  7. TinCanMan

    TinCanMan Active Member

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    No, the requirement for 20% reads oral or injected. The key to an increase to 40 % is "restricted activities" and that is interpreted as your doctor has forbidden you to exercises or exert yourself.

    In your case, I'd suspect your meds need to be changed .AND. you need to exercises. I'd be the first person to understand the difficulty in that but the alternative isn't pretty. You're either going to get fat or lose appendages. Maybe both. Your Doctor may put you on insulin but there are other oral meds that may work better. Personally, I'd hope your doctor is an endocrinologist or has specialized in diabetic patients.
  8. sooner1938

    sooner1938 New Member

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  9. rhusak

    rhusak New Member

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    Sooner..
    Tin Can Man is right.. BUT.. I feel it is easier to control sugars with insulin.. Especially with the proper training and monitoring.. You can adjust your does depending on the carbs you take in..
    Tin Can is also right.. I do not eat properly.. I am going to make a serious attemp to do so after a class I am going to take here shortly.. But it is NOT easy.. I noted you said that you had shredded wheat for breakfast! that is almost 100% carbs. No wonder your blood sugar went to 264..
    Pop Corn.. Rice, Pasta.. it's all carbs.. That is what makes it so hard..
    I share your pain.. 4 shots a day!
  10. sooner1938

    sooner1938 New Member

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  11. sooner1938

    sooner1938 New Member

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  12. TinCanMan

    TinCanMan Active Member

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    Sooner:

    What you eat is pretty much irrelevant. It's how much you eat and how little you exercise that counts. Just about everything you put in your mouth excepting minerals and protein turns into sugar in the gut. Sugar is only a problem if you're eating a lot of it, including refined sugar in junk food because it goes straight to the blood while complex carbohydrates are assimilated more slowly. The liver in some diabetics also manufactures glycogen which converts to glucose. Certain oral meds reduce glycogen production and others reduce insulin resistance allowing your cells to take up the glucose in the blood thereby reducing it. Other meds encourage the pancres to produce more insulin. It's important your doctor be very well informed about diabetes Mellitus. The treatment/control of type I/type II are quite different. Just going on insulin may not be the answer for a type II diabetic. If your doctor isn't helping you understand these issues, you have the wrong one. Enroll in a diabetes maintenance at your local hospital if one is available.

    Exercise, you simply have to do it because toned muscles are more efficient and deal with glucose issues differently than un-conditioned muscles. Get arch supports for your shoes. They help distribute the weight over a greater area. They're not just for flat feet. Get diabetic shoes. Your feet will be much happier. See a podiatrist if necessary. If walking becomes a problem, try swimming. Use the local YMCA or even the local High School pool. Most Military installations have a gym and pool these days. You can sit on your ass and work the machines. They have trained pros to advise.

    Glucose levels in the 200's are a problem. Don't ignore it.
  13. sooner1938

    sooner1938 New Member

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  14. sooner1938

    sooner1938 New Member

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  15. TinCanMan

    TinCanMan Active Member

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    I know about that salad business and the fat free cheese. I also know about that beef and potatoes diet. I lived outta the skillet for 55 years when HBP got me. Doctor took me off all that stuff. Been eating like a rabbit for the past 10 years. I hate it. but I've lived longer than any known male in my family. Father died at 57 one uncle at 62 and another at 42. I guess it depends how you want to do things.

    OBTW, I live on 5 acres about as far as humanly possible from DC and still be in the US. Largest city in the county has 32,000 people and the entire county is 180k. I still work within 5 miles of a major DoD installation. I have walked on occasion but it ain't fun. The nearest VAMC is 75 miles but I get most of my treatment from a CBOC a mile and a half from my office.
  16. sooner1938

    sooner1938 New Member

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  17. sooner1938

    sooner1938 New Member

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  18. TinCanMan

    TinCanMan Active Member

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    Can't speak to either grandfather. Never knew them. My paternral GF got blown up in an explosion while working for DuPont at one of their munitions factories prior to WWI. After things cooled down, they found what was left of him in some sort of chemical vat cooked to a turn. DuPont still has an on site plaque commerating his death. Granny got a couple hundred bucks and promise of employment for surviving children. She took dad out of the 5th grade and he went to work being the oldest. My maternal GF got blown up in an explosion while working for Hercules Powder Co. just prior to WWII. I went in the Navy. Figured it was a lot safer. The disability compensation is sure as hell a lot better. I hope to do better as well but it's getting harder. Thinking about retiring in Jan 08. Don't think I have the energy to work full time beyond that. Looking at a part time job working for one of the NAVSEA contractors doing shipboard installation of IT systems providing I have the energy for it. I had planned to volunteer writing claims for vets but I just don't know if I want to put up with the grief at that age.

    Community Based Outreach Center (CBOC) In other words (IOW), a satellite clinic.

    If ya lack the amenities, can't walk and don't want to move near Fort Sam, then get yerself a bicycle, much easier on the feet.
  19. jimmymac2

    jimmymac2 New Member

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    Sooner1938, I am sorry if I confused you.
    Unless I am mistaken you asked a two part question. (1) Do you think I should talk to my doctor about changing to insulin; (2) and if I do, will that raise my eligibility for a higher disability rating with the VA?[

    You did not give us a lot of background information such as types of local physicians or if you are being treated by VA physicians. Don’t expect good answers when you withhold information!

    Diabetes is for life! Physicians know more than diabetics. Endocrinologists know more than family practioner's. You need an Endocrinologist and diabetic training. I don’t care if the closest hospital is 100 miles away! Make the appointment and see a specialist and save your appendages! We are more concerned about your health than your disability rating!

    Your local physician does not determine your VA disability rating any more than your doctor determines if you are disabled for Social Security purposes. Only a VA C&P physical will increase the %. The point I was making is that talking to your doctor and a VA primary care doctor or a specialist does not mean that anybody in your local Veterans Regional Office knows your condition is worse or if you have other conditions that would increase your %.

    If you are unwilling to fill out the forms and have a C&P physical you are not going to get a higher disability % regardless of meeting all of the requirements of a 40% disability rating. It is up to you to do what is best for you. I hope you get the treatment you need and this becomes a moot point.

    Again, I apologize for the confusion.
  20. CEDAR FALLS

    CEDAR FALLS Member

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    YOUR GIRLFRIENDS MOM WILL DIE!!!
    Short but to the point! I am 50% connected for diabetes my eyes are failing me I cant feel my feet/toes my fingers are getting numb my blood presure off the chart I am on many meds and my AC is a lot lower. I had to quit drinking and watch my sugar carbs intake smoking makes her at risk for a heart attack higher in people that have diabetes than not.

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