Im a Byetta user. The way we use Byetta is once in the morning and once in the evening, both before meals. I have the same concerns as you as I want to make sure that the meds can hold me through any kind of lunch meal. To date the only way that I've delt with it is 2 fold. If I know I'll be eating lunch I eat a very light breakfast and cut back on my oral meds. This lets the Byetta still push my blood sugar down but I don't have to worry about Hypoglycemia by eating just a little breakfast. THEN I take the rest of the oral meds I omitted at breakfast before lunch and Voila, my numbers stay where they should be. The other way I control my afternoon numbers is I eat very little or nothing for lunch. In those cases, the Byetta carries me through with numbers hovering around 100.
As far as testing....well, its if I remember or its convenient in the 90 min window after lunch. For me its not critical, but I like to see where the spike is if Im in a position where the testing is not a pain in the butt. I would say as a type 2, your testing is not critical like with a type 1, and really is for informational purposes only, so if you are lax about afternoon testing, thats ok. After all you really only need to do it ocassionaly to get a picture of what is going on with you in the afternoon.
Post Edited (Warren) : 12/30/2005 8:04:18 AM (GMT-7)
Very well put Desertdiabtic. I do "90" in hopes of catching most of my spike. Im not worried about a low as I know with my current meds I always come back to an acceptable level. I AM concerned about how high the spikes are going. If I go from 94 to 200 and have to rely on my Byetta to mitigate this spike, thats not as good as if I went from 94 to 140 as a spike. Anyway, its all informational for me as I dont' do insulin from those numbers and adjustments in my lifestyle or meds are only really based on trends over say a month, not on an occasional outlying number.
Post Edited (desertdiabetic) : 12/31/2005 9:43:36 AM (GMT-7)
As a postcript to Jeannies post; one of the major actions of "BYETTA" is that it delays stomach empting into the intestine, 1) to curb hunger and control insulin production 2) to slow carb absorbtion. So Byetta has this benefit already built in.
LOL Im guessing that some guy laying in a hospital after a "lizard bite" had some doctor order a blood screen and VOILA...his blood sugar was droping through the floor. The rest is history as some bright junior lab assistant found this out and .......Byetta!!!
And don't be so envious...Im one of the few people that hasn't been sick as a dog for months with this stuff. Its amazing, but tends to make everyone want to toss their cookies!!