I have been on byetta for about 3 months now. I have been using the 5 pen. I have had ups and downs, but I think it is helping. Sometimes I am nauseous, but you get used to that. Today I go back to my doctor (endo) and I know she will be disappointed because I do not take my blood sugar regularly. I have gotten use to giving myself the shots.. most of the time in the stomach. Sometimes I bruise, sometimes it burns, sometimes it just hurts, but for the most part it is not nearly as bad as I originally imagined.
My question to my doctor is going to be: "If I have a A1c run every three months, why is it so important to test my sugars? (I *hate* pricking my finger, my insurance company said they will not approve a tester for your arm as they are not as accurate.) The A1c will be more accurate that my test anyways as it gives a generalization for the entire day."
I have only missed one dose of byetta in 3 months and I'm much better at taking my orals too. I am hoping she increases me to 10 mcg and takes me off another oral. I haven't seen the weight loss effects yet, but still hoping.
So, I guess I'm just alittle nervous about my doctor visit today and wanted to vent alittle bit here. Thanks, as always, for listening and providing such great support!!!
Well, lets see. If your A1c gives you an average blood sugar over the last 3 months and your LAST month or even LAST 2 weeks have been significantly lower, don't you think it is important to know this? Don't you think it is important to know if Byetta is shoving your 2-3 hour post prandials(after meals) results into the 50's and 60's? Isn't it helpful to know if you are waking up in the morning with a blood sugar level every morning that is basically unacceptable vs. an OK a1c?? All these are reasons for doing the finger stick.
Here's what you do. Your insurance company should pay for a really decent meter. Get one that uses a really tiny drop of blood, there are several out there that use really really small samples. THEN get some BD Ultrafine 2 - 33g lancets. They are super thin and a lot less painful than your average lancet. Use the lancet device that comes with your meter with these lancets on THE SIDE OF YOUR FINGER. There are less nerves here and you will hardly feel it at all. If you set your lancet device to 1 (softest) you may not really even feel the stick but will get enough blood for a sample. DO NOT stick the end of your finger. This really hurts and there is no reason for it! Do that morning test after you wake up. Thats the one that counts for now, and see whats happening.
Ok - for all you newbies, Im gonna give you a primer on Byetta.
Byetta works with pills like Glucophage (metformin) and/or sulfonylureas like Amaryl (glimepiride), Glucotrol (glipizide), Micronase® (glyburide), and others to help with blood sugar problems in several ways:
So the answer to your question is YES, Byetta does work in response to food. And YES you do need the the 10mcg dose as the 5mcg dose doesn't appear to be doing it for you. You should also talk to your doctor about adding a sulfonylurea. It is probably the ticket to pulling your numbers down with a 10mcg pen. The metformin is important but won't have the pulling power on your numbers that sulfonylureas do. (and your numbers really really need some help).
PS - and for all you non Byetta users out there wondering why would I want to use this drug? Well consider this. Metformin and many of the Sulfonylureas require a liver panel and kidney screen periodically to make sure they aren't causing a patient any adverse effects. Byetta doesn't require any additional "precautionary" testing. It is also approved as a mono-therapy, and 4 years of testing and one year of live results have shown that it doesn't reach "failure" like oral meds do over time. So far we have not seen any fall off as to its efficacy based on longevity.
Hi Byetta Newbies,
For the time being, lets post anything that has to do with Byetta questions or comments in this thread (folder). When it gets too big I'll start another one. It just makes it easier to read all the Byetta stuff.
I've been on byetta going into my 3d month now and have also noticed a recent stinging/burning sensation with my injections. Use Warren's "move and test" method so I don't feel the needle but lately have had burning sensations when injecting.
I agree the results far outway the side effects! I've lost 22lbs and have gotten my numbers under control. Have a little trouble with the moring highs still, but I'm often sound asleep when I should be having that late night snack. Got a very good report when I went for my last visit to the Diabetes Care Center. Suggested I try to increase my activity level.
Well hope everyone is well and keep up the good work!
If I miss a dose I get nauseus with the next one. If I over eat on the carbs or have something fried I also get nauseus. I had night time problems and then I switch from a 1 carb snack to a protein snack before bed and it got better.
I travel almost every weekend and have to try really hard not to skip doses because I pay the price if I do!
Try keeping some needles at work or in your car so you can't "forget" and not take you shot!