The GLUCOTROL XL Extended Release Tablet is designed to provide a controlled rate of
delivery of glipizide into the gastrointestinal lumen which is independent of pH or
gastrointestinal motility. The function of the GLUCOTROL XL Extended Release Tablet
depends upon the existence of an osmotic gradient between the contents of the bi-layer core and
fluid in the GI tract. Drug delivery is essentially constant as long as the osmotic gradient remains
constant, and then gradually falls to zero. The biologically inert components of the tablet remain
intact during GI transit and are eliminated in the feces as an insoluble shell.
My guess is that you are just seeing the shell in your feces. The same thing happened to me when I was on the same drug.
An A1c of 9 converts to an average blood sugar level of 243- that's why your doctor is so concerned. Oral medicine may help to lower your blood glucose levels (if you still make insulin naturally), but you have to do your part by eating right and exercising. Some doctors suggest insulin because the patient won't change their lifestyle and the doctor knows that insulin will do the job of lowering blood sugars, despite the bad habits of the patient.
My doctor suggested insulin when I was diagnosed with a fasting BG of 457 and an A1c of 15. I begged and pleaded for a chance to do it with minimal medicine, diet and exercise. I have succeeded with a lot of hard work and due diligence (no donuts- esp before I go to the doc- I know they're going to stab me!). My last A1c was 5.2 (ave bg = 108) which is far better than the taste of ANY food to me.
Good luck with bringing your numbers under control!
Because I don't want to be on a needle for the rest of my life!!!! If there is a way to control it med wise, obviously I am going to take that route. I have just been diagnosed here and feel that just using one med that doesn't stay in me doesn't mean that I have to be put on insulin. I think this way, if one doesn't work, try another until you see some results just don't immediately JUMP the gun and hook you up to needles for the rest of your life....geeezzzz. Anyone and I am sure there are many who feel the very same way I do....
Post Edited (gelchick) : 5/9/2007 1:32:15 PM (GMT-6)
Thanks so much Coop I am finding lots of good info here and appreciate everyone's replies. Let's hope that all this info helps me get to where I won't have to worry about what I have to deal with here. Shaz's board has helped me tremendously over the years that I have been there.
Thank you Jeanne. Glad to hear you are doing well. I will be going to my doctor tomm morning and find out exactly what the next plan will be. My numbers have really dropped since I started exercising and changing my diet. All week long my morning fasting has been around 90 and then my after meals has been around 140 and lower. From what I have read that is good right? I will let you know what happens tommorrow after my appointment...wish me luck!