Dr Ramsetty

[slickaroo]

Hi Dr Ramsetty..I am new at this ..I just found out 2 weeks ago im diabetic...ok here goes my questions...First of all ... my Fasting Glucose Range was 135 mg/dl and my 3 months range # << not sure what its called was 7.7 ..my Dr said i was a diabetic...he gave me Glumetza 500 mg to take once a day in the morning ...and Lyrica ...I also have neuropathy ...my feet are killing me.. legs to .. also had a EMG and that came back all OK ..Dr Narra only game me 75 mg of Lyrica to take for 2 weeks...I was talking to a friend on the forum that said she was taking 450mg of Lyrica...anyways the 75 mg doesnt seem to be strong enought...My husband had to visit the Dr yesterday and i had my husband ask Dr Narra if he could give me a high dose of Lyrica and he said if the 75mg is not working ...then it will not work for me.. only been taking it for 6 days in the evening after supper....but on the other hand he gave my husband another bottel of 75mg and told me to take 2 caples at one time that = 150 mg ...is it ok to take 2 at one time...i know some meds you should not do that if they are time released...very confused...he never told me to go on a diabetic diet or even watch what i eat...I have to have a fasting glucose test again 21 of Dec and go back to Dr Narra on the 28 of Dec...to see if the Glumetza is helping my sugar level...can you give me a 2nd openion please ...what do you think of the Lyrica .....Really confused in Ohio ....thanks so much i know there are alot of other people out there that are sicker than me ...its im new at all this and trying to understand.....thanks Judy

[albe1919]

I just fornd this forum Judy.  I wrote with you on the fibro forum.  I did not know our numbers before from your blood tests.  You are in the lower diabetic range.  My glucose count was 397 and my A1c ( which by the way is the average of your blood glucose over the past 3 months) was 11.9.  12 is the top of the range.  I was in pretty bad shape.  Your numbers are good compared to where I was.  I was givien different meds.  The doctor agrees with me on your next course of self help.  Call your insurance and see if they cover diabetic nurtition instruction.  Mine did and I just paid the copay for 6 classes.  It was one of the best investments in my life.  If they don't pay make it a present to yourself.  It is well worth the money spent.  You will learn what to eat to conteol your blood sugar.  You are low enough that you may be able to contol it by diet and no diabetes meds.  As I said in the other forum I take lyrica for fibromyalgia.  It has given me such relief.  I started on 125mg one in am and one in PM.  This was to strong and ifelt stoned all the time. Endocrinologist game me samples of 75mg one am and one pm and they are workning much better in the stoned department.  I still have great relief from the pain and I will tkae them for the month to see where I stand.  My nurapathy which was intermittent seems to be gone.  Since it would come and go I can't say for sure it is gone.  Be sure to call your doctor if you are not having any luck with the Lyrica to see if an adjusment needs to be made.  Since you are diabetic you usually get a closer monitoring of your condition adn quick responsed to questions since our condition is progressive.  I found a good Endocrinologist to monitor my diabetes since that is their speciality.  I just didn't think my GP was educated in the diabetes feild enough to carefully monitor my condition.  Even if you can't walk for exercise you can do leg lifts from a chair and arm exercises too.  Or do them on the bed.  The more you do them the stronger you will get and maybe work up to walking again.  If you feel you can walk just go a short distance and back.  If you do OK with that go a little farther the next day.  Even two feet farther is good.  Baby steps lead up to giant steps.  Good luck and trust in youself.
Joyce

[Anita Ramsetty, MD]

Hi,
From what I recall and have read, Lyrica is often prescribed twice or even three times daily for diabetic neuropathy. The max dose in people with normal kidney function is 600mg/day. I think you can take the 150mg at one time if your doctor suggested this, you have normal kidney function, and it is squared with your pharmacist just to be sure. And you can also speak to your doc about higher doses to help your neuropathy. I also suggest requesting a referral to a diabetes educator/nutritionist as they are the very best regarding dietary information(and are truly invaluable).
Hope this helps,take care.

[slickaroo]

I have  question can you have a glucose of 134 and not be diabetic...I am more worried about my neuropathy ...Dr started me out on 75 my of Lyrica took it for a week ..could tell it wasnt working..so im up to 150 mg ..tht is not working ...i guess i will have to call him again..i am getting tired of this pain...had it for a yr now...not bad in day time...its at night just after supper when you sit don to relax and worse when i go to bed....i will check into my ins to see if it covers the diabetic nurtition instruction..sounds like a good idea to me...I want to go back to the Y and start walking ...I stopped smoking 4 yrs ago and gained like 30 lbs ..need to drop it fast lol ...the older ...the harder to get it off...and i love to swim ...that should help also..            What state do you live in...hey i have yahoo messenger do you ..if not install it ..and if you dont know how ..find someone to help you ..i have yahoo messenger we can chat on it ..better than sending emails ...ok let me know if you have yahoo messenger or not...its late almost 11:30 ...Im not a very good sleeper either ...thanks to menopause..my life has never been the same ...ok Joyce nite...talk soon....Judy

[slickaroo]

How do you type a Note to the Dr