Repaglinide(prandin) for over 75s

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wi have suffered from Diabetes Type 2 for 30 years and for the most part it has been very well controlled. I took Metformin in combination with Prandin.

Then 3 years ago I got Polymyalgia rheumatica and was prescribed Prednisolone. I am on 8mg and trying very hard to reduce very slowly.

My B/s rose quite a lot on steroids but I did not fully understand why. Now I know.

A young dodtor suggeted I change my Diabetic tablet to see if it would control B/S better. It did not.OTher tablets have been tried to no avail.

The best by far id Prandin,my ''old'' favourite which I should never have changed.The problem is my Doctor says it is not Licensed for over 75s. I am 79.I have scoured the internet to see if it is dangerous for that age group. Nothing came up.Simply to tell your doctor if you are over 75 and taking it.

My quality of life is very poor,spending most of my day in bed and feeling very weak and miserable.

Exactly what is the position with this treatment and 0ver 75s? It is my only hop of normal life. I don't want to upset my GP who tends to go by the book,but I really do wish I could persuade him to prescribe it again for me.

1 like, 18 replies

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  • Posted

    I'm a type two and currently on 14mgs of prednisone plus a raft of other drugs for RA.   Tablets never worked for me so I went on insulin.   My insulin requirement on prednisone doubled but I still get Hba1cs in the low sixes.   Prednisone also helps keep the BGLs steady, haven't had a hypo since being on prednisone.   The best thing about insulin is you can vary the dose acording to your carb intake.   Going onto insulin does not mean the disease is worsening either, diabetes is diabetes regardless of control methods.   Insulin is and always has been recognised as the best way to control BGLs.   Ask your Doc about bydureon, a once a week injectable.   Your Doctor is there to help you, not the other way around.   If your Doctor has a problem with that then you should change Doctors.

    • Posted

      Tony,

      Tablets did work well for me for 30 years.Now they don't.Insulin is an atractive alternative if one injection per week is all that's required.Did I get that right? One weekly imjection and you're set for the week.Sounds wonderful.Are there any side effects etc?

  • Posted

    None that I know of.   I inject with Novo Rapid three times per day and once with Protophane at night, that in concert with count counting works well for me.   I don't know why everyone worries so much about injecting insulin, it is recognised as the best method for BGL control and has the least amout of side effects.

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