Byetta 1: July, 2005
Bill the diabetesdoc]
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Bill the diabetesdoc
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Thanks for any information. (Comment this)
I took part in the phase III and open label clinical trials for Byetta/Exenatide and have been anxiously awaiting it's release on the market. Based on what I have read, I believe my experience with Byetta was typical. I went from an A1C of 8.7 to 6.2 over a period of a 6 months and the only side effects were:
1. Nausea - mild but it was definitely there.
2. Hypoglycemia - only experienced in the evening aprox. 2 to 3 hours after eating dinner. Perhaps twice a month with readings in the 50's and 60's. I learned to spot the symptoms and take action to prevent it from going lower than 70. Usually, a glass of OJ took care of the problem.
3. Weight loss - not a bad thing, lost 15 lbs without trying over the course of the trials. I have gained most of it back since the trials ended and my A1C is up again.
4. Constipation - It seems Byetta slows the digestive process. Some of the comments I have seen say the weight loss may be due to slower digestion. Seems reasonable to me.
It's a minor hassel keeping the drug referigerated but the result is well worth it.
My problem is, finding a pharmacy that stocks it. Most never heard of it and the ones I have checked do not have it listed in their ordering system. I am in the Atlanta, GA area so I have access to all of the chain drug stores. I would appreciate it if anyone can tell me how and where they found Byetta, the cost and how their health insurance responded...
thanks, (Comment this)
-bob (Comment this)
diana1203 at aol.com.
THANKS!
Diana (Comment this)
it's dianaquinn1203 at aol.com
THANKS AGAIN (Comment this)
1. How long have you been in byetta and why did you start taking it (doc decided to switch you, weight loss potential, glycemic effect, etc)
2. What do you think of it? How is it working?
3. What are the pluses and minuses of byetta? (ie nausea, vomiting, feeling cold, losing weight, etc) Are the negatives manageable, do you think?
4. If you have lost weight, how much have you lost over how long a period of time, and is it due to the drug or could it be due to nausea?
5. Will you renew your prescription? WHy/why not?
THanks
Diana
dianaquinn1203 at aol.com
(Comment this)
The nausea will dissipate over time. Today marks Day 21 for me. The nausea is quite minimal. Just give it a bit more time! I use sugar free mints to ease the 'queasies'. The 1st day I took Byetta, I was sure I was going to vomit. I didn't. Definitely avoid spicey or fatty foods. I can eat a hamburger but not a hotdog. Potato salad gave me indigestion, but a plain baked potato with a little salt was 'comfortable'. You'll have to figure out what works for you. I eat fruit and cereal for breakfast. I keep sugar free mints at work, which really help alleviate the nausea. I, too, had feelings of extreme fatigue with the nausea for the first couple of weeks. This third week has been so much better. Stick with it! I'm losing weight (11# to date) and for once in my life, am able to select decent meals, rather than give in to overindulgence, as was my lifestyle. I also found that eating a light supper was the only way to go so I wasn't up into the wee hours with indigestion. This evening, I had a grilled sirloin burger on one piece of toast, some sliced tomato and a diet drink. I'll have a nectarine before bed. The weight loss, which I had just not been able to achieve prior to this, is tremendously encouraging to me. I wish you the very best.
Linda (Comment this)
Bob, call Eli Lilly (I think it's 1-800LillyRX) and they'll help you in finding out where to get the Byetta! I think this stuff is truly a godsend. My insurance paid for it. It listed for something like $237 and the needles, which must be purchased separately, were $28. My copay for the whole shebang was $52.
Linda (Comment this)
Thanks for the feedback. I tried the Byetta "help line" back in March or April and the person I spoke to knew less than I did about the product. Now tht they have had some time to work out the kinks, perhaps they can tell me where to find it. Thanks for the suggestion.
$237! Wow! but, if it keeps us healthy a few more years, I think it's well worth it.
I don't know if your health insurance covers testing supplies but mine doesn't. One of the great things about the drug trial I was in is that they supplied everything for free so I have plenty of needles left over. If you are having to pay list price for test strips, I know from experience that you can get them on ebay for less than half of the list price.
Hope all goes well with your Byetta experience.
Thanks again for the info.
-bob (Comment this)
To assist with any questions you may have about health insurance coverage for BYETTA, a Reimbursement Hotline is available by calling toll-free 1-800-330-7647.
The Hotline is staffed by experienced reimbursement specialists who can assist in determining your coverage for BYETTA. There is no charge for this service.
(Comment this)
I am a Type II diabetic (diagnosed Nov. 2000), currently using Lantus & Novolog for the past 2 years - could have stayed with the oral meds but insulin seemed easier. However, I gradually gained 10lbs that I have been unable to take it off for any length of time. I am considering switching to Byetta in conjunction with a sulfynurea. My question for anyone that knows is - What are the effects of Byetta in conjunction with exercise? I exercise at least 5 days a week - running/biking/hiking - and I am worried that the nausea side effects would make it difficult to impossible for me to run, bike, etc....
Also, has anyone else out there switched from insulin to byetta (or is considering it?) - if so, how is it working for you?
Thanks,
Philip
rhynieman@jeffnet.org (Comment this)
If you are able to control your BG with your current meds, why not stay with them? If you can't, we all know the "side effects" of diabetes. How much worse could Byetta be? I don't know of a drug that has zero side effects. Continue to ask questions and do your own research. In the end, it's your decision and your responsibility. In my case the results outweigh the risk.
-bob (Comment this)
When I first started Byetta I had sweats, severe bloating, gas and nausea and at one time actually vomitted. I find that I have to really watch what I eat and not eat large amounts. No spicy, greasy or heavy-type food and I am not experiencing nausea, although reflux if I eat spicy. I also find if I wait closer to one hour after the injection my meal "settless" better. By the time the hour goes by I am able to gauge how much I can eat. I also find that I am not craving all the junk food and eat healthier.
I have lost weight since I do not eat as much as I used to and my blood sugar has been normal and below normal. I have not felt this good in a very long, long time.
I am very happy with the results of this medication. (Comment this)
I just went off Insulin and on Byetta (4 days ago). I'm usually at the gym every morning. I've had a hard time the past few days, working out through the nausea. I seem to feel better in the afternoons, so I'm going to switch my am workout to pm for a wile and see how it goes. (Comment this)
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Byetta has kept my blood sugars under control almost from the first day. My doctor switched me over from Lantus and my weight loss since then has been 9 pounds. It is a hell of a lot easier than figuring out dosing for Lantus. (Comment this)
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I have a few questions
1) How do you keep it cold when you are on vacations/business trips etc?
2) How hard is it to inject. (Comment this)
Answersa to your ?s.
1. you can get small insulated bag and ice pack. In fact Byetta has a coupon in your beginning package that allows you to send away for a free one from them. Can't wait,,,ask your druggist.
2. injection is easy, if you already prick your finger it hurts less than that. I usually use my middrift or stomach area. other areas upper thigh or arm. goes right under the skin in the fatty area. piece of cake, of course we can't have any of that.... Bev (Comment this)
I am allergic to a lot of medication--but have not been bothered all these years with sulfa in oral diabetes medication. I know if there are any problems it will be the 2nd dose. I live alone and plan to be out in public or in a group after the 2nd injection--just in case. I always carry Epi-pen but am not sure it will work for something like this.
I tried to call the 24 hour help line at night, but they are only open 7-11 ET. Hope they update that information.
I'm on my way in a few minutes to Walgreens drugstore in the metor Atlanta area. If they do't have it, they can always get it the next day. I am on the 5 mcg starter and that is enough for 30 days. I have State Merit Insurance and the max allowed Flex Spend money. (Comment this)
Marcy -
I routinely travel with another medication which has to be chilled, and in addition to an insulated bag and chill pack, many hotels will provide refrigerators in the room. I also have a small travel refrigerator which I use for long road trips since it can be plugged into either the lighter or a wall. I usually check when I make my reservations to ensure that I can get a refrigerator (although I have also just kept meds on ice and been fine).
Hope this helps. (Comment this)
Cannot feel the injection - must less invasive than checking blood sugar! Really need the weight loss so we'll see. I work 12 hour shifts at work so the transporting and keeping it cold may be burdensome but will give it a try! Just hope the tiredness isn't related! (Comment this)
Are people cutting back or stopping their oral meds?
Thanks. (Comment this)
I saw blood sugar improvement within 24 hrs. My doc advised to watch random 2 hr post prandial fingersticks and omit fasting ones (he described something called a "dawn effect" that causes your bod to raise your blood glucose in preparation for the day's activites). I am running 80-136 2 hr post eating now consistently. Am eager to see my AIC after this. A1C was 9 pre metformin, 7 post metformin. Will repeat after 3 months of byetta and metformin.
No nausea here. Have significantly lost appetite and weight (20 lbs). Enjoying being "too full" on reasonable serving portions. Am still working deligently to eat smart and walking 30" a day is my only exercise at this point.
I love the effects to date and tell many about it at work (am an ER nurse). I do have the feeling that I have to eat within the hour of the shot or get really irritable! Disregarded the instructions and tried it once after I ate and got so sick! (raging hunger and irritable) Was a bad plan! Guess that is in the instructions for a good reason, eh?
Keeping it with me on spur of the moment dining out has been a problem, but am awaiting my "travel kit" from the company. I am using one of my own design in the interim with a small lunch cooler bag and refreezable ice pack. I wrap my drug pen in its box with a cloth and have had no trouble with it freezing.
I am worried about insurance coverage and and cost once I can't get the "free samples" from my doc. Appreciate the info you all have provided with that.
Recently heard Dr James R Gavin speak: very dynamic specialist for type 2 diabetes. He was very pro aggressive multi drug use as the disease progresses and control becomes more of an issue and such treatments should be very personalized for your responses. I "googled" the nice dr and found all kinds of helpful info. Am awaiting my library to get his book. Talked them into ordering it last week
personally, I hope to be successful at the weight loss and getting the baseline problem under control. It is my understanding several oral variations that act on the same part of the cycle are in the works for FDA approval as well.
the shots are no big deal at all. Tiny tiny needle and small amount injected. I had my doubts about that, but it has proved to not be an issue.
sorry to hear about all the nausea out there! Hope it subsides!
Great board: will follow! (Comment this)
BG has come down some since yesterday, but not huge drop. Does seem to be more consistant and not jumping all over the place. I really hate when BG bottoms out. Feels just like a panic attack.
I hope being a guiena pig is worth it. Especially want to see if it helps with the weight loss. I've been on a roller coaster all my adult life, but am at an all time high. Is effecting my whole life at this point, especially my knees, so can't really exercise at this point.
Have lost 25 pounds since March, but that is such a little start. Am off Avandia so that should help the weight too. (Comment this)
Thank you, whoever you are. (Comment this)
As everyone mentions, those needles are such a fine gauge that you hardly notice them entering your skin. Now and then, the drug stings, but it's nothing. The finger-sticks hurt more than anything else.
We have a garden just brimming with green peppers! I love them, but they seem to hang around for HOURS as a not-so-gentle reminder. so no more of them.
A word of advice - don't take the Byetta and then forget to eat. I did that this AM. Family crisis. Took the shot and never ate breakfast. I had a miserable day feeling tired and weak. Whatever you do, make sure you eat something, even if it's only a bowl of cereal.
One funny thing - my significant other, a FBI, has complained that I don't eat like I used to. Wants to know if it's his cooking!
Someone mentioned a 'travel kit'. How do I get one? Am going to Europe next month and am somewhat concerned about transporting this stuff over so many hours. I would imagine that ze plane people could be coerced into keeping it cold during the flight.
Linda (Comment this)
Thanks for the comment about waiting a bit after the injection before eating. It makes sense that you'd be better able to judge just how much you can eat without feeling full and having reflux.
Linda (Comment this)
They told me to expect 4-12 week delivery!? not here yet
to whoever asked re if shots were forever and is Type 2 forever...... as a nurse, i was taught it is not permanent in most cases, especially if diagnosed quickly and treated with a multitherapy approach ( a change in lifestyle when possible!): weight control, diet, exercise, and medicine support as required. It seems to be a progressive disease with several faces as one has elevated blood sugars and the consequences of that for longer periods of time. Thus we hear about insulin resisitance and pancreatic beta cell dysfunction (eventually nonfunctioning) and other findings that are labeled "Type 2"
If caught and treated early, the consequences are not so bad as if left out of control.
The American Diabetes Association started a program called something like "small steps, big rewards" that is an interesting approach to being proactive in your efforts to gain control of the disease, not letting it make you its victim.
I am starting to feel like type 2 diabetics need endocrinology consults from up to date docs. In past, it seemed simple enough for any family practice dr to "treat" the problem, but there is so much growth in the field! I would want a dr who is up on the research and success available...... I am excited and positive about this drug and its results for just 2-3 weeks of use. Am willing to take my chances. At least all of us Type 2's are already prone to heart dz, so that can't pull it off the market like vioxx, eh? (sorry if that offends anyone: it's just my sick humor!) Am sure it won't be a cureall for everyone, but it is a nice addition to the toolbox of therapies available.
From ya'll's posts, I feel blessed not to be subject to the gi symptoms! Sounds miserable!
Good luck to all and I'll jump off the soapbox for awhile! (Comment this)