Byetta 4: October, 2005
I'm also starting a separate Byetta forum for long-term users of Byetta, at Byetta long-term use. By the way, you'll also find some information about Byetta at two other Discussion Forums: odds'n'ends, and research about meds.
This October Byetta forum was activated to allow comments on October 1, and at that time, the September Byetta Discussion Forum was deactivated to prevent more posts to that forum. However, you can still read the earlier comments (at the September & August as well as the original Byetta forum from July), and search for information throughout those forums, by using your webbrowser's FIND or SEARCH feature while at the earlier forums, or by searching at the advanced search feature that is at the Diabetes Monitor.
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At the Diabetes Monitor today: new poll: what kind of meal plan are you on?

When I injected my Byetta this morning, a small drop of blood erupted from the injection site - no big deal. However, as I was putting the pen away, I notice a drop of blood had migrated up the needle into the Byetta serum. Is this a problem? Can I continue to use this pen? Do I need to get a new one?
HELP!!!!!
Thanks!!! (Comment this)
Ciao!
Greg77 in Tampa (Comment this)
(2) Also: if you haven't yet answered our polls to tell us more about yourself, we'd encourage you to please do so:
(Comment this)I am starving! Went to bed hungry, woke up hungry and I am never hungry in the morning. True I had a salad last night because I wanted to eat lightly, just in case. Ate a more robust meal tonight, albeit low carb, and am hungry again. But I am not sleepy. Had six hours last night and woke up bright-eyed and bushy-tailed, and hungry, this morning. BG was 91 at bedtime and 91 this morning. Morning rise was after I got up and avoided with two units of Humalog.
I will never lose weight if I continue to be this hungry. Anyone else got the starvies?
Helen (Comment this)
I also haven't had any of the other side effects.
From what others have said, I guess I can expect my MD to raise the dosage after I fax him my numbers from the first two weeks, so maybe things will change. (Comment this)
I have been on Avandia for 1 1/2 years and Glucophage for about a year. I quit the Avandia a week ago and have lost at least .5 pounds a day. My assumption is that it is water. I wonder if there is a connection to stopping the Avandia and the weight loss, maybe not so much the Byetta. I have been working with a trainer for about a year to help with weight loss and BG, know what portion size should be and what I should be eating. Follow a pretty strict regimen. When I started gaining weight instead of losing, it was time to call the doctor and get some answers as to why no loss.
Just happened to be at the Diabetes Center for my yearly check-in with them and when I was up to the highest I have ever been, I guess I kind of cried on their shoulders. They mentioned the Byetta and the rest is history. Called the Doctor the next morning and by the next day, had the goods in my hands.
It has been a real help to me to read all of the comments and encouraging words here. Thanks for being there.
(Comment this)
mollie. (Comment this)
Visited my Diabetes Care Center on Friday, two weeks after starting Byetta 5mcg 2x a day. My BG readings have been stable for the past week with very acceptable numbers. I am testing a lot more - 4-5 x a day. Blood pressure is down and lost 7 lbs. Swelling in ankles has not returned. I am completely off Avandia! Still taking 500mg Metformin 2x a day. Energy is definitely improved. My PA was so pleased - I will start on 10mcg next week and when I return for my next visit in a month, they will do an A1C, LDL, HDL, and Triglyceride. If all goes well, we may be able to cut my BP med dose in half and also statins. I must admit to shedding a few tears of joy and relief during my office visit.
To anyone who is contemplating Byetta as an addition to their diabetes II meds, read all the info you can find and if your doctor believes you should try it, don't be afraid to give it a chance. The injections are not painful - the lancets we use on our fingers hurt more.
I am a "happy camper". (Comment this)
I found that the loss-of-appetite "feeling" disappeared in my second month, when I resumed the Byetta. Also, I not only did not lose weight, I gained 3 lbs after my first month on Byetta. But I had a feeling I had lost inches because my clothes are fitting looser. Go figure.
So far, on the higher dosage, I am back to having that loss of appetite after I eat. I have only gotten a small bit of nausea that goes away before I begin to look for some dramamime (which worked for me before). My nausea did not return at all when I was off the 5 mcg dose for a week and then went back on it.
Today I did feel that the Byetta really worked for my breakfast. I started with 130 before breakfast; had crepes (several) - one with real brown sugar and also had an omelot with chili. Two hours later I was at 84 and an hour after that, I was at 74. I did do some gardening.
As to the one month after starting Byetta, I happened to have some labs done (for my nephrology appointment). My A1c had dropped from 7.3 to 6.9. My overall cholestorol went from 135 to 120, but my "good" cholesterol was the same - still too low. My Triglycerides had dropped as well, but still need to get lower. So, considering that I was off Byetta for one week, I think the labs show positive results. I will be able to tell better after the next labs, which will be done in a month. Since I have kidney disease, I get labs done frequently. By the way, my creatine level has stayed steady. I also feel that I am suffering less edema in my ankles.
I am eager to see what the higher dose will do and also how I will do now that I am going to be on the med more consistently.
I did struggle with cold storage during my 3 week drive through Arizona, Colorado and New Mexico - as well as California, where I live. Much of the drive was in 100+ temps. I did get a car fridge. It only worked when I was driving. The hardest part was 1) stopping while on the road to do sight seeing or gambling for extended times and 2) not always being able to get a room with a fridge and a freezer. I used a combination of blue ice and the car fridge. I would have to cool down the fridge at the beginning of the day. I used two insulated bags. One was just for carrying the meds with frozen blue ice from the car to the motel and back. I carried a thermometer, so I could keep track of the temp at all times. On the nights without a freezer, I did a bag of ice cubes (much less effective) Overall, I think I stayed within my 144 hours.
ON a related subject, when I went to the pharmacy to pick up my 10 mcg pen, they had it hanging with the rest of the pill bottles instead of in their refrigerator. I know it had been there at least two days because I had been out of town and couldn't pick it up the day after the endo called it in. I questioned them. They went to the pharmacist who told them it was OK because it had just been in the pharmacy and wasn't subject to excess heat. I said that wasn't good enough - it couldn't be above 46. They found another one that was refrigerated and gave that to me. I wonder what poor patient is using dead Byetta??
An ever ending adventure.
Judi
(Comment this)
Have a little queasiness, but not the nausea I was so concerned about. I still will wait at least another week before I go to a second shot.
Helen (Comment this)
Little to no side effects. Loss of appetite is great. Still on the 5mg. I have only had one instance of bad cramps from food. We had went to a Chinese buffet. I did not eat alot but when I was done, I felt like I had eaten Thanksgiving dinner twice. Had cramps all night and most of the next day. So I don't know if it was the amount or the type of food.
Numbers have been great for me. Fasting 120 - 136 down from 168 - 180. PP numbers are from 79 - 114.
So, all in all I think I am doing good for a start.
A big Thank You to Dr. Bill for this Blog. It has been a daily stop for me since I have found it.
Bruce (Comment this)
Anyway, I have been on 5mcg of Byetta for 8 days now. I am still only doing the morning shot, with few symtoms. One day I had nausea for a few hours, one day I had a real lack of energy. My numbers are really good, but I have also had several crashes around lunchtime. I am going to cut my morning Glyburide in half and see what happens. I will start the evening shot today and see what happens. (Comment this)
Back a few weeks several people mentioned a newly acquired aversion to Diet Coke. It took about 3 weeks for that to catch up with me. Now I know what they meant. I think it must be the artificial sweetner because I also can't drink diet ginger ale. Have also stopped using artificial sweetner on my cereal. Just flat out has a nasty taste as well as after taste. I miss my diet coke!!!
Speaking of aversions. I really don't want salad. I think it is the lettuce because I eat everything else that usually goes in a salad. Weird.
Good week to all. (Comment this)
my .02
Mark (Comment this)
ASLO: I accidently left my Byetta out of the fridge for about 3 hours in my room do you think that it affected it at all with my BG being 145?????? (Comment this)
Pause frequently during larger meals (restaurant) where you might tend to overeat. Try to let your body tell you when enough food is enough. I find the over-full misery has a time lag before it registers and by then it is too late. I have felt miserably over-full for hours sometimes on Byetta. And hold back on the carbs until you can see what you can handle. I can only hand about 20 grams of carbs per meal. (Comment this)
I want to take Byetta (wish somebody would tell me how to pronounce it) and have asked my doc about it. He said he needs to read up on it more and I told him about this blog. My experience yesterday with what have been kinda normal (for me) BG's makes me think I could really cut way down on my Lantus or even eliminate it and go for one of the oral meds. I'm 5'5" and weigh 220 and have a myriad of other immune problems some of which might also improve with weight loss and lower, more consistant BG #'s.
I sure have learned heaps from this blog and really, really want to try the Byetta. (Comment this)
A report from my Endo this morning is that he is beginning to test those who have finished 4 months for C-peptide and will report his findings as soon as he is done with all of us. He has 113 on Byette. He is wondering if we will see Beta cell growth. The 4th month is the end of the natural time of GLP-2 growing beta cell in babies. If anything significant happens I will report it here, you can count on that. As I said before, it does not yet appear what is going to happen with Byetta, we will find out along the way together. John Dodson (Comment this)
Were the majority of you experiencing diarrhea or constipation? I know constipation is listed as a side effect but I wondered if I need to buy stock in Depends since I have diarrhea predominate IBS. Bumex, Spirolactone and Toprol XL all have diarrhea listed as side effects and my cardio has me on all three. UGH! If I can keep my BG #'s down PLUS loose weight with Byetta I'll happily wear Depends! (Comment this)
Also, apples make my BS readings spike even though they have a lot of fiber. I would tend to think the apple had something do to with it. (Comment this)
Anyway - I'm beginning my third week of Byetta (5mcg) and I'm starting to notice that my appetite is increasing in the afternoon. When I first started Byetta, my appetite went way down and I was full all the time. I am hoping that when I increase to the 10mcg at the end of the first month that will suppress my hunger again. (Comment this)
Thank you so much for answering my question. You know I think that is what it was. And since I am so new to Diabetes I didn't even know that an orange would do worse damage I ate an orange, give me a break I am trying to eat more fruits and veggies just I need to learn how and what and when and all that stuff! (Comment this)
Can you go over to the Odds n ends? I have a question. (Comment this)
But my blood sugars are now normal, both fasting and after meals and I have been able to discontinue Actos, Lantus, and Metformin since starting the Byetta. Currently I am suffering through the side effects of moving up to the 10 mcg Byetta, but knowing that they disappeared after 3 weeks when I started the 5 mcg pen is keeping me going:) (Comment this)
insulin and denied my claim. I am appealling the denial,
but I was hoping someone had some advice.
Chip (Comment this)
I just started my 10 mcg pen over the weekend. I have been really tired and sleepy - last night I slept 10 1/2 hours! I wonder if any others have had this side effect. Just a little nausea, and I have never vomited, but the tiredness set in also when I started the 5 mcg. So far I have lost 7 lbs. and my sugars have gone down from fasting 235 to 160.
(Comment this)
My message to all who are taking the medication is, call Lilly/Byetta and ask about the temperature tolerances, it should put your concerns at ease. Also, I have discovered that Byetta was tested using 5/16 needles, my doctor prescribed 3/16 needles and I constantly have bruising and bleeding from the injection - the tech at lilly told me to ask for the 5/16 needles - if your bruising or bleeding this might be a question to ask your doctor.
Anyone, please respond in relation to side effects, I am getting worn out! (Comment this)
I hate to say it (since your having a bad time and all) but I have not experienced bad side effects. Maybe a headache here and there but that is it. I feel like I am so hungry I start to eat and feel "full" after a few bites so yea I can relate to you on that note. I hope you get to feeling better. (Comment this)
I was dutifully following all the rules: temperature, timing, etc. taking byetta for 2 months with no improvement with my bs levels. Doctor was stumped, but said i should keep trying. I changed the timing of my avandia and metformin from breakfast and dinner to lunch and evening snack with IMMEDIATE results. My guess is the slowed absorption was somehow keeping the avandia and metformin from working. Now everything is fine. My endo says he has over 100 patients on byetta and I am the only one who cannot take the avandia and metformin at breakfast time. I don't understand, but am happy it works now. (Comment this)