I realized that its been a while since I posted a chart. Starting on the 28th I began taking a 1/2 tablet of Metformin in the mornings, on an empty stomach, in an attempt to control my large rises in glucose after waking. And yes, my oncologist gave her OK for it.
My goal is to get my insulin levels back down to pre-Piqray levels. I also want glucose to be under 90, as a fasting lab result.
After consulting with my oncology NP, who also consulted with my oncologist, I decided to try taking Metformin, to see if it would positively affect my glucose (and insulin) levels. I can say that it did have a positive effect on my glucose. There was pretty much an immediate improvement! I am looking forward to getting the results of my blood tests for this week. I’m quite happy to see average levels of under 100.
Glucose seems to be doing relatively well. Today I saw a peak of under 105 and a low of about 70. That’s pretty good compared to a week ago. I’m thinking of asking for another fasting insulin test, just to see if its still high. I’m wonding if (especially if its still high) that’s what’s dropping my ketones. I’m having trouble getting them above 0.6 at 24 hours fasted. I am thinking of doing a 48-hour fast (with eating some pepperoni and cream cheese at 24 hours – since I have to have some food with my meds) to see if I can kick things into gear again. I’d love to drop my peak glucose about 20 points, and the lower end around 10. My “ideal” range used to be under 100, with under 90 being common. I’d sure like to get back to that. I’m not really stressing on the low ketones. Maybe I’ll move taking the supplements from in the morning and at night to morning and afternoon, and see if that makes a difference. They are kinda expensive, so I want to make a bottle last as close to a month as I can.
So, I just got some lab work done. I’ve got a series of labs I have run every 3 months. It gives me a good idea of what I’m doing and how the different systems in my body are functioning.
The low A1C is good! Doc isn’t worried about the cholesterol total. He did say that my HDL went up (“that’s good”). The fasting insulin being up isn’t good, but our guess is that it’s an artifact of taking Piqray. Both cholesterol ratios look good!
So again, I noticed a “peak” glucose of about 104 at 12:48am, almost 4 hours after my meal and the Piqray. I say “peak” because I went to bed and haven’t pulled details for the day yet. I slept fairly well, but my glucose went up overnight. I woke to a 120 glucose around 7am.
So, I had an appointment with the NP who works with my doctor today. Things are going forward with the plan we already had in place. That is to say, start the Piqray. Now, the “Big 3” side effects of Piqray are: 1) High blood sugar 2) Rash 3) Diarrhea
The treatments are fairly simple. To treat the high blood sugar (non diabetics have had sugar levels in the 300-400+ range) Metformin is given. Now, Metformin is a generic name for the medication. The brand name is Glucophage, which I like. If you don’t know what it means, it is: gluco (sugar/glucose) and phage (from Greek: eating), or at least from as far as I can determine that’s what it means. Like how autophagy means “self-eating”
To treat rash, Claratin (Loratadine) is given preventatively. To treat diarrhea, Imodium is recommended, as needed, but not proactively.
I am currently wrapping up a 72 hour fast, as I type this, with about 2 hours or so to go.
I’m thinking that my numbers, while great, are not as slow as they have been on long fasts because I was not drinking green tea (unsweetened).
After this, I’m going to keep a close eye on my glucose, via the CGM and fingersticks, as I’m starting my new medication. I’m hoping that I am one of the few that don’t need Metformin. But I plan to track my glucose first, to see what it does, and then take the Metformin only if necessary. Because I have a CGM and do fingerstick tests I can easily keep on top of it, rather than just waiting for a week to do my labs.
On a side note, the pharmacy that supplies the Piqray sent a nice welcome kit. It’s far better than the kit I got with anything else!
Stay tuned for updates as to what my glucose does!
I’m sitting here writing this, around 11pm on 12/31. It has been quite a year, with the journey really starting in July 2018.
I’ve been taking Transfer Factor Plus (TF) for most of my time in chemo and treatment. I can see from my CBC blood tests that the TF has been a good addition to my treatment. It didn’t always bring my white cell counts up above the low-normal line, but it did keep it from going too low. I do know that when I talked to my oncologist about it she said that almost all the people who were taking Talzenna had to have dose reductions because of their white cell counts going too low. I did not have that problem at all. I do intend to continue taking the TF as it supports my immune system. TFs are an immune modulator, which is to say that it can either boost or suppress the immune system as necessary. Chemo is toxic by nature and really hard on the immune system. It is wise to do everything possible to safely boost your immune system so that you stay healthy.
I’m happy to still be here, doing well, and being relatively healthy despite my cancer diagnosis. My oncologist is equally pleased with my health, all things considered. She is quite surprised and pleased that I don’t have any of the common complaints that people on chemo have. I am not fatigued (despite caring for 4 children), I have a good appetite, and am basically in good health (not sick).
I have had ups and downs in my treatment, however. Some of the treatments have worked better than others, namely the chemo. The more targeted therapies have been more hit-and-miss as to their effectiveness.
I am looking forward to 2020 and the healing that I will receive in Jesus’ name!
I do need to mention that I do sell this product, and I do believe in it. My sales link can be found here