Diabetes1 Forumss


Topic Title: Terbutaline at bedtime?
Created On: 12/18/2008 11:24 AM
 12/18/2008 11:24 AM

Author Icon

Apparently the goal was decrease overnight hypoglycemia in type 1 diabetics. However (as par for the course), instead of teaching people how to properly regulate their long acting or basal insulin, researchers decided to use a drug called Terbutaline. Please note the Diabetes Care abstract (http://care.diabetesjournals.o...t/abstract/31/12/2271) or the ADA article (http://www.diabetes.org/diabet...amp;WTLPromo=RSS_IDT).

As you will note, the study shows the drug causes morning hyperglycemia. Most of us would much prefer to be 60 in the middle of the night rather than waking up high and with a whopping headache, fatigue, acidic stomach, etc.

I'd love to know what this drug is and does (how it manages this effect). I can't tell from either the abstract or the ADA article. So I guess a google search of Terbutaline is in order.

In either case ... I am an absolute opponent to such use of medications. Doctors, CDEs and other caregivers should attempt to learn how to teach and perform basal testing so that the quantity and severity of overnight lows is alleviated or eliminated.

They should also stop prescribing such large once daily doses of Lantus - frequently the cause of overnight lows. The stuff doesn't last 24 hours in 99% of people and to get it to lastlonger than about 16 hours, one has to raise the volume to such doses that they are low 4-5 hours after taking it. The other purpose in overprescribing is late digestion of food. Lantus is NOT for food and this another effect of Lantus when people use it that way.

So .. why don't we fix the problem instead of masking the symptoms!


From the BLOGS
Comment By ricvisa
more Blogs
By FatCatAnna

Posted: Mar 17, 2017
 Thanks for that Andre77 ... though in this area where you've posted "Type 1 Diabetes" - we already know we've got diabetes (50+ years for me).   DiabetesUK has a pretty good description of ...

more more Forums
Your Treat Medication Part 1
Oral Medications- Treatment Plan: Diabetes Medications
Guide to medications that are used to manage diabetes, what they're called, ...
more more Featured Videos
Cost Savings Tool
Do you know the annual cost of managing your diabetes? Would you like to find ways to reduce your costs? Calculate your total budget and identify ways to save money. You can do this in just a few minutes by entering facts about the products you use. This quick analysis will provide you with a comprehensive overview of both spending and potential savings.

Cost Savings Tool
Monitor Comparison Tools
Blood glucose monitors offer an easy way to test your blood sugar at home or on the go. Use this comparison tool as a guide to learn more about the features and benefits of your current monitor or to find a new one.
Handheld Monitor Comparison
Continuous Glucose Monitor Comparison
Advanced BMI Calculator
Ever wonder if you are at a healthy weight? Then enter your height and weight in our advanced Body Mass Index (BMI) calculator. This tool provides you with two important numbers reflecting the estimated impact of your present body weight and shape upon your overall health.
Advanced BMI Calculator
more Care Tools
Dr. Wayne Caputo

Dr. Wayne Caputo:

Simplifying Treatment of Diabetic Ulcers
  more Heroes
  nominate a Hero
  Hero policy
Home | About Us | Press | Make a Suggestion | Content Syndication | Terms of Service | Editorial Policy | Privacy Policy
Last updated: Oct 31, 2020  © 2020 Body1 All rights reserved.