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Post Info TOPIC: starting treatment soon
Huey


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RE: starting treatment soon
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sandypsych wrote:

My husband is on Sovaldi/Olysio and is a very brittle Type I diabetic.  (Blood sugars would run from 30 to 500 in a day).  But, we have found that while he has been on this (he is in week 9 of 12) that his blood sugars have been running lower, but also more stable.  Seems to have less peaks and valleys.  Now he runs 60-220.   It could be related to increased energy level and hopefully improved liver functioning.  But who really knows, diabetes is a weird illness also, so affected by stress and appetite.   Also he is not on Interferon/ribaviron.  When he was taking that before, it seemed to increase his blood sugars often and he had a great deal of fatigue, probably due to anemia.   

I'm not sure if you are using a pump or shots.  Obviously an insulin pump gives you the ability to have better control and adjust your blood sugars.  As far as working, it really depends. Some people seem to do well, others have more trouble.  I think some depends on your time on the road, flexibility in schedule or ability to work at home.  

Go in this with a positive attitude, and talk with your doctors as you go.  You can do this!

Best of Luck

Sandy

This is because the Virus cause the sugar to go up,  as you kill the virus, less of them to make your sugar go up so it is now more stable,  I think it will get even better after Tx.  When you don't have any meds or virus affecting the blood sugar.



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  HCV Genotype 3a , now Psot-Tx was on S/riba. First VL was 5.8 mil on 7-5-13 then "und" at 3.8 weeks. 06/13/14 still und. off meds 3 days back on 7/29 Last pill 08/10/14 SVR+4

 
Huey


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When you start Tx, that will Change,,, My advice is to pre pay the insurance, then start Tx. 



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  HCV Genotype 3a , now Psot-Tx was on S/riba. First VL was 5.8 mil on 7-5-13 then "und" at 3.8 weeks. 06/13/14 still und. off meds 3 days back on 7/29 Last pill 08/10/14 SVR+4

 
econ


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Thanks for the info. I am type 1 and I have a stage 4 necro inflammatory score and an f3 with scaring fibrosis score. Not sure if my doctor wants me to wait 4 more months. As far as work goes I almost have to keep up the pace as much as I can or I lose my health insurance and all this will be for nothing. For the most part I am very active and feel physically fit. The harder I work the better I feel most days. Like many of you have said I will just have to take 1 day at a time.

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sandypsych


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My husband is on Sovaldi/Olysio and is a very brittle Type I diabetic.  (Blood sugars would run from 30 to 500 in a day).  But, we have found that while he has been on this (he is in week 9 of 12) that his blood sugars have been running lower, but also more stable.  Seems to have less peaks and valleys.  Now he runs 60-220.   It could be related to increased energy level and hopefully improved liver functioning.  But who really knows, diabetes is a weird illness also, so affected by stress and appetite.   Also he is not on Interferon/ribaviron.  When he was taking that before, it seemed to increase his blood sugars often and he had a great deal of fatigue, probably due to anemia.   

I'm not sure if you are using a pump or shots.  Obviously an insulin pump gives you the ability to have better control and adjust your blood sugars.  As far as working, it really depends. Some people seem to do well, others have more trouble.  I think some depends on your time on the road, flexibility in schedule or ability to work at home.  

Go in this with a positive attitude, and talk with your doctors as you go.  You can do this!

Best of Luck

Sandy



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Hubby profile:  Genotype 1a.  Hep C since late 70's.  Cirrhosis.   Interon/Riba 2x.  Incivek/interf/riba:  Und at 8 weeks, but had to stop due to DRESS syndome.  Olysio/Sovaldi started 6/18/2014.  Cleared virus 11/05/2014
Isiscat2011


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On second thought, working 50+ hours a week doesn't seem at all realistic.  I hate to be negative but if your livelihood (and even your medical insurance) depends on you being able to maintain this schedule you should reconsider.  Either cut your hours and be prepared to take some time off if necessary or wait for a kinder tx.



-- Edited by Isiscat2011 on Saturday 19th of July 2014 01:40:54 AM

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Diagnosed in 2011, Incivek triple in 2011, tx discontinued, Genotype 1a, CT, VL 7mill, cirrhosis dx in 2012, age 67, waiting for new DAAs.
Huey


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Isiscat2011 wrote:

Hi Econ:

Interferon can elevate glucose levels.  It can also wreak havoc on platelets. Riba can cause anemia as well as other side effects.  No way to know how you will feel during tx.  Some people are able to work and others are not.  There are all oral treatments coming very soon that should be easier.  The Sovaldi/Ledipasvir will be approved October 10th.  Is there any chance you can wait to begin treatment?

 I am with Isiscat on this one,,, the S/L combo does not have any riba or interferon  and for most genotypes this is expected to have minimal side effects , if any.  In my own opinion  if your Genotype 3 expect hypoglycemia regardless of the drugs, but without the riba, it too will be negligible.



__________________

  HCV Genotype 3a , now Psot-Tx was on S/riba. First VL was 5.8 mil on 7-5-13 then "und" at 3.8 weeks. 06/13/14 still und. off meds 3 days back on 7/29 Last pill 08/10/14 SVR+4

 
Isiscat2011


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Hi Econ:

Interferon can elevate glucose levels.  It can also wreak havoc on platelets. Riba can cause anemia as well as other side effects.  No way to know how you will feel during tx.  Some people are able to work and others are not.  There are all oral treatments coming very soon that should be easier.  The Sovaldi/Ledipasvir will be approved October 10th.  Is there any chance you can wait to begin treatment?



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Diagnosed in 2011, Incivek triple in 2011, tx discontinued, Genotype 1a, CT, VL 7mill, cirrhosis dx in 2012, age 67, waiting for new DAAs.
Huey


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The Tx you are on , even the Sovaldi/Riba like I am on,,, You are not going to be able to keep that pace up.  It will make you too tired. 

We are all in this together Keep your stick on the Ice.  (Red Green Show)



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  HCV Genotype 3a , now Psot-Tx was on S/riba. First VL was 5.8 mil on 7-5-13 then "und" at 3.8 weeks. 06/13/14 still und. off meds 3 days back on 7/29 Last pill 08/10/14 SVR+4

 
Huey


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Hi... I have been on treatment for 21 weeks now.  The side effects do include insulin resistance This is a tricky subject, This is not caused by the meds,,, The Virus itself does this.  I have been looking into this for a wile and others on here have done the same.  We reach different conclusions . No one is right, no one is wrong, All I can do is show you what happened to my sugar.  This does not mean this will happen to you, gluchart1.png

This shows a spike in my glucose then a drop back down to normal, as my ALT went down, the glucose went up/altchart1.png



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  HCV Genotype 3a , now Psot-Tx was on S/riba. First VL was 5.8 mil on 7-5-13 then "und" at 3.8 weeks. 06/13/14 still und. off meds 3 days back on 7/29 Last pill 08/10/14 SVR+4

 
econ


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Hello all i will be starting treatment soon with peg/rib/solvaldi and was wondering if anyone else is a diabetic type 1 or 2. Does this treatment affect your sugar levels and if so in what way? I have read many of your posts and find your info very helpful. I am very worried how this will affect me as i work 50+ hrs a week and have to to meet my bills and pay my own medical insurance. I feel strong and hope i can endure the tx for the 3 months i have to.  I look forward to any help you may be able to provide me in this journey and hope to return the help to others.



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