Re: Byetta
Classicdame makes a very important point that Byetta and insulin are not the same, and are not substitutes. Byetta works in specific ways, especially by restoring the first phase insulin response. This response is how the pancreas releases insulin in response to a meal. It also helps delay gastric emptying. If the patient doesn't have issues with first phase insulin response or increased gastric emptying time, then Byetta probaby wouldn't be indicated. On the other hand, Lantus is a "background" insulin, providing basal insulin levels around the clock. This is helpful in patients with elevated fasting glucose levels. Medication decisions should be made between the patient and the healthcare provider looking at the big picture; when are the glucoses elevated, eating habits, what other meds are being taken, etc. Although its tempting to look at how others have responded to a med, always remember that there are many factors that go into a medication decision for an individual. Byetta is contraindicated if certain meds are being taken or certain medical conditions coexist with the T2DM.
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