medication

[jimham]

Hi
I was diagnosed with type 2 Diabetes in March 2010 and havve not been on any form of medication? i started to come out on this rash in December last year and it has now spread to my legs my arms and my torso and it ithces like mad ive been to the doc and he has given me me moisturisers and all sorts of creams to no avail i don't think that or i hhope that both the diabetes and the rash are linked can i have someones opinion

[Denise Kennedy]

Hi Jimham - rashes can occur linked to diabetes or it could be an unrelated condition. There are lots of different rashes and many, many different causes. You say that you have not been on any medication for your diabetes, but you may be able to control it on diet and exercise alone. Do you test you own blood sugars? Are they in the acceptable range? If you don't test them, or the results are high, I suggest you make an appointment to see your diabetes specialist nurse who can help you to gain control of the diabetes and may be able to advise on the rash as well.
The creams and mosturisers are important to bring the rash and itching under control, but if it is not getting better go back to your doctor - there will be other things he or she can try. Good luck.

[luv2sly]

I was just wondering the type 2 diabetic injection medicine known as Byetta
How is it decided if the patient should take Exenatide which is one jab twice daily or if the patient should take Liraglutide which is one injection weekly ?

[Dr Masud Haq]

Hi Jim

Your rash really doesn't sound as if it's related to diabetes and sounds more like eczema.
I would request a further assessment by your GP and if things aren't improving request a referral for a dermatology review.

Masud

[Dr Masud Haq]

Hi

Exenatide and Liraglutide have a licence for type 2 diabetes. There are specific National guidelines (NICE) which provide recommendations on when to use these drugs.

It's recommended patients are on maximal dual therapy (metformin and sulphoylurea) and have a BMI above 35 and an HbA1c of above 7.5% for them to be suitable for Exenatide. There are circumstances when a lower BMI can apply.

Liraglutide can be used in the same group of patients but also has a dual licence so can be used in conjunction with a metformin or a sulphonylurea (at maximum dose).

Most local diabetes specialists will have a local policy as some have a preference for which drug they prescribe. If you are suitable for treatment and have no contraindications then you need to request your GP refer you to your local diabetes specialist.

Best of luck.
Masud