Using Byetta in Type 1 and Type 2
Now that we are using Byetta in type 1 and type 2 its time to talk about what they are doing that is alike. The type 2 patients are “softer” and easier to keep control as we start treatment with Byetta. All sulfonylureas are stopped and the only medications that persist are those that will not “push” the glucose down.The type 1 patient is more difficult to explain how to cut the insulin and all the correct instincts that made good control for those with type 1 are wrong for those people when starting Byetta. When I am told that “I'm taking 30% more insulin than before I was using Byetta and more insulin resistant” and I advise drastic cuts in insulin, It is very hard for anyone to believe that my advice is correct.
What’s even more fun is the discarding of medication. One gentleman today, two weeks on Byetta, had a little more than half the medication he was on discontinued. Another person with type 1, one month into the Byetta process, had a third of the remaining medications discontinued.
Who has ever taught anyone how to discontinue medications, much less insulin? Who has told anyone to reduce their insulin 90% from their usual dosage? Listen to all this though because if you follow those who are just slightly ahead of you, you will find your way into a new world. It’s your time.

