Should I Stop My Diabetes Medicine? FDA Hearings to Determine Risk of Heart Attack

Today marks the beginning of FDA hearings on Avandia (rosiglitazone), a popular drug for diabetes. The hearing centers on whether Avandia places a patient at higher risk of a heart attack.

Patients taking Avandia may not realize that one of the primary reasons doctors use Avandia is not only to lower one’s blood sugar, but to thereby prevent heart attacks. Thus the question is highly relevant for every diabetic taking this medication.

There is no question that Avandia lowers blood sugar – that is easily proven. The blood glucose-lowering effects can be demonstrated over the course of weeks and months, with evidence of on-going decrease in blood sugar levels for years. And since it is well known that high blood sugar (diabetes) is associated with increased risk of heart attacks, it is only logical that lowering blood sugar levels should decrease the risk of heart attack (myocardial infarction).

Yet this is not necessarily so. Might Avandia be doing something else as yet unidentified within the body? This is often the case with drugs. In fact, it has long been known that taking Avandia increases the risk of liver problems. That is why your doctor checks the liver enzymes in your blood frequently. In certain patients Avandia also causes fluid retention that in some cases is associated with congestive heart failure. Clearly, Avandia does do something in the body besides lower blood sugar, but the question remains, which is more dangerous: to take the medicine or not?

There are many medications on the market for diabetes. Of course, insulin is the prototype and some might think the final answer. But patients do not like to inject themselves and so a number of oral medicines have been developed. Also, taking insulin tends to cause weight gain in Type 2 diabetics, and since weight gain is a big part of the problem to begin with, to some degree it worsens the situation.

Knowing all this, should you stop taking Avandia? At this point the answer is we don’t know. Since the drug was released I have seen a very few patients suffer from excess fluid retention, but since that problem was recognized, the drug has not been advised for patients with swelling or heart failure. To date, only a few of my patients have had abnormal liver tests, and these have all been reversible with discontinuation of the drug. For my patients, Avandia has been effective at lowering blood sugars.

Yet the question remains, what about heart attacks? This week the FDA will be reviewing data from scientific trials regarding the use of Avandia (rosiglitazone), as well as health claims data related to its use. When all the information is gathered, statisticians and physicians will have more accurate information on which to make an informed decision. If we already knew the answer, the hearings would be unnecessary.

But what should you do in the meantime? Here is one way to think about the problem: if the answer has not become clear over 10 …

How to Cure Dentist Phobia – Stop Your Fear of Dentists

You know that you need good dental care but unless you can stop your fear of dentists it will cause you to keep putting off those appointments.

You want to keep your teeth in tip top condition but your dentist phobia means that you positively dread having someone poking and prodding around in your mouth, then making you slurp down some sort of fluoride goop that tastes like a cross between bubble gum and Tylenol.

Stop Your Fear of Dentists

One way to help stop your fear of dentists is to ask to be “put under” while they drill away. That way, once the anesthetic has started to work, you’ll be unconscious while your dentist does their work. This can work but it’s an extreme solution – one that you should really only consider if you don’t have time to work out any other solution for your dentist phobia. And you may need to change dentists as not all are authorized to perform this kind of operation.

Another way is to take a trusted friend with you to literally hold your hand whilst the dentist performs his or her duty.

If you have more time available, you can stop your fear of dentists in its tracks by using the ancient art of hypnosis.

Trips to the dentist are never fun. After all, who would voluntarily go to lie down on a chair with a dentist scraping and prodding away at your precious teeth? Sometimes even thinking about a trip to the dentist can bring on your fear of dentists. You start thinking about cavities, fillings, drills, needles. And your dentist phobia comes up full strength!

Through hypnosis, you can stop your fear of dentists and allow a trained professional to help you keep your teeth in pristine condition. Your dental phobia will be banished to the past, where it belongs.

All you need to do is listen to one simple MP3 track. You can do this in the comfort of your own home, maybe listening on your iPod, well away from the source of your dentist phobia.

Hypnosis is a method where you can reach a deep state of relaxation. Once that state is reached, your subconscious mind will be given a series of suggestions which will help you to stop your fear of dentists. Many people all over the world have overcome their dentist phobia with hypnosis. It’s one of the most cost-effective treatments that you can find. You don’t even need to take a trip to a professional hypnotherapist – there are many CDs and MP3s out there that will do the trick for less than the cost of your next checkup.

You owe it to yourself to keep your teeth in pristine condition. If you suffer from dentist phobia then you need to find a way to stop your fear of dentists in its tracks.

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