If It's Successful, Nothing Happens. Keep Waiting.

1115701_13954916I knew the day would come when my existing medication regimen wouldn’t be enough for my diabetes. The reality check came when I got the results from my calcium score

and admitted that if I was a betting woman (which I’m not, for I’d be broke by now), my cardiologist would suggest putting me on a statin.

I would have won that one. I’m joining the millions of individuals who, along with a low-dose aspirin,  are part of the Crestor wave that’s sweeping the nation. 10mg for now and we’ll see what my liver is doing in about 5 weeks. The side effects that everyone has talked to me about (muscle pain and weakness) didn’t happen, so I’m thankful that I seem to be tolerating it. My cholesterol, while not being fabulous, wasn’t in the danger zone. (I love bacon and cream in my coffee. I avoid fried foods and red meat.) Will Crestor make a huge difference in my life? Much like everything else we do these days for diabetes, the only way we’ll know for sure is the absence of anything happening.

“If it’s successful, nothing happens. Keep waiting.”

The kind doctor also broached the subject of lisinopril as a protectant for my kidneys. I’ve been down that road before. In fact, I was one of the first subjects in the Captopril clinical trial that proved that ACE inhibitors can help people with diabetes protect their kidneys. My blood pressure has always been a little on the low side. Even the smallest dose of an ACE inhibitor sends me into dizzy world with an occasional “I’m going down, please clear a section of floor” moment. Until they can make an ACE inhibitor that allows me to keep upright, it’s not happening. (Don’t get me wrong. I’m very happy with having a low blood pressure, because I have friends who take ACE inhibitors because their blood pressure is high.)

I’m beginning to wonder what’s next on the list of diabetes complications that I should be tackling. I’m not being pessimistic or negative. After thirty years (almost 31!) of not always stellar control of diabetes, the reality is that I’ve been lucky. One incident of CSME (clinically significant macular edema), trigger fingers, frozen shoulders, slight gastric delay and really? I’m just as healthy as the next person.

But we can never let our guard down, can we? Diabetes doesn’t always follow the “If it’s successful, nothing happens.” philosophy. Kidney issues develop without symptoms. Retinopathy in early stages have no symptoms. Neuropathy happens slowly (until I am told it bears down like a freight train…). Nothing happens for a long time, then it’s there.

I want to know what I can do (and what I can’t, like taking an ACE inhibitor) to mitigate the risks of complications. I want to know what the latest research has proven and what clinical trials I can participate in to help myself and others.

So, in my case, if I’m successful, nothing happens. But I’m not waiting.

0 comments
  1. Thanks for sharing your diabetes complication with us. We need to expel the shame surrounding diabetes complications.

  2. For the record, I’m a lisinopril and a simvistatin user. No issues thus far (22 years T1D). Also, I’m experiencing something that could be described as frozen shoulder coming back, but after reading your post about it I’m hoping it’ll go away soon. Thumbs up to you on the clinical trials too. So important, so helpful.

  3. Thanks for sharing what you’re going through. Lots of times I try to convince myself that we Type 1’s don’t have the same cardiac risks as a Type 2’s and I do wish that there were more studies on T1’s. But we are at risk and your story is a reminder of that. Good thing that you seem to have good doctors who will help you keep the odds in your favor.

  4. I have the same ACE inhibitor problem. It scares me a little not to be on one, but I also can’t take one safely at this point with low blood pressure. (At least genetics left me with ONE positive thing!)

  5. I have the ACE inhibitor low blood pressure thing, too. And I was on lisinopril, until I got pregnant. Now it’s metoprolol. It’s all just so much fun.

    1. Jacquie,
      How did you get past the passing out thing? Is the metoprolol different in some way that would prevent that?

      1. I take the most ridiculously small dose ever. “A whiff of a dose,” my cardiologist calls it. 12.5 milligrams in the morning and evening.

  6. I have heart diseases and that is how find out i had diabetes my BG was over 60MMol or over 900DL and known i did not show problems of the 4T associated with diabetes,I take 75Mg of asprin,80Mg of Atorvastatin,10Mg of ramipril,Statin i take twice a day one to stop liver dumping,Yes it work,Tje other for stopping bad fats etc when you go to sleep with LDL,I also take four other BetaBlockers two to lower BP,One to lower calcium and and hard fats and the other lowers cholesterol fats,I also get five blood tests for fats etc and two urine tests thats including Kidney and liver function tests just in case damage is being done by the meds to my organs,As to argument about statins causing health problems it effect 1 in 10000 thousand,Still think their small price to pay in coronary heart disease and taking BP tablet for your kidneys,By way reason for my heart attack was my BG and not heart disease but damage has been done because,Two weeks before my attack i had run a marathon in about 3 half hours so yes i was also very fit once.

  7. Sorry was doing my reply on a my phone i get my blood tests and urine tests done every 4 months

  8. lol i mean every three months oh god long day lol sorry

  9. […] you may remember, if you’re keeping score these days, I’ve begun taking a statin upon the advice of my cardiologist. A lot of my friends who also have diabetes take them, but the […]

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