Hello, my name is Ted

[Teddy95]

Hello everyone, I am type 2, diagnosed about six years ago, my latest Hba1c results are 45 or 6.3, my diabetic nurse says that's far too low and told me to stop taking the glicazide (1/2 in the morning and 1/2 at evening dinner) I take 800mg metformin after breakfast and another one after dinner. my last Hba1c was 6.6.
Is 6.3 far too low?
Thanks in advance for your opinions.

 

[andcol]

Welcome @Teddy95

For me that would be too high but then I am not on glic. I suspect that your DN is worried about you having hypos. The question I would ask your DN is how much higher your peaks will be without your glic. Are you having hypo symptoms at all? If not then discuss it further with your DN.

 

[this is too difficult two]

Hi Teddy. It is not too low. But I have no idea about medication so a Hypo may be risk if you don't reduce the medication. Someone who actually knows will be along soon.
Beat me there Andrew that was not a dig at you.

 

[Molly56]

@Teddy95 Hello, as I understand it the gliclazide can potentially lower your blood sugar levels to a level where it could cause a hypo.
My partner is on metformin 2000mg per day and gliclazide 320mg per day....when the diabetic nurse increased his gliclazide (previously 160mg) she supplied him with a blood test monitor and told him to test his blood before driving. Unfortunately his blood sugar levels have still remained on the high side so the risk of a hypo has not been an issue so far but obviously if your levels are falling this is not a scenario that you wish to have. Don't know if you drive or not but perhaps something else to check out with the diabetic nurse when you contact her.

 

[Teddy95]

Welcome @Teddy95

For me that would be too high but then I am not on glic. I suspect that your DN is worried about you having hypos. The question I would ask your DN is how much higher your peaks will be without your glic. Are you having hypo symptoms at all? If not then discuss it further with your DN.

I haven't had any signs of a hypo at all, but your right she said she is worried that I might get a hypo so she has told me to take blood sugar before bed, in the night If I wake up and first thing in the morning, got to go back in a fortnight to tell her results.

 

[Teddy95]

@Teddy95 Hello, as I understand it the gliclazide can potentially lower your blood sugar levels to a level where it could cause a hypo.
My partner is on metformin 2000mg per day and gliclazide 320mg per day....when the diabetic nurse increased his gliclazide (previously 160mg) she supplied him with a blood test monitor and told him to test his blood before driving. Unfortunately his blood sugar levels have still remained on the high side so the risk of a hypo has not been an issue so far but obviously if your levels are falling this is not a scenario that you wish to have. Don't know if you drive or not but perhaps something else to check out with the diabetic nurse when you contact her.

Thanks Molly.

 

[desidiabulum]

Hi. Take a look at the guidelines on this very website:
http://www.diabetes.co.uk/diabetes-health-guidelines.html

'People with diabetes should aim to keep their HbA1c values below 48 mmol/mol (6.5%)'
If you are not having hypos then it sounds like all is going well

 

[Nuthead]

Hello teddy. I try and get as low as I can without going hypo or stopping me driving. Low is good. High is bad. I am type 2 on insulin.So I guess I have more control. Just keep testing and dont let it go to high.

 

[Teddy95]

Sounds like good advice to me nuthead.

 

[Robinredbreast]

Hello and welcome to the forum Ted

Best wishes RRB

 

[Totto]

Hello everyone, I am type 2, diagnosed about six years ago, my latest Hba1c results are 45 or 6.3, my diabetic nurse says that's far too low and told me to stop taking the glicazide (1/2 in the morning and 1/2 at evening dinner) I take 800mg metformin after breakfast and another one after dinner. my last Hba1c was 6.6.
Is 6.3 far too low?
Thanks in advance for your opinions.

Hi Terry, I am diet controlled only and my DSN feels my control is too good as my HbA1c is 35 now. I feel my DSN is rather stupid.

You want good bg control, long term. HbA1c of 45 isn't bad but I'm sure you could do even better.

 

[Kat100]

Hi and welcome ...maybe agree what is right for your health ..with you DN ..it is about finding a balance ...best wishes Kat

 

[jack412]

are you on a low carb diet?
I would ask for a second opinion, a T2 should be aiming for less than 6.5, at 6.6 some advise adding another medication, including insulin to get it down, and heart disese risk is quite higher

 

[andcol]

Interesting poster Jack. If my Dr had followed that I would have been on insulin therapy immediately on diagnosis instead of off of met within a month.

 

[jack412]

Interesting poster Jack. If my Dr had followed that I would have been on insulin therapy immediately on diagnosis instead of off of met within a month.

why? after diet, exercise, weight reduction .. were you over 6.5% after 3 months? is so, it's recommended that you move up the ladder
https://www.aace.com/publications/algorithm

 

[this is too difficult two]

That is American Jack.

 

[jack412]

it's america ,, and your point is?
continuing with the insulin theme..this is india and beta cell preservation
www.youtube.com/watch?v=ONjiScJ_lds

back to america again
depends how much of your beta cells you want to try and save
http://www.diabetesincontrol.com/ar...-of-insulin-to-improve-beta-cell-preservation

 

[Pollylocks]

are you on a low carb diet?
I would ask for a second opinion, a T2 should be aiming for less than 6.5, at 6.6 some advise adding another medication, including insulin to get it down, and heart disese risk is quite higher

View attachment 7889 View attachment 7888

I find that advice quite disturbing Jack, and hardly likely to encourage or help someone newly diagnosed. I've not heard of any Type 2 with an average level of 6.6 being told they need insulin.

 

[jack412]

I find that advice quite disturbing Jack, and hardly likely to encourage or help someone newly diagnosed. I've not heard of any Type 2 with an average level of 6.6 being told they need insulin.

it isn't advice, my advice the op to ask for a second opinion
I gave an American endocrinologist progression chart, where after 3 months a second oral is advised if patent is over 6.5% and after another 3 months a 3rd oral or insulin is advised if the patient isnt within range
ted was diagnosed 6 years ago, not new to this and the nurse wants to make his A1c higher, this is my concern and why I suggested he seek a second opinion

 

[this is too difficult two]

it's america ,, and your point is?
continuing with the insulin theme..this is india and beta cell preservation
www.youtube.com/watch?v=ONjiScJ_lds
View attachment 7894
back to america again
depends how much of your beta cells you want to try and save
http://www.diabetesincontrol.com/ar...-of-insulin-to-improve-beta-cell-preservation

Sorry no idea.