Dears, me 40 years old having diabetes type 2 for last 10 years, on insulin Basal and Bolus (30 and 6 units morning evening) plus oral Pioglitazone + metformin 15+500mg twice a day.
The problem is that for last 9 months my fasting blood sugar levels ranges from 110-145mg/dl and random sugar levels are upto 240 but surprisingly HbA1c values for last 9 months are 10.1%, 10.3% and 10% not correlating.
what and why happening this with my HbA1c values. please suggest something. Really worried.
Carbs?
Cut out as many carbs as possible. I looked at the low carb program but decided it wasn't for me, at least not at this time. What I did do was to restrict my carb intake quite dramatically. For example I was having two fairly large bowls of cereals in the morning, usually the 'healthy' ones like Weetabix and Shredded Wheat. I looked at the packs discovered that my portion sizes were massive compared to the recommended ones, so now I have for breakfast 2 eggs, tomatoes, cucumber, ham and some cheddar followed by one very small bowl of cereal (I must have cereal and milk!). Some days I might go to scrambled eggs and a couple of slices of bacon and a cooked tomato. Lunch I cut from two brown rolls to one, with a portion of meat instead of the second roll, chicken, corned beef, spam or occasionally a couple of cold sausages. I've cut out potatoes, rice, pasta, bread, and of course no biscuits, sweets, cakes, pasties, sausage rolls, or anything made with flour. I do treat myself to a couple of squares of Lindt plain chocolate most days - well you have to have something don't you?
I've been on Insulin for about 18 months I also take Metformin and my last few HbA1c results have been around 5 so I must be doing something right (it was 9 before I went on Insulin).
Good luck.
PS I've also lost weight, at least 14 pounds in the last year... slow but sure.