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Diabetes Discussion
Newly Diagnosed
Expected for quite some time, and now diagnosed - Hello Type 2, not nice to meet you
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<blockquote data-quote="Hergen" data-source="post: 817646" data-attributes="member: 167654"><p>Mhm, so I'm a bit perplexed. I had an appointment with my GP today to talk about the blood results. And they were great - apparently the hbA1c dropped "very nicely" (even though it's barely been a month), although she didn't give me an exact number. She sounded rather pleased. As mentioned before, the Diabetes Nurse (same practice) was the same, and was happy with my diet.</p><p></p><p>What confuses me is that she upped my Metformin dose (from 3x500g throughout the day to 2x in the morning and 2x in the evening), <strong>despite</strong> me being at a pretty much perfect 6.5 median, which would roughly be a hbA1c of 38 or so, AND told me she wants to see me on a 700kcal diet. She actually said, and I quote: "you essentially have to starve yourself a little". Now, in the last 20 years, I have gone through a ton of dietary exercise. And one of my doctors almost ripped me apart for trying to go that low, because the basic metabolic requirements for someone of my weight are actually higher than for someone with normal weight (i.e. the heart is enlarged and needs more energy to keep blood pumping through more soft tissue, etc.), and that such a harsh low caloric diet could cause serious issues for me.</p><p></p><p>She has booked me for a dietitian, so what the dietitian says will ultimately count, but... this has me a bit worried. What's the best strategy in such a case? Because what I am doing right now is evidently working. Just stay mumm about it and wait for the appointment with a dietitian?</p></blockquote><p></p>
[QUOTE="Hergen, post: 817646, member: 167654"] Mhm, so I'm a bit perplexed. I had an appointment with my GP today to talk about the blood results. And they were great - apparently the hbA1c dropped "very nicely" (even though it's barely been a month), although she didn't give me an exact number. She sounded rather pleased. As mentioned before, the Diabetes Nurse (same practice) was the same, and was happy with my diet. What confuses me is that she upped my Metformin dose (from 3x500g throughout the day to 2x in the morning and 2x in the evening), [B]despite[/B] me being at a pretty much perfect 6.5 median, which would roughly be a hbA1c of 38 or so, AND told me she wants to see me on a 700kcal diet. She actually said, and I quote: "you essentially have to starve yourself a little". Now, in the last 20 years, I have gone through a ton of dietary exercise. And one of my doctors almost ripped me apart for trying to go that low, because the basic metabolic requirements for someone of my weight are actually higher than for someone with normal weight (i.e. the heart is enlarged and needs more energy to keep blood pumping through more soft tissue, etc.), and that such a harsh low caloric diet could cause serious issues for me. She has booked me for a dietitian, so what the dietitian says will ultimately count, but... this has me a bit worried. What's the best strategy in such a case? Because what I am doing right now is evidently working. Just stay mumm about it and wait for the appointment with a dietitian? [/QUOTE]
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