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Worried by latest results

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paulomor

Member
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Hi, new to the forum and am a bit worried (always seems to be a problem that spurs people on to forums to seek help) about my latest results and previous advice given. I am a type 2 diabetic, male, 57, overweight but inreasonable shape as just started a high protein diet (Again) and been on it for 3 months and pleased with the progress.
Big problem is my blood sugars (according to my glucolab meter and just confirmed by my latest A1C result) which are registering at 16. I have taken readings over a few days, 8 readings a day and that is about the average. I am currently taking 2x60mg Gliclazide SR and 3 x 500mg Metformin SR.
The doctor doesn't seem too concerned as she hasn't contacted me to discuss the results. About 10 years ago my levels were at 9 and my then doctor was acting as though I was at deaths door (then only taking 2x500mg Metformin). Reading all the info regarding levels 16 does seem very high. Any info to ease my concern (or send me into a blind panic, bordering on that anyway) would be greatly appreciated
 
I haven't beenable to speak to the doctor yet, will make an appointment on Monday. I asked the receptionist for an idea of the results in laymans terms, ie a meter reading conversion which she said was about 16mmol/l however that works out on the HbA1c scale. My previous HbA1c reading was 69 and i received a concerned phone call from the doctor then?
 
paulomor said:
I haven't beenable to speak to the doctor yet, will make an appointment on Monday. I asked the receptionist for an idea of the results in laymans terms, ie a meter reading conversion which she said was about 16mmol/l however that works out on the HbA1c scale. My previous HbA1c reading was 69 and i received a concerned phone call from the doctor then?
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Should also add I did one day with no meds at all and the readings were almost identical to with meds, in fact, slightly lower.
 
paulomor said:
Should also add I did one day with no meds at all and the readings were almost identical to with meds, in fact, slightly lower.
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So your finger prick tests are about 16 mmol/l which translates into an HbA1c of about 105 mmol/m which is quite high?

When you say high protein diet what are you eating?

And sorry should have said hello and welcome!
 
bulkbiker said:
So your finger prick tests are about 16 mmol/l which translates into an HbA1c of about 105 mmol/m which is quite high?

When you say high protein diet what are you eating?

And sorry should have said hello and welcome!
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Hi, and thanks for the welcome. I am currently surviving on protein shakes and chicken, tuna, various red meats with salad and veg. Steering clear as best I can from potatoes, rice, pasta. The plan is to begin a velocity diet soon and see where that takes me. 105! And I've been pretty careful with my eating which doesn't bode well
 
are you regularly testing with your meter? If not, you really need to be.

Check the carbs on your protein shake, prefer isolate as it doesn’t have lactose . Test your shakes with your meter.

Also, have you tried IF? With high BG levels, I’d try IF and see how your body responds. Maybe work into IF slowly since you’re on medication. Make sure you measure everything so you can find the problem foods
 
As said above if your average meter readings are 16mmol then your estimated a1c is around 104/105 which is really high. More than double what you would want to aim for.

Need to speak to your doctor & sort out your medication/diet ASAP really.
 
Thanks. Lactose is not a problem as I use isolate with water. Tea is my only real regular source of lactose (semi skimmed milk). Carbs are limited to @ 100grams a day,
Does anyone know anything about Gluconeogenesis? I've never truly looked into the mechanics of Diabetes but interested in how it impacts on it.
If drugs are not controlling my diabetes is the only option insulin injections? I know diet would be by far the best option but I wouldn't be able to make the changes permanently
 
Maco said:
As said above if your average meter readings are 16mmol then your estimated a1c is around 104/105 which is really high. More than double what you would want to aim for.

Need to speak to your doctor & sort out your medication/diet ASAP really.
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Thanks, I will try and sort this out on Monday when, and if, I can get an appointment
 
paulomor said:
Does anyone know anything about Gluconeogenesis
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Yes its thought to be demand driven.. i.e. if your body requires the glucose it will be made from ingested protein. Otherwise probably not something to be worried about in a T2.
 
paulomor said:
If drugs are not controlling my diabetes is the only option insulin injections? I know diet would be by far the best option but I wouldn't be able to make the changes permanently
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That’s a question to discuss with your diabetic nurse/doctor, there may be alternatives but we can’t k is your history and even if did, it’s not something forum members would diagnose.

But those levels if map into hba1c are high and I’d suggest need some form of intervention whether by a lifestyle change such as diet or drugs is your choice. Not for us to recommend
 
Andydragon said:
That’s a question to discuss with your diabetic nurse/doctor, there may be alternatives but we can’t k is your history and even if did, it’s not something forum members would diagnose.

But those levels if map into hba1c are high and I’d suggest need some form of intervention whether by a lifestyle change such as diet or drugs is your choice. Not for us to recommend
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A few months cutting back on carbs and the introduction of anaerobic exercise along with a job that keeps me going aerobically (work as a postman) I would have thought would make some difference but it doesn't seem to have impacted at all. Is it possible to have developed a resistance to the drugs?
 
paulomor said:
A few months cutting back on carbs and the introduction of anaerobic exercise along with a job that keeps me going aerobically (work as a postman) I would have thought would make some difference but it doesn't seem to have impacted at all. Is it possible to have developed a resistance to the drugs?
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Someone correct me if I’m wrong, but could a wrong diagnosis be possible? Average readings over 16, a1c of over 100. Tablets not working at all. Could it be possible paulomor is type 1 and not type 2? Wouldn’t be the first time that’s happened
 
I was diagnosed 20 years ago and my levels were lower in the earlier days and have progressively worsened over the years, especially accelerated over the past 2. In the past I have skipped meds and not felt any different. People have talked about Hypos etc but to be honest, I've never experienced any real side effects and have been told I would definitely know if I had.
 
paulomor said:
I was diagnosed 20 years ago and my levels were lower in the earlier days and have progressively worsened over the years, especially accelerated over the past 2. In the past I have skipped meds and not felt any different. People have talked about Hypos etc but to be honest, I've never experienced any real side effects and have been told I would definitely know if I had.
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Skipping meds could be the reason your average readings are 16mmol, never a good idea to be skipping. Probably the reason you haven’t experienced hypos as your controls been poor & your levels have always been increased.

Are you not experiencing weeing frequently, tired moody etc?
 
Maco said:
Skipping meds could be the reason your average readings are 16mmol, never a good idea to be skipping. Probably the reason you haven’t experienced hypos as your controls been poor & your levels have always been increased.

Are you not experiencing weeing frequently, tired moody etc?
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The skipping of meds was years ago, been very good with taking them past few years. Tired constantly, always put it down to my job and getting old.
 
Maco said:
Someone correct me if I’m wrong, but could a wrong diagnosis be possible? Average readings over 16, a1c of over 100. Tablets not working at all. Could it be possible paulomor is type 1 and not type 2? Wouldn’t be the first time that’s happened
Click to expand...
Type 1's deteriorate onto insulin in the first 3 years, and LADA type 1's 5. On average half of type 2's need to start insulin after 10 years which is what we are seeing here.
 
ert said:
Type 1's deteriorate onto insulin in the first 3 years, and LADA type 1's 5. On average half of type 2's need to start insulin after 10 years which is what we are seeing here.
Click to expand...

Thanks, on researching metformin I have read it lowers blood sugar by 1.5% at max, is that correct.
 
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