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GP Appointment

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TB10

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I’ve been T2 on diet for four years. In April, my Hba1c was 51, highest it’s been. My GP suggested wait until next check before drugs. I’ve kept weight stable but my lates figure is 59, so I guess I need treatment quite quickly ? I got my results from the NHS app, but my GP has said they can’t review these before Christmas because of covid pressure. What should I do ?
 
What do you eat? How many carbs a day?

I find I suffer from carb creep over time and need to go back to weighing/measuring everything again for a while.
 
Not sure it changed much more concerned I need to get it down quickly or is not that urgent for a few weeks.
 
TB10 said:
I’ve been T2 on diet for four years. In April, my Hba1c was 51, highest it’s been. My GP suggested wait until next check before drugs. I’ve kept weight stable but my lates figure is 59, so I guess I need treatment quite quickly ? I got my results from the NHS app, but my GP has said they can’t review these before Christmas because of covid pressure. What should I do ?
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I would say that the first thing to do would be to review your diet. Do you use a meter to measure the effect of your meals? A HbA1c of 59 is not good but hardly a disaster requiring drastic action.
 
TB10 said:
I’ve been T2 on diet for four years. In April, my Hba1c was 51, highest it’s been. My GP suggested wait until next check before drugs. I’ve kept weight stable but my lates figure is 59, so I guess I need treatment quite quickly ? I got my results from the NHS app, but my GP has said they can’t review these before Christmas because of covid pressure. What should I do ?
Click to expand...
If you've been "diet controlled" yet your A1c has risen, the first it suggests is that there's something up with your diet. What do you eat, typically? What are your readings like after food? Levels can be reduced pretty quickly in my experience without medication.
 
59 corresponds to an average bg of 9.3, 51 to 8.3. So though it's significant it's not a drastic change. In your position my first step would be to do some record keeping on carbs and blood sugar levels, to see what is happening. It's quite possible that you can improve things before you even get to see your GP by tweaking your diet and/or exercise, but you won't know without using your meter.

Good luck.
 
TB10 said:
Ok thanks. I have a meter will do some checks

thanks
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Diet is the obvious one unless you've been under the weather for past 3 months or very stressed.
Good times to test are a) fasting b) at 2 and 4 hours after a meal or prolonged exercise perhaps? Note if you were feeling stressed or if you'd had a poor night's sleep.
Do it on a typical week day and a typical weekend if those are usually different.
As @EllieM has said, it isn't a clinical reason to panic but if you find you needed to start metformin this isn't a fail and won't make matters worse unless you don't tolerate it or don't make the necessary diet changes to keep you in the pre D or non diabetic range.
As you can see your results have a look at your lipid levels too as they can indicate creeping insulin resistance e.g. GGT up (liver fat) , triglycerides greater than HDL. Blood pressure going up or waist size are other markers.
Good luck and I'm glad you can go into the GP armed with some health knowledge!
 
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