Hi all,
First time posting on this forum - although I've been lurking for a number of years and have found lots of useful information and perspectives here.
I was diagnosed with Type 2 in November 2020 aged 33 during a routine blood test as I was generally feeling unwell. At the time of diagnosis my HbA1c was 54 so diagnosis was instant and I was then advised on how to alter my diet and lifestyle to best combat this.
At the time I was 14.5 stone (I'm 5ft 11) so not massively overweight - but I lost 1.5 stone in around 3-6 months and managed to get my HbA1c down to 42 through diet alone.
Fast forward to later in 2021 and I was advised to start on Metformin to lower my HbA1c further and protect myself in the long term, which at the beginning lowered it to 40.
During my annual check up in November with my NHS consultant, my HbA1c had risen to 42 and I was advised to up my dose of metformin to 500mg x4 a day and to begin Dapagliflozin 10mg alongside. The rationale of the consultant was that as both my parents have type 2 and also grandparents, that I'm at a very high genetic predisposition to this condition and that it would be best starting me on a higher dose as early as possible to manage this effectively.
Also to note I have hypertension (another family trait) which was currently controlled at 120/80 with a daily dose of indapamide - which the consultant advised me to drop and that the Dapagliflozin would act as a substitute combatting both my blood pressure and blood glucose in one.
I'm just curious if anyone else has been started on such high doses so early on and also if I should be alarmed at an increase in my HbA1c from 40/42 over approximately 18 months (I hadn't been eating as well as I should have been prior to the higher figure) and I'm wondering if some fluctuation is normal..
First time posting on this forum - although I've been lurking for a number of years and have found lots of useful information and perspectives here.
I was diagnosed with Type 2 in November 2020 aged 33 during a routine blood test as I was generally feeling unwell. At the time of diagnosis my HbA1c was 54 so diagnosis was instant and I was then advised on how to alter my diet and lifestyle to best combat this.
At the time I was 14.5 stone (I'm 5ft 11) so not massively overweight - but I lost 1.5 stone in around 3-6 months and managed to get my HbA1c down to 42 through diet alone.
Fast forward to later in 2021 and I was advised to start on Metformin to lower my HbA1c further and protect myself in the long term, which at the beginning lowered it to 40.
During my annual check up in November with my NHS consultant, my HbA1c had risen to 42 and I was advised to up my dose of metformin to 500mg x4 a day and to begin Dapagliflozin 10mg alongside. The rationale of the consultant was that as both my parents have type 2 and also grandparents, that I'm at a very high genetic predisposition to this condition and that it would be best starting me on a higher dose as early as possible to manage this effectively.
Also to note I have hypertension (another family trait) which was currently controlled at 120/80 with a daily dose of indapamide - which the consultant advised me to drop and that the Dapagliflozin would act as a substitute combatting both my blood pressure and blood glucose in one.
I'm just curious if anyone else has been started on such high doses so early on and also if I should be alarmed at an increase in my HbA1c from 40/42 over approximately 18 months (I hadn't been eating as well as I should have been prior to the higher figure) and I'm wondering if some fluctuation is normal..