• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Hello, my name is Ted

jack412 said:
why? after diet, exercise, weight reduction .. were you over 6.5% after 3 months? is so, it's recommended that you move up the ladder
https://www.aace.com/publications/algorithm
Click to expand...
No Jack but on diagnoses I was over 10% and had symptoms. That puts me right at the top from the very beginning. No escalation. No hope! All I can say is that I'm glad I'm not in the US
 
Andrew Colvin said:
No Jack but on diagnoses I was over 10% and had symptoms. That puts me right at the top from the very beginning. No escalation. No hope! All I can say is that I'm glad I'm not in the US
Click to expand...
andrew, did your read the link? they do diet, exercise and weightloss first with metformin over US140
upload_2014-11-2_9-7-36.png
upload_2014-11-2_9-3-6.png
 
Last edited by a moderator:
Hi, an HBa1C of 6.5% is definitely not too low. The reference is what a typical non-diabetic achieves and this can be below 6%. Yes, Gliclazide can cause hypos if the islet cells are still in a fairly good state and you take too much. So, as usual control the carbs and portion sizes, achieve a good BMI and if the HBa1C is not below around 6.5% then Gliclazide may still be worth taking but watch the dosage. Ref use of insulin, it's not necessarilly a good idea if you are overweight and not already controlling the carbs as it may then result in being even more overweight. Insulin is most useful when you have failing islet cells i.e. have low insulin in the blood and this may be associated with being underweight, LADA etc
 
Back
Top