New meds made drastic change

cazza54

Well-Known Member
Messages
136
Type of diabetes
LADA
Treatment type
Insulin
Dislikes
Turnips and Tuna fish!
With my AiC going up each time it was tested over the last year, raching a high of 10.1% at the beginning of March, the DN had expressed concerns that I may be a type 1.5 rather than type 2. She referred me to a Specialist, a podiatrist and a dietician. Today was the last of those three appointments.

Last week I saw the Specialist and she increased my Victoza dose and put me on Gliclazide 80mg once a day with breakfast.

Before that appointment, I was getting readings between 9 and 17 and felt awful most of the time.

The first day on the new pills I had a fasting reading of 9.6 and then they dropped steadily throughout the day. I went to bed on 7.9. Was really pleased with this improvement.

On Monday I had a record reading of 4.9 before lunch! Most readings until today had been in the 5-8 range.

Today however, has been different. Fasting was 8.1, but by 11.30am it had dropped to 4.4! I ate a small snack and 15 minutes later it had dropped to 4.3. Gradually it picked up, getting back to 5.4 by the time I needed to go to the hospital for the dietician meeting.

By the time I reached the hospital it had gone up to 7.4, perhaps due to an emergency message coming up on the dashboard about tyre pressure dropping.

When I returned home it was 5.2 again. An hour later it was down to 4.2! So I had an early supper which levelled things off at 6.2 two hours later. It is now bedtime and its dropped to 4.9 again.

These readings in the 4's although not hypo level, knock it out of me. My mouth feels all tingly and I feel sort of "spaced out". Is this just because I have been running so much higher until this week?

Did I do right in bringing my meals forward?

Will things adjust over time?

Incidentally, I have been sticking to around 30g carbs a day, as before the meds change. Is that enough?

Sorry for all the questions. Just trying to get my head round this.

Regards,

Carol
 

cazza54

Well-Known Member
Messages
136
Type of diabetes
LADA
Treatment type
Insulin
Dislikes
Turnips and Tuna fish!
Yes, I am on 3 x 500mg metformin a day. They haven't confirmed the diagnosis yet. They want to do another A1C test. I am back to see the Specialist on 9th June. It seems the tests are expensive and they say it will only give me a label not change the treatment at this point, so seem loathe to do them. :(
 

Brunneria

Guru
Retired Moderator
Messages
21,889
Type of diabetes
Type 2
Treatment type
Diet only
Well, i am very pleased that you are finally getting help to get that HbA1c down!
Good for you. Good for them!

Have you had a good read of the LADA part of the forum? I know that @LucySW has found that going on tiny amounts of insulin helped her tremendously.
 
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cazza54

Well-Known Member
Messages
136
Type of diabetes
LADA
Treatment type
Insulin
Dislikes
Turnips and Tuna fish!
Thank you, Brunneria. Me too! Yes, I have been reading the LADA forum.

Another question if I may? Does anyone else feel a bone-chilling cold when they go low? I have been shivering and feel icy cold as I near the 4.0 mark. Not technically a hypo above 4?

Regards,

Carol
 

Li4m79

Active Member
Messages
28
Type of diabetes
Type 2
Treatment type
Diet only
just be careful with your glicazide, I was on Glipizide and took a Hypo... The nurse told me if my readings were below 9 then i should avoid taking it. Now on a semi strict LCHF diet i no longer need it, although i'm still on the metformin for now.

I wouldnt worry too much about your morning readings, from what I have read its could be "dawn phenomenon" perfectly normal.... the main thing is you levels are going down to normal levels relatively quickly :)
 

Cat0409_

Well-Known Member
Messages
147
Type of diabetes
Type 2
Yep I've been feeling awfully cold every time I get under 5. I've taken to making sure I have a jumper everything I go out, even if I just leave it in the car.
Its annoying to say the least as we have had some gorgeous sunny days of late and I usually run around in a tshirt and shorts most of the time