Type 2 Today’s HbA1C test

[Gav-wxm]

Hi everyone,
I was diagnosed in January/February with type 2 and has a HbA1C of 96
It then came down to 46 on my 1st check up and I have just had my latest test result for the HbA1C of 40

It was just a receptionist I spoke to and they couldn’t give me any advice what so ever. My diabetic nurse is off for a few days so I wondered where does this leave me?
Am I in remission and if so do I keep taking my usual meds?

Any help is much appreciated
Thanks

 

[Prem51]

Well done on bringing your HbA1c down from 96 to 40 (non-diabetic range) in just six months.
Which meds are you taking for diabetes?

 

[JoKalsbeek]

Hey @Gav-wxm ,

I didn't call it remission until I was in the non-diabetic range and medication-free for 2 years, but yeah... I think it's time to talk to someone about reducing meds, IF it's diet/exercise that got your numbers down too, and not only medication. That might make your numbers go back up a little though. I think I remember you posting you were on metformin, if that's still the case, and nothing else has been added in the interim... Time to get an appointment with the GP to see whether you can reduce the meds. My specialist was convinced diet had nothing whatsoever to do with my non-diabetic numbers but that it was all down to the minimum dosage of gliclazide I was taking, so I'm just glad my GP saw sense and took me off it. (I had hypo's left and right, I didn't know now to low carb in combination with that stuff. And obviously, neither did my endo!). Keep an eye on your bloodsugars when you reduce medication eh.

Good luck!
Jo

 

[Resurgam]

Ha - you beat me - which is good, (I tell myself) and in two years you might well get 'in remission' on your file.
I think you are on Metformin only?
I felt so much better when I stopped taking that stuff - but there are those who feel fine on it, so it is just a case of making the experiment if you care to find out for yourself. It should - of course - be discussed with your nurse when she is available as that is the sensible way to do it.

 

[walnut_face]

No one here can tell you to change/stop your meds, we are not qualified.
Big congratulations on your achievement. Make an appointment to see your Nurse to discuss - a week or two's wait is not long in the scheme of things

 

[Bluetit1802]

Hi and well done on such a great drop down to 40. Whatever you are doing is working, so you must keep it up and not become complacent.

Everyone has their own ideas about remission, but it is far too soon for you to consider yourself to be in remission. There is no UK definition - GPs make up their own criteria, and some don't even believe in it. This is one definition:

“Definition of Diabetes Remission”
Following international standards [1,2] a person goes into diabetes remission when the following conditions are fulfilled:

1. Had a diagnosis of diabetes
2. Fasting Serum Glucose (FSG) is less than 100 mg/ml (5.6mmol/l)
3. HbA1c is less than 6.0% (42mmol/dL)
4. There is no active hypoglycemic therapy (either pharmacological or surgical)

We define three levels of remission:

• Initial. When the conditions are fulfilled for three months
• Complete. When the conditions are fulfilled for one year
• Operational cure. When the conditions are fulfilled for five years or more.

https://www.diabetesremission.org/our-task/

If you feel confident in stopping the Metformin, then ask your GP or nurse. You can always go back on it again if you wish.

 

[jjraak]

Hi @Gav-wxm

well done..

welcome to the hood.
(beat me to it by a few months, as well).

for me it's still metformin...read up, it has some protective
qualities..( or so they say.)

Have to say post by @Bluetit1802 out lining that definition, probably makes good sense.

I'd say complacency is the enemy here.
Get it down, then start back on the food that caused the issue, because they don't seem to spike you as much, because you have, to quote Dr Fung, emptied your bodies sugar bowl

Seen a few do well, then come back a year or so later, ruing that very thing .

Good luck, and well done..