You have come off metformin a year ago, and your HBA1C has gone up from 38 to 40 in that year. Why not go back on it to improve your levels. The NHS told me I was "not diabetic" at HBA1C 39, but
@jimlahey on here kindly pointed out that that was the equivalent of 5.7% in the old scale of HBA1C which equalled 6.52 in blood sugar. That just out of the prediabetic range and just into the actual diabetic range. I am convinced the NHS sets the bar too high.
https://www.diabetes.org.uk/guide-t...UMF8Ya_y5DYtMv8FdcrYme6jvps1bdd8aAvdCEALw_wcB http://perinatology.com/calculators/HemoglobinA1C.htm
http://www.wales.nhs.uk/sitesplus/documents/866/HbA1c converter.pdf
https://professional.diabetes.org/diapro/glucose_calc
@Tannith
Just a word of clarification.
In your post, you asked
@Flamingo74 'why not go back on Metformin to improve your levels'.
This is dodgy territory, since the forum rules are clear:
Forum Rule A11. Important: Members are generally not Health Care Professionals, and those who are participate on the Forum as Members, not Health Care Professionals. Members are unable to diagnose any condition, or instruct in the alteration of medication, irrespective of personal or professional standing or experience.
In future, why not suggest that the member consults with their doc or nurse to see whether they can go back onto medication, or to discuss different treatment options? That is fully in the spirit of the forum rules.
@Flamingo74
Can I ask what your HbA1c was at the time you were prescribed the Metformin in the past?
The reason I ask is that many CCGs here in the UK have strict guidelines at which they start to prescribe blood glucose lowering medication such as Metformin to T2s. With a test result of 40, you may now be well below the level your doc is able to prescribe Metformin.
I do agree with the posters above who are suggesting that you look at total carb intake, and calculate what works for you. If you use a glucometer to test before and 2 hours after eating, you will quickly see which foods your body can cope with, and which send your blood glucose unexpectedly high.
And just one other thing - please do not get too hung up on a rise of 2 or 3 points on your HbA1c.
The tests are simply not that accurate.
In fact, we have had members post to say that they have had 2 tests taken on the same day, which show significant variance, and I believe
@Bluetit1802 had two tests taken on the same day, sent to two different labs, which came back with different results. So please consider your HbA1c as 'a ballpark figure' rather than an extremely accurate one.
In your case, your results are 'late 30s to 40' and still below pre-D on both occasions.
Hope that helps.