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HBA1C results

M

Maggie75

Well-Known Member
Messages
176
Hi everyone,

I'm T2, currently taking Dapagliflozin 10mg and Sitagliptin 100mg. My diabetes is not at all well controlled due to my mental health issues which have been terrible for months now.
I was at the nurse on Monday for an infected abscess (probably due to all the sugar and carbs) and she asked me to have another HBA1C done as the last one was in December and it was 70. That's when I was put on the Dapagliflozin. Anyway, the results have now come back for the one on Monday and HBA1C is now at 60.
I was so surprised by this, with the way that I've been eating, the Dapagliflozin really must be doing something because unfortunately I can't. I guess the unpleasant side effects that go along with it will just have to be tolerated. It seems to be keeping my weight in check as well.
The nurse I spoke to on Monday and my own CPN think I have developed a food addiction now, I can't argue with them there. Nurse was talking about me going onto Mounjaro but I doubt the NHS would even consider funding that. It would appear again that my body continues to fight for me but I cannot do the same for it. I'll keep on with the medications and see how it goes.

Maggie
 
If you get funded for Mounjaro and decide to go ahead with it, that sounds like a good choice to me. If they won’t fund it there are other drugs licensed for type 2 diabetes under the NHS, which also help with weight loss. I have been on Victoza injections and more recently Rybelsus tablets. They are both from the GLP-1R group of of medications. When I was initially diagnosed in 2017 when my mental state was good I managed to lose a shed load of weight (I was morbidly obese) just on Metformin and using a low carb diet. I then had a troubled few years, the death of both my parents and various health issues and my mental state was very poor. This resulted in gaining back some of that weight. I comfort ate high fat foods so although I gained weight my HbA1c stayed normal. At this point my GP and nurse agreed I could go onto GLP-1R meds and I have now lost the regained weight. I have found that these meds get rid of ‘food noise’. They might be something your nurse would consider to help you. Let us know how things go.

Edit for typo
 
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Thank you for your reply, I will definitely speak to the DN about Rybelsus if she tells me Mounjaro isn't an option. I'll need something to help me stop eating, that's for sure.

Maggie
 
Your dapagliflozin only alters the sugar level by about 0.8% so the drugs, whilst they help, don't actually make a massive amount of difference. I sometimes think we expect more from them that we actually get.
I think we all have the talent to amaze ourselves, and our bodies don't always do what is expected. I can eat a load of carbs and my sugars go up a fraction. I can look at an ice cream and it jumps by a lot, so there are things going on behind the scenes that can affect it and it's not just a case of eat this or that.
It's life, stress, exercise, mood, over-eating, under-eating, wombling free... and keeping well-hydrated. So if your HbA1c has dropped from 70 to 60, then, even without it being obvious to you, something good has happened in your system.
I'm no expert, but I've found that drinking a lot of sugar-free flavoured waters helps ease any hunger pains, and that together with moderate exercise and a balanced diet (including the occasional treat) has helped me far more that sticking rigidly to a 'diabetic' diet that makes me miserable, and makes me want to eat all the wrong stuff.
You've got this!
 
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