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83....improvement, but not by much.
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<blockquote data-quote="Oldvatr" data-source="post: 2543972" data-attributes="member: 196898"><p>Did the Trulicity shift any weight off? I remember you do not have much to lose anyway, but you need to reduce insulin resistance, ans weight loss is a way of getting that. Most diabetic meds work on increasing insulin output so will not be of benefit for you. You need meds that either stop you absorbing carbs in the first place, or by shifting glucose through excretion. Meds like that are Metformin, Actos, and the 'gloflozins like Forxiga. The one I suggested earlier, Acarbose, is not really a diabetic med, but is a carb delayer and lowers the spikes by flattening them. It is used in the treatment of Reactive Hypoglycemia (RH)</p><p>[URL unfurl="true"]https://bnf.nice.org.uk/drugs/acarbose/[/URL]</p><p></p><p>But Low Carb really is a game changer if you have insulin resistance. An alternative diet plan is the ultra low calorie diet like Newcastle, or the Fast Blood 800 style diet plans that use meal replacement shakes. But the latter rely on you losing a lot of weight to get the benefit IR wise, which I believe you cannot do too much of. Also the shakes are expensive to buy. The meal replacement is formulated to provide a balanced protein vitamin and essential needs meal thus removing the need to do any special shopping or thinking coz its all in the tin. But they taste bland and leave you hungry (by design) so they are easy to do, but not easy to keep going. But they work (apparently) </p><p></p><p>As others have suggested, if you share details of what you currently eat we may be able to help you tweak the meals to get better results or suggest alternatives. That glucose is coming from somewhere so if you can turn down the tap any more it will get things moving quicker.</p><p></p><p>Well done on getting the improvement in HbA1c. Lets help you keep it moving in that direction.</p></blockquote><p></p>
[QUOTE="Oldvatr, post: 2543972, member: 196898"] Did the Trulicity shift any weight off? I remember you do not have much to lose anyway, but you need to reduce insulin resistance, ans weight loss is a way of getting that. Most diabetic meds work on increasing insulin output so will not be of benefit for you. You need meds that either stop you absorbing carbs in the first place, or by shifting glucose through excretion. Meds like that are Metformin, Actos, and the 'gloflozins like Forxiga. The one I suggested earlier, Acarbose, is not really a diabetic med, but is a carb delayer and lowers the spikes by flattening them. It is used in the treatment of Reactive Hypoglycemia (RH) [URL unfurl="true"]https://bnf.nice.org.uk/drugs/acarbose/[/URL] But Low Carb really is a game changer if you have insulin resistance. An alternative diet plan is the ultra low calorie diet like Newcastle, or the Fast Blood 800 style diet plans that use meal replacement shakes. But the latter rely on you losing a lot of weight to get the benefit IR wise, which I believe you cannot do too much of. Also the shakes are expensive to buy. The meal replacement is formulated to provide a balanced protein vitamin and essential needs meal thus removing the need to do any special shopping or thinking coz its all in the tin. But they taste bland and leave you hungry (by design) so they are easy to do, but not easy to keep going. But they work (apparently) As others have suggested, if you share details of what you currently eat we may be able to help you tweak the meals to get better results or suggest alternatives. That glucose is coming from somewhere so if you can turn down the tap any more it will get things moving quicker. Well done on getting the improvement in HbA1c. Lets help you keep it moving in that direction. [/QUOTE]
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