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Advice Please

T

topcatt53

Member
Hi- I am a type 2 and have been for several years with mainly good control over by sugar levels. However over the last few weeks I have had consistently high readings varying between 13 to 25 and despite following my normal diet etc., nothing has been able to bring them down although my last HA1bc was 7.9 just a few weeks ago. My sugar levels went up immediately following these. My GP is aware of these levels and has been adjusting my meds. (I had been on 2000mg slow release metformin but am now on 1000 slr metformin and 60 mg gliclizide)and also been referred to diabetes specialist for investigation.

But I feel dreadful, very tired, sleeping a lot freezing cold hands and feet and just generally feeling totally drained. Absolutely no energy and get breathless doing even the simplest task. I am really unsure whether I should go to A & E but don't want to waste their time if it is unnecessary. Does anyone have any advice please.
 
BG as high as those are the likely cause of your feeling dreadful
As to what to do about it.
I have no easy answers just a couple of suggestions
You say your numbers have been good until recently and that your diet has not changed.
It's worth your while keeping a food diary for a week or so. Writing down EVERYTHING you eat and your blood test results. If your GP isn't prescribing test strips for st least a couple of tests per day,now would be the time to ask for them .to get this prblem sorted out.
The food and blood glucose diary might show up somwthing going wrong.
The other suggestion, is to cut back on your starchy foods and see if that helps.
Either way you will do better if you can moitor often, so ask your doctor for enough strips.
Hope things improve. Please let us know.
Hana
 
Thanks Hana luckily my GP is only to happy to let me have as many strips as I like so no problem with keeping an eye on my levels, don't eat a lot of starchy food anyway but will do as you suggest and keep a food/blood sugar levels diary for a while to see if there is any common factor but at the moment I can see no rhyme or reason to any of it.
 
Hi topcat,

If you are feeling ill and your blood sugars are rising, make a call to NHS direct and see if they can advise you.

Catherine.
 
Did you GP comment on your cold hands and feet?

I have a (not related to diabetes) hereditary anaemia problem from time to time, this has always caused me to feel cold in fingers, toes and tip of nose.

Since I started on the path to diabetes a couple of years back, I've noticed that whenever my anaemia appears again, my BG reading goes up quite a bit - and I see that anaemia can also cause you A1c to go up too.

http://content.karger.com/ProdukteDB/pr ... elNr=79722

A small number of people get anaemia caused by the interaction of Metformin in the gut - it stops absorption of B12 from food and as you slowly become B12 deficient, so too does a form of anaemia often appear.

I was never on Metformin long enough for this to be a problem, but my GP did mention it in passing, bearing in mind my recurrent anaemia. If I'd had to stay on Met, I'd have had to go for frequent B12/anaemia tests.

The only drug I take now is Glucobay/Acarbose intermittently; it does not interfere with vitamin absorption.

Might be worth mentioning to your GP - just in case he is overly focussed on your BG and didn't fully take on board your cold extremeties. It may, of course, be nothing whatsoever to do with this - we are all different!

If it *is* anaemia, a couple of shots should restore you to normality in only a week or so - here's hoping!

Hope this helps.

mark
 
You say your eating the same foods - sometimes manufactures change their recipe so it might be interesting to check this.

Plus our bodies can get used to having the same thing so it might be good to change - hard I know but if what you were eating isn't now working it might be due for a change.

Best of luck
Sue :)
 
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