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Hello,At what point does Insulin become necessary? I was diagnosed type 2 about 15 years ago, My weight has been approx 88kg all this time Started with usual Diet and exercise and after about 3 years I Then progressed to Metformin which I could not tolerate in any form. Moved onto Gliclazide and after a year was on Maximun dose. Was then started on Dapagliflozin which was brilliant, Was on this for about 3 years but kept getting thrush and constant water infections along with a rash so I was taken off this. Thrush ect all cleared and have never returned. I was then put on Ozempic injection, This just made me vomit and again covered in a rash, i continued like this for 6 months before I refused to continue. Because off all these reactions they now want to start me on insulin, which I feel my current HBA1c levels do not warrant, My current HBA1c is 68mmol/mol Is this too early to start on insulin?
Thanks for any advice
Hello,
Welcome to the forum.
I’m sorry you had issue with some of the meds you were prescribed.
Firstly, could you give a breakdown on what the “usual diet” contained?
Forum rules state we can’t suggest stopping, changing or altering dose on any medication HCPs prescribe.
Hi Jaylee thanks for the reply
Im not a breakfast person but if I do tends to be a couple of rashers of lean grilled bacon and maybe scrambled egg
Lunch is usually a salad, lettuce, tomatoes, cucumber spring onions ect with either Tuna, Chicken or lean beef
Evening meals along lines of chicken and Basmati rice or chicken and green veg, In fact I would live just on chicken if my wife allowed me, No potatoes or other starchy carbs
I drink loads of water, Tea and Coffee with skimmed milk, Don't eat sweets, biscuits or pastries, Last 12 months I've had 2 take away Chinese meals at family gatherings. which just left my with high glucose levels and feeling ****. All in all boring diet lol
I think this is a question only you and your medical people can answer. I would not be happy running a hba1c of 68 for any length of time. I suggest talking to your diabetes nurse or GP and explaining why you don't want any other meds except insulin. I don't recommend leaving it for any length of time. Just my opinion.Hi Jaylee
Thanks for the reply and no your post didn't give me hard time, Sorry if I sounded like it did.
Yes I've got a meter, I've been very lucky and had one from the start which I have been encouraged to use, It seems otheres on the forum have had a hard time getting a meter from GPs.
My morning levels are between 8.5 and 12 and anywhere upto 18 after just simple meals with little to no carbs.
What I'm interested in is if people think that as my HBA1C is currently running at 68mmol and has been rising over the past 12 months is it too early for me to start insulin, I feel that it is and that there must be something else that wont have side effects I mentioned in my first post.
Anyway thanks for the help,
Brian
PS I used to be a member of this forum when I was first diagnosed but I lost my account so rearrested with my new details. I used to be BrianB
Hi, I think it’s time for insulin when nothing else is working, although I agree 68 isn’t really high, I think it’s too high and might warrant “some help” just my opinion, I’m not medical… or even intelligent come to think of it lol
I totally understand, I felt like a failure for finally giving in to the dreaded insulin, but although it’s the final straw, it’s a very effective straw, your numbers are in my opinion, high enough to potentially cause complications later on so need to be brought down, one way or another, I’m sorry this isn’t the news you wanted but hey, I’m probly wrong, insulin isn’t as bad as it’s made out, it’s kind of nice being able to get numbers down after years of failing to do so.Thanks for the advice, I've read some of your posts and you seem very intelligent lol. To me I always saw insulin as the last tool in the box and after that you dont have anything else that can do the job, Im only 57 years old to didnt want to use all my tools in one go if that makes sense
In NO way, shape or form are you a failure. Our bodies just sometimes do their own thing, out of our control, despite our best efforts. You are doing your best, you have done your best, and that is enough.Hi lucylocker61
Thanks for the reply, Just to be clear I DON'T want insulin but the oral meds I have been on either don't seem to be working anymore or I have had some sort of reaction to them, one of those reactions put me in hospital for 4 days, fist time id ever been in hospital lol
I feel that even at 68mmol its too early for Insulin but diabetes nurse says we have run out of alternatives. As you say its something I need to discuss with them, I suppose i was hoping someone would say 68mmol is fine and suggest an oral medication that I hadn't used previously that would by some miracle fix me. I can dream. Been getting myself a bit low about this and feeling like a failure.
Thanks for listening to me waffle on, I appreciate all the work you guys do in helping others.
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