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Message: <blockquote data-quote="xyzzy" data-source="post: 1351205" data-attributes="member: 40343">So here's my first diabetes post on this forum for some years. I hope it's still a lively and supportive place.I've just passed my 5th year since diagnosis and all was well with the world until a few weeks ago. I am a low carb advocate and have pretty much followed the same 120g / day diet for the last four years but was stricter in the first year until I lost some weight  (lost 4 stone in 9 months) and got my BG's under control. Apart from at diagnosis in the last 5 years my HBA1c has never been outside the range of 4.7% to 5.8% - until the last one. My last hba1c came back at 6.5% which was surprising and then in the last few weeks despite maintaining my normal diet things have got well out of hand with all the old symptoms re-emerging (thirst, thrush etc.). I broke out my BG meter that I nowadays only very infrequently use to find readings in the high teens (19.7 was the highest). So back to my diabetic nurse last week who luckily saw something was up and is taking things seriously. She sent me away to do pre and post meal testing for a few days to see what was going on and it's not pleasant reading. I've now managed to get my average down to around 10 by going very low carb (around 30g / day). The nurse has told me to continue VLC for a month and then they'll review. She is suggesting a GAD test to see if the rise is down to insulin resistance or a decay in Beta cells. So a few questions.Any other long term low carbers experienced this?What's the thinking on the new meds Forxiga (Dapagliflozin) or Invokana (Canagliflozin)? I'm currently just taking Metformin and am loathed to take anything that stimulates insulin production as I want a pancreas that keeps working for as long as possible. I understand the new drugs just stop the absorption of glucose so you just pee out excess sugar? How effective are they?What I want to achieve is to get back to the lifestyle balance I had for 4 years i.e. moderate low carbing as it has worked very successfully in terms of BG's, cholesterol, blood pressure and weight. I don't mind doing the VLC thing for a while to get control back but its not long term for me.</blockquote>

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