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Message: <blockquote data-quote="CHRISXX" data-source="post: 2696963" data-attributes="member: 553473">Hello again TheSecretCarbAddict,Thanks for your message and for including screenshot showing how the dawn phenomenon affected your blood glucose at those times.I am obviously much less concerned about the approximately 30 ocassions in the last 2 years that I described as it seeming strange to me to have quite a high morning blood glucose test result than I am about the seemingly unexplainable recent high test results - however those tests have also mainly been during the morning or afternoon and all tests were before eating and drinking except for drinking a glass of water.This mornings test result at 10am was 6.9.Because I am a retired Engineer and have been used to dealing with problems on a `cause and effect` basis when I started to get the higher blood test results knowing that there was no change in my diet, medication or lifestyle in general to have caused those higher blood glucose results I became worried.The fact that the higher home blood test results only started 2 days before my Diabetes review blood tests has meant that because the official tests showed my 3 monthly average blood glucose as 45 there was no need for a Doctors appointment / telephone appointment to be arranged by the Surgery and because of that `official result` there was no need to change my Metformin dose from 1g.I cannot imagine that the future results of my home blood glucose tests will just revert back to the 5 to 5.5 range that they were at for a year prior to 17 days ago.There has to be a recent cause for this - I don`t claim to have any medical knowledge but looking at this logically if I am correct about what Metformin actually does my first guess is that the Metformin 1g dose is no longer regulating my insulin production to a level where that is regulating my blood glucose to within the 5 range when tested daily on my Palmdoc 2 blood glucose meter.But would that possibly mean that my pancreas has stopped producing as much insulin as it has been producing for the previous 2 years and that my Diabetes is getting worse ?As I described in a lot of detail in my messages replying to Member Rachox it is impossible to arrange Doctors appointments without actually going to the Surgery and that is not possible for me as I am housebound with a severe back problem and problems with both knees.I was driven to the Medical Centre Blood Clinic 2 weeks ago by a friend who had his first weekday off work in 3 months - it could be another 3 months before his next weekday off - all of my other friends are either also working Monday to Friday / Saturday or are retired and no longer drive so actually being able to go to the Surgery to explain why I need to see or at least speak to a Doctor during a telephone appointment will not be possible.Even getting a minicab to go there is not viable as because the Surgery / Medical Centre is next to an estate where there are lots of problems and criminal activity you cannot get minicabs to pick you up from there to travel home - the people who could not get cabs to come onto the estate started asking to be picked up from the Medical Centre then when there were problems with them the minicab companies refused to send cabs there which caused problems for legitimate Surgery patients like me who needed cabs.Wait and return bookings are not really viable either unless you are prepared to pay as much or more than the actual fare for the waiting time because there is always a queue of lots of people waiting to see a receptionist - you could be queueing for reception staff for longer than it takes when you have an appointment - are waiting to see a Doctor and are in the room with them.Sorry for the very long message.I mentioned the additional details [more than I described to Member Rachox] about problems getting to see or speak to a Doctor so that Members could see that suggesting a Doctors appointment in my case cannot be achieved in the near future unless the blood glucose test results get worse and then I will have to try and arrange to go to the Surgery just to try and get an appointment and then have to arrange to be transported there again for the appointment unless it is a telephone consultation.Thanks again for your interest and for your messages I really appreciate it.Chris</blockquote>

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