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<blockquote data-quote="timgil" data-source="post: 2202139" data-attributes="member: 496446"><p>I was diagnosed December 2018 and my first A1C was 122. While I don't think the diabetes nurse I have seen has always given me the best advice - she has not "forced" me into anything and I have clearly (but politely) told her where I disagreed (and why). I am not someone who can "follow a diet" and quickly realised that its a lifestyle change I needed rather than "go on a diet". Initially I was on Glimepiride but then moved to Metformin more recently. To be honest, I felt really bad - and it was no shock that I had T2 - so I was willing to take the Glimepiride to start with. I had more reluctance to take the Metformin as I was worried about the side effects (which never happened for me).</p><p></p><p>While I am sure the drugs have made a big difference - I also think my change in eating habits have made more difference and all I have done really is cut down on carbs. Cut out white bread, only have seeded multi grain, and not nearly as much as I used to. I used to eat far too much pastry from Greggs - so I have cut that out mostly (only an occasional treat) and I park my car a good 10-15 mins walk away from work each day.</p><p></p><p>Basically I have just changed my diet to "sensible" and I am sure this has had as much effect as the Metformin. My latest two A1c results were 37 in September when I was coming off he Glimepiride and 39 just a few days ago. I was worried it would go up a little coming off the Glimepiride but seems to have been unfounded.</p><p></p><p>When I was on the Glimepiride I didn't have too many problems with Hypos. A few times my sugar went down to the low 4's and only one time went to 3.8. I did several have symptoms of hypos but that was in the 5's as my body had been so used to having high sugar (I recorded 27.1mmol/l at once stage just after being diagnosed!). Now, fingerprick tests are often around 5.6 which I am super happy with.</p><p></p><p>My advice would be read what you can - learn what your options are - talk to the fantastic people here - listen to your medical professionals and THEN make your own decisions. I have also found that when I had said "no" to the nurse, giving a reason and being prepared to follow this up with a source for why I feel that way... has really helped. In my case I have found the nurse just wants to make sure I am making informed choices. If she can see I have thought about it and have a reason for what I am saying, she accepts that this is my decision and I am informed. She's fine then. Most heal care professions SHOULD be of the feeling that it's YOUR health and YOUR decision and they offer guidance and support.</p><p></p><p>Good luck!</p></blockquote><p></p>
[QUOTE="timgil, post: 2202139, member: 496446"] I was diagnosed December 2018 and my first A1C was 122. While I don't think the diabetes nurse I have seen has always given me the best advice - she has not "forced" me into anything and I have clearly (but politely) told her where I disagreed (and why). I am not someone who can "follow a diet" and quickly realised that its a lifestyle change I needed rather than "go on a diet". Initially I was on Glimepiride but then moved to Metformin more recently. To be honest, I felt really bad - and it was no shock that I had T2 - so I was willing to take the Glimepiride to start with. I had more reluctance to take the Metformin as I was worried about the side effects (which never happened for me). While I am sure the drugs have made a big difference - I also think my change in eating habits have made more difference and all I have done really is cut down on carbs. Cut out white bread, only have seeded multi grain, and not nearly as much as I used to. I used to eat far too much pastry from Greggs - so I have cut that out mostly (only an occasional treat) and I park my car a good 10-15 mins walk away from work each day. Basically I have just changed my diet to "sensible" and I am sure this has had as much effect as the Metformin. My latest two A1c results were 37 in September when I was coming off he Glimepiride and 39 just a few days ago. I was worried it would go up a little coming off the Glimepiride but seems to have been unfounded. When I was on the Glimepiride I didn't have too many problems with Hypos. A few times my sugar went down to the low 4's and only one time went to 3.8. I did several have symptoms of hypos but that was in the 5's as my body had been so used to having high sugar (I recorded 27.1mmol/l at once stage just after being diagnosed!). Now, fingerprick tests are often around 5.6 which I am super happy with. My advice would be read what you can - learn what your options are - talk to the fantastic people here - listen to your medical professionals and THEN make your own decisions. I have also found that when I had said "no" to the nurse, giving a reason and being prepared to follow this up with a source for why I feel that way... has really helped. In my case I have found the nurse just wants to make sure I am making informed choices. If she can see I have thought about it and have a reason for what I am saying, she accepts that this is my decision and I am informed. She's fine then. Most heal care professions SHOULD be of the feeling that it's YOUR health and YOUR decision and they offer guidance and support. Good luck! [/QUOTE]
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