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Message: <blockquote data-quote="EllieM" data-source="post: 2163014" data-attributes="member: 372717">Well, the good news is that though an hba1c of 54 is definitely diabetic, it's in the very low end of that region. As a T1 diabetic (ie I produce no insulin at all so need to inject it), my specialist would prefer me to keep my levels slightly lower, but only slightly, and I've spent decades at levels higher than that with no significant ill effects.Honestly, if you're willing to reduce the carbs in your diet, you can probably reduce your levels to normal without any need for medication at all. I'm surprised that they didn't suggest diet and exercise as an option before putting you on metformin, though maybe your low weight is the reason why (as weight loss is not going to improve your symptoms).Hopefully some T2s will advise soon, but if I were in your position I'd scrap the metformin and concentrate on lowering the carbs. On the diet front - be careful of bread, potatoes, rice and pasta - they are all packed full of carbs. You also have to be slightly careful with fruit - berries are fine but a lot of other fruit is packed full of fructose - one of the worst forms of carb for a T2 diabetic. But I'll leave the diet advice for T2s, as a T1 I can inject for carbs. If you list the typical food/drink you consume in a day you'll get a critique which will probably make drastic reductions to your blood sugar. The good news is that a blood sugar of 6.9 is still within the normal range, so it makes the T1/LADA diagnosis less likely. If you stop producing insulin then your blood sugar will shoot up to much higher levels than that.</blockquote>

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