HB1AC 48

Laconic said:

Does a HB1AC of 48 require metformin, I’ve been good the last 3 months following keto, with a few cheat days I’m now going carnivore hopefully will push me into pre diabetic range but I’ve got to see the diabetic nurse and we always argue if I should be on medication or not there will be fireworks…..

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My personal opinion is that it doesn't require metformin, but it does require doing something about it. That could be metformin or other medication, or a carb-restricted diet, or whatever you find that lowers your blood glucose to normal levels.

If you have a look in the "Success Stories" section of this forum, you'll see a number of accounts from people who have brought their blood glucose levels down. You might want to discuss those methods with your DN.

@Laconic looking at your past figures in your signature block it looks like you have done amazingly well in the past. No reason why you cannot get those blood sugars down, given that you are only very mildly diabetic at the moment. Check out those success stories @KennyA suggests.