HBA1C of 56 from 47 six months ago.

[Derbysocks]

My HBA1C a year ago was 42. The DN was not happy. Six months later it was 47 and the DN was happy with that. A few weeks ago my HBA1C wax56. I received a phone call last week saying they wanted another HBA1C done on the 24/4/23. I was told yesterday, after being refused a reason over the phone, that they considered this abnormal. They said they may need to adjust my medication. I have been on pills and insulin for almost 6 years, and 6 years ago I am sure my HBA1C was worse. They only adjustment to my medication for diabetes has been varying my insulin and I did that without any input for a DN. I can’t find anything on the internet why they now seem to think a small increase is abnormal. Any ideas? My meds are as follows
Amlodipine 10mg x1
Atorvastatin 20mg x1
Candesartan 16mg x1
Empalifiozin 10mg x1
Indapamide 2.5mg tablets x1
Sukkarto SR 1000mg x2
Basal insulin 24 morning and 18 evening unit daily.

 

[Ronancastled]

Your profile says Type 2.
Your surgery is basing their feedback on guidelines for insulin treated diabetics.
Too low & you run the risk of hypos through over medication, too high & you run the risk of complications, it's a balancing act.

In your early days post diagnosis, over 6 years ago, how far did you get with diet/lifestyle changes ?

 

[Deleted member 527103]

Your profile says Type 2.

Someone with type 2 could be on insulin. Why are you questioning this?

Your surgery is basing their feedback on guidelines for insulin treated diabetics.
Too low & you run the risk of hypos through over medication, too high & you run the risk of complications, it's a balancing act.

This is old school thinking (although some doctors have not caught up).
People who are treated with insulin in the UK should be entitled to Libre which enables us to maintain lower HBA1C whilst avoiding most hypos.
It is still a balancing act but the use of a CGM like Libre means we can be warned before going hypo and treat it accordingly.

 

[Derbysocks]

Unfortunately life style changes, like low carb, costs lots of money. I am unemployed and eating bad cheap foods cost less. With the recent price increases that reduces even further the food I can buy. I have also tried not to cook anything as cooking is very expensive.
Yes with better foods I may live longer, but with all the pressure I am getting from the UC pearled at the job centre, firing a little sooner will be no lose.

 

[Lainie71]

Unfortunately life style changes, like low carb, costs lots of money. I am unemployed and eating bad cheap foods cost less. With the recent price increases that reduces even further the food I can buy. I have also tried not to cook anything as cooking is very expensive.
Yes with better foods I may live longer, but with all the pressure I am getting from the UC pearled at the job centre, firing a little sooner will be no lose.

Are you claiming everything that you are entitled too. Just wondered as you may be missing something that could help you out financially x

 

[Derbysocks]

On UC currently. I have slight complication like neuropathy and retinopathy. I can barely keep my UC as they keep on threatening to close my account. I have checked so please don’t say they can’t as CAB, my MP and the job centre say they can close it whenever they want. I tried pip and wca but they all said my health conditions are not serious enough. Yes I asked for mandatory reconsideration and appealed to a tribunal.

 

[Derbysocks]

Your profile says Type 2.
Your surgery is basing their feedback on guidelines for insulin treated diabetics.
Too low & you run the risk of hypos through over medication, too high & you run the risk of complications, it's a balancing act.

In your early days post diagnosis, over 6 years ago, how far did you get with diet/lifestyle changes ?

I have was diagnosed in 2006 so life style changes I could afford I tried for 11 years.

 

[Lainie71]

On UC currently. I have slight complication like neuropathy and retinopathy. I can barely keep my UC as they keep on threatening to close my account. I have checked so please don’t say they can’t as CAB, my MP and the job centre say they can close it whenever they want. I tried pip and wca but they all said my health conditions are not serious enough. Yes I asked for mandatory reconsideration and appealed to a tribunal.

What about your mental health has this not been taken into consideration, you are clearly suffering that's why I have asked.

 

[Derbysocks]

What about your mental health has this not been taken into consideration, you are clearly suffering that's why I have asked.

I am sure everyone will be perfectly ok. UC will be saving the monthly amount, the eye infirmary can stop seeing me every 2-3 months, and my doctors can save the money on my treatments. Everybody wins

 

[Lainie71]

I am sure everyone will be perfectly ok. UC will be saving the monthly amount, the eye infirmary can stop seeing me every 2-3 months, and my doctors can save the money on my treatments. Everybody wins

Except you and that's not right