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HbA1c Result - Advice needed

P

PSS

Well-Known Member
Messages
69
Location
London
Type of diabetes
Treatment type
Tablets (oral)
Just had my HbA1c result. It is 59. Slightly up from 56 last time.

I am T2 and having had seizure in the past and suffering from anxiety, my nurse took me off all meds on 01 Dec 14.

My doctor thinks I should not have been off Metformin and should go back to one Metformin 500 mg/day.

What are your thoughts/opinion? Thanks in advance for any advice.
 
59 is diabetic and i think metformin will help you.
At the end of the day whats important is what the doc thinks but I do feel you should be on it.
Unless you have any side effects or any other medication going on because of which they dont think you should be on met or it interferes with it.
Are you doing lchf.
 
brettsza said:
59 is diabetic and i think metformin will help you.
At the end of the day whats important is what the doc thinks but I do feel you should be on it.
Unless you have any side effects or any other medication going on because of which they dont think you should be on met or it interferes with it.
Are you doing lchf.
Click to expand...

Brettsza

Thank you for your reply. The reason I was taken off the meds was that I had been suffering from anxiety and false hypos.

Looking at your A1C, I am really impressed. Are you on meds as well?

PSS
 
Do you have a lot of weight to lose? If so, then Metformin may help. Otherwise it will only help to a very limited extent.
Diet is the key to lowering blood sugars. Metformin isn't a miracle drug and doesn't lower blood sugars after eating. It works on the liver helping to reduce the amount of glucose the liver can produce in certain circumstances, and is an appetite suppressant. It can't be relied on on its own - unlike injected insulin - as I said, diet is the key.
 
Bluetit1802 said:
Do you have a lot of weight to lose? If so, then Metformin may help. Otherwise it will only help to a very limited extent.
Diet is the key to lowering blood sugars. Metformin isn't a miracle drug and doesn't lower blood sugars after eating. It works on the liver helping to reduce the amount of glucose the liver can produce in certain circumstances, and is an appetite suppressant. It can't be relied on on its own - unlike injected insulin - as I said, diet is the key.
Click to expand...

Thank you, I am almost 6 ft and weigh 82 Kg. I have been trying to control my T2 by diet and exercise. My a1c has stayed around 56-59 since Dec last year.

I can do more with cutting out carbs but when I get anxiety, I always eat something (banana, cereal bar (no added sugar)) and that makes me feel better.

I agree with you, diet is the key but I am not succeeding at the rate I thought I would have done by now :-(

Regards

PSS
 
Finally got my hb1a results from surgery receptionist over the phone. It's 48. Can someone tell me what that is? Was 7.6 last time. Help!!
 
Thanks Lou73. Us oldies aren't up to scratch with mmol!! :)
 
PSS said:
Thank you, I am almost 6 ft and weigh 82 Kg. I have been trying to control my T2 by diet and exercise. My a1c has stayed around 56-59 since Dec last year.

I can do more with cutting out carbs but when I get anxiety, I always eat something (banana, cereal bar (no added sugar)) and that makes me feel better.

I agree with you, diet is the key but I am not succeeding at the rate I thought I would have done by now :-(

Regards

PSS
Click to expand...

Your BMI seems normal to me, so no weight to lose.

Cut the bananas! They are really liquid sugar. Don't buy any. Try a few (and I mean a few) nuts, or try some cheese like Babybells for a snack. Try a few strawberries with double or clotted cream - delicious!!!

What else do you eat as a general rule?
 
Had my annual check last week and my HbA1c is up from 45 to 96. I'm starting metformin today.....
 
PSS, have you considered getting some help with your anxiety? Talk therapy and medications can be effective.

Did your doctor believe that Metformin was contributing to your anxiety and false hypos? If it definitely was, and you need diabetes medication, I would be looking into the pros and cons of other medications. Going without medication seems to be possible for those people who can get their BGs low enough for long enough, but I have no idea if it would be the best thing for you. Only you can decide that, through discussion with your doctor.
 
Hi PSS

I would say that unless there are any contraindications metformin would probably help.

It helps me I think and I have been on it for 12 months now.

I take it part way through meals and I was started off on one pill per day gradually increasing to 4x500 mg daily. Over a period of weeks.

I was testing fairly intensively at the time and I always graph my results.

What I saw was that each increase in dosage caused a step change in my levels for the better.afraid I an away at the moment and don't have the figures to hand but I beliefs I saw a clear correlation.

I can't comment on the mechanism but the overall effect has helped me.

HTH

Tim
 
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