high Hba1c

[weeblexx123]

Hi I have type 2 and am currently on Meformin, Ivandia and Gliclazide. Three months ago my Hba1c was 8.1 so they increaded my metformin to 2x500mg at both ends of the day. A recent repeat test showed my Hba1c has dropped to 7.5. I had a review with nurse who was concerned about my lack of control as I am she wanted to either increase my gliclazide or use byetta, She consulted with a GP who said no but change his Rosiglitazone to Piogliatazone to reduce his cardiovascular risk. I was encouraged by the nurse to return in 2 weeks and see a doctor and ask for a referral to the diabetic clinic at the local hospital. I am a little bemused as they dont want to seem to get my sugar control back but deem the cardo vascular risk more important. The last 3 mornings I have woken with sugar levels at 9 or 10.
Any comments welcome

 

[Ardbeg]

I am a little bemused as they dont want to seem to get my sugar control back but deem the cardo vascular risk more important. The last 3 mornings I have woken with sugar levels at 9 or 10.
Any comments welcome

Hi and welcome to the forum.

Sadly, from what I've both read and heard myself, betes and an increase risk of heart disease go hand in hand. I'm controlling my T2 with diet only (still haven't got around to the exercise yet, 8 months after my diagnosis) and was alarmed last month when my DN suggested that she put me on Statins when I see her next in October.

As for controlling your blood sugar levels a great deal of that must surely come down to your diet and eating regime. Are you low carbing and/or avoiding the usual temptations (sweets, crisps, junk food, etc)?

 

[peecee]

I think you have to have a BMI of 35+ to be considered for Byetta, at least that was true for my area.

 

[Sue Morton]

You say nothing about your diet. You must be testing as you have given your BS levels in the morning. Do you test 2 hours after having your meals? What are these levels?

The control of your diabetise is down to you. A lot of doctors (due to the PCTs) say that Type 2s don't need to test and so what the NHS is doing is relying on the drugs to keep our BS down.

My 2nd Hba1c was 9.3 and the DN wanted to increase my metformin (2x500mg 1 in morning and 1 eveing to 1 at lunch time as well) but I had only just started it was down from the initial test which was 11.4 and I had also lost 5lb since I had 1st seen her so I said could I continue trying to sort my diabetis with my diet. I am low-carbing, which seems to be working.

I did try some polish bread rye & wheat which makes lovely golden crisp toast (mouth watering as I type) at first by BS 2 hours later was 5.1 then next day 6.1 brilliant I thought I have found a bread I can eat but after a couple of days later I tested again and it was 9.2 and the next day 10 so the bread is now out of the window. It would seem my body at first didn't react to the bread as I hadn't had bread for sometime I assume but after the initial 2 days it reacted.

What were you eating the night before and at what time did you eat. I have returned back to having porridge (which some people can't eat) then take my metformin and I'm 6.3 this morning after my porridge.

I can't eat new potatoes for some reason they put my BS up 8.9 (only had 3 tiny ones as well) but had mash made from red potatoes and it was 7.1

Even though we are told by the DN and in the booklet produced by the NHS the food we can eat its how our bodies each individually react to the food. What one person can eat another can't. I was told I could have 1 square of chocolate (1 :!: ) if I had one I would want more at least 3. I would rather not have any.

Hope things work out for you

Sue