Hi advice please diagnosed in 2012 been on low carb since then has worked pretty well but now after a few infections my blood sugar is too high so now I find my self taking meta form in 30mg two tablets twice a day and linagliptin 5mg a day and Gliclazide 30mg a day. Go says if this does not work I will need to start injecting once a month ...
any thoughts greatly appreciated
Annina
My thoughts are that you are a type 2 diabetic with insulin resistance yet have been prescribed 2 drugs which will increase your insulin resistance because they encourage your body to make more of the stuff! Metformin works by reducing the amount of glucose that your liver releases so is generally regarded as useful if you can tolerate it.
The GP just wants to reduce your bgs but you know that low carb has worked in t he past but that now that you've hit a blip.
I'd ask the following:
Do I still have an infection (C Reactive Protein and IL6 in my blood?)
Am I still making insulin (C peptide)
If the latter test is positive (not making enough insulin of your own) then it makes sense to take insulin or insulin stimulating drugs (an illness can cause diabetes to develop in some cases).
If the latter is negative i.e. you are making insulin and you still have an infection then the aim of treatment should surely be to get on top of the infection then go back to reducing your insulin resistance via diet and exercise.
I am not a doc but have a read of Jason Fung THe Diabetes Code where he discusses the crazy focus on reducing blood sugars when the real goal of treatment should be to reduce both insulin levels and glucose levels in the body.
From your post I'd assume you'd rather not be on insulin or taking lots of pills hence my suggestions to ask loads of questions!
ps I'd agree with the inference that there could have been some slippage in your low carb approach so worth doubling down on that even if you are on bg lowering drugs though infection is a major cause of blood sugar rises.
