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How to raise HbA1c and not put on weight?

C

crisper

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I would much appeciate some suggestions as to how best to achieve my own goals of not putting on any more weight (my BMI is 22.5) and my diabetic team's "suggestion" that I raise my long-term BG.

Having been tested, apparently there is not doubt that I am a type 2. I do not have any trouble being on insulin (novomix 30 - and not a lot of it) + whatever they put you on when you are type 2 :|

My own experience so far .. some months .. is that, either I am higher than a kite (bg-wise and only for a while = high carb things) or it is business as usual, which means, as I look at it, does nothing for my HbA1c .

I have tried to go without insulin, but that is not a good idea.

Ideas?
 
What is your HbA1c right now? Can't think why you should raise it - UNLESS - you are getting hypos from the insulin you are injecting. Sounds like your care team wants you to have a higher HbA1c so that you can afford to keep taking insulin.

Here's an idea, instead of raising your HbA1c to cover the insulin, why noty JUST INJECT LESS INSULIN?
 
My HbA1c has been 5.5, 5.6 over the last 8 months from 10.5 from diagnosis in May 09. I rarely meaure such low numbers during the day, so something must happen during the night.

Metformin did not do anything much, which was why I was also put on insulin. On my own I have tried not taking metformin and/or not taking insulin. It does not work. BG keeps on rising and becomes very irratic - and this on very little food - I am not a big eater.

I started out on 12 units a day Novomix30 + 2000 mg metformin, but that gave me hypos, so I am now down to 4 units once a day and I have cut myself down to 500 mg metformin a day.

Up until 8 months ago I used to have regular hypos, but now experience them only on days when I have slept badly or am stressed or grab breakfast on the fly.

I am puzzled, as I too thought that once I cut down on the insulin my HbA1c would rise - it has not really done so - but I am thankfully more or less free of hypos. The down-side of cutting down on insulin and metformin (this last is my own idea and may not be a good one) is that now often have days with high BGs, which have their own symptoms and as I am sure most of you know, they are not pleasant. In short, my BGs are doing the jojo.

I have a very interested and sympathetic diabetic team, but feel very "under-dressed" when discussing these problems with them, no doubt because I have not been diagnosed for all that long and I appreciate any and all insights from anyone t1 or t2 ... Diabetes is filling my days - even after 18 months and I am *sick* of it :shock:
 
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