Evna
Member
- Messages
- 5
- Location
- Cannock UK
- Type of diabetes
- Type 2
- Treatment type
- Tablets (oral)
- Dislikes
- I actually have a severe dislike of taking tablets and as such having T2 Diabetes is something of a disappointment in this regard
Hi,
This may go on a little but I really feel I need answers.. I've been type 2 since 2008 but has always been quite well controlled medicated with Metformin, Canafliglozin and Pioglitazone.
In Oct/Nov 2024 I had a total right hip replacement, all went well but about 3 - 4 months after (Jan/Feb 2025) I started to feel extremely fatigued most of the time and whilst I tried to keep mobile and moving it was becoming difficult. I went to see the GP in April 2025 and had a full blood test and on this test I got the result for HbA1c where it read..
Laboratory comment:
HbA1c not reported due to interference from
variant Hb/possible variant Hb. Please do not
send further samples for HbA1c on this patient.
Use fructosamine or glucose for assessing
glycaemic control.
Fructosamine added, due to the presence of
haemoglobin variant or increased HbF.
After other bloods and examinations my Metformin was increased to 1g twice daily.. (previously 750mg twice a day)
and in September 2025 I was given a diagnosis of 'Chronic Fatigue Syndrome' and am awaiting an appointment with a team regarding CFS at my local hospital (I was told it may be a long wait?)
This year in April 2026 I have again had bloods and the HbA1c is once again unavailable due to presence of HbF Since increasing my Metformin my blood glucose readings are basically all over the place high wake up / morning readings (12.0+ mmol/l) which will then drop during the day. I dont eat breakfast and have lunch / dinner based on low carb real food.
My HbA1c' s prior to 2025 have all been fairly well controlled in the 7's and 8's and no issues I have no idea what the relevance of the HbF is but its not been looked into as yet by GP, in fact in 2025 when it first came up the GP had to look it up as he hadn't seen it previously?
I feel that the presence of HbF could have something to do with Chronic Fatigue but no one is looking and is it possible that the increased Metformin can create issues with my blood glucose rather than easing the situation? I know I may be putting 2 = 2 and getting 5 but its rattgling around inside my head and GP's etc dont seem at all interested. Any thoughts welcome, kind regards
This may go on a little but I really feel I need answers.. I've been type 2 since 2008 but has always been quite well controlled medicated with Metformin, Canafliglozin and Pioglitazone.
In Oct/Nov 2024 I had a total right hip replacement, all went well but about 3 - 4 months after (Jan/Feb 2025) I started to feel extremely fatigued most of the time and whilst I tried to keep mobile and moving it was becoming difficult. I went to see the GP in April 2025 and had a full blood test and on this test I got the result for HbA1c where it read..
Laboratory comment:
HbA1c not reported due to interference from
variant Hb/possible variant Hb. Please do not
send further samples for HbA1c on this patient.
Use fructosamine or glucose for assessing
glycaemic control.
Fructosamine added, due to the presence of
haemoglobin variant or increased HbF.
After other bloods and examinations my Metformin was increased to 1g twice daily.. (previously 750mg twice a day)
and in September 2025 I was given a diagnosis of 'Chronic Fatigue Syndrome' and am awaiting an appointment with a team regarding CFS at my local hospital (I was told it may be a long wait?)
This year in April 2026 I have again had bloods and the HbA1c is once again unavailable due to presence of HbF Since increasing my Metformin my blood glucose readings are basically all over the place high wake up / morning readings (12.0+ mmol/l) which will then drop during the day. I dont eat breakfast and have lunch / dinner based on low carb real food.
My HbA1c' s prior to 2025 have all been fairly well controlled in the 7's and 8's and no issues I have no idea what the relevance of the HbF is but its not been looked into as yet by GP, in fact in 2025 when it first came up the GP had to look it up as he hadn't seen it previously?
I feel that the presence of HbF could have something to do with Chronic Fatigue but no one is looking and is it possible that the increased Metformin can create issues with my blood glucose rather than easing the situation? I know I may be putting 2 = 2 and getting 5 but its rattgling around inside my head and GP's etc dont seem at all interested. Any thoughts welcome, kind regards
