It's all going wrong for me.

I always google it when I need it, so here it is

 

It sounds like you’re eating appropriate foods if you’re only seeing a rise of 1 max, however it sounds like the fasting levels are what’s worrying you. My fasting and post breakfast are always the highest of the day and pre and post dinner in the evening are better, with like you sometimes the after number is lower than the before. I believe insulin resistance improves as the day goes by. You have so many things to deal with just now. If it was me I’d tackle the infection as first priority. The BP and cholesterol I think are less urgent. Once you’re on top of the infection I would hope that your blood sugars would improve. Did you decide what you wanted to do regarding the suggested meds?

 

Lucy - Could you clarify for me; are all your numbers +1, or are you saying that when you're going about your business, your postprandial numbers are just +1 from preprandial?

I think that could make a difference to responses.

 

Thanks Lucy, so, it's the underlying issue, rather than any specific reaction to food degrading.

I know you have other health concerns in play, meaning it's a step too far for you to go very low carb. Whilst in your shoes, I'd hate it (as I have any medication, and swear every week, when I top up my weekly pot with my thyroid meds!), but it might be relevant to have some pharma support whilst your body is still coping with your long covid.

I'd probably want a bit of reassurance that your current UTI has been taken into account when recommending the Flozin prescription, and I'd also want to have agreed some form of fast track attention if the UTI were to recur, or thrush take it's place.

The last thing you need is to swap on uncomfortably hot frying pan with an equally scorching fire.

I'm confident you'll claw it back in time, Lucy, but in the meantime, perhaps a little help wouldn't be such a bad thing?

 

44 (taken from your signature) to 52 in a very difficult year doesn't sound dire to me, although with the finger prick tests you are seeing, it could be on the rise, recently.

Don't forget your UTI (and I think that you've had other issues of late too) will possibly have impacted on your "today" numbers, rather than too long into your A1c, but it all adds in.

You mentioned a Flozin in a thread about a year ago, so it could be the nurse has just gone fast forward to that, as a matter of course.

To be perfectly candid, in your shoes, I might be inclined to ask if I could have another test in say, two months. That'd give you a good idea, bearing in mind how biased an A1c is to most recent weeks, of your direction of travel - improving or struggling. Whilst it's never a good feeling when the A1c goes up, you aren't in horrible, swampy territory just yet. If another test was agreed (at 2-3 months), personally, I'd be inclined to spend that time seeing what if anything I could do, in terms of keeping my diet tight and getting rid of the UTI, properly. Of course, I could say the bugs will love the sweet urine, but glucose generally (where no relevant medication is in play) only spills out into the urine at around 10+. If that was a concern, I'd go to somewhere like Boots/eBay/HomeHealth or wherever and buy some urine dip sticks. That would inform you if you have glucose spilling, but would also allow you to keep an eye out for white blood cells, blood or protein in your urine - all of which can happen with a nasty UTI or just one that's hanging around.

(Your surgery might just give yo a tub of dip strips. They're cheap.)

If you were newly diagnosed at 52, I doubt the script pad would be coming straight out, unless your practise is one that likes to prescribe "early".

Lucy, I have really just unpacked my head there and it might be a bit jumbled. I'm certainly not telling you to do anything in particular. Only you can decide on your way forward.

Whatever you do, don't beat yourself up. Life has definitely conspired against you in recent times. It surely has to be your turn soon for a decent break.