I have to see the doctor next week. I was given three months "grace" to try diet and exercise to control my type 2 (maybe 1.5) diabetes. Started off with a fasting level of 11.9 in September. Doing my own testing the average is 7.2 taking into account fasting, before and after meals for 14 days. (I have a Bayer Contour usb meter that works this out from my test results.) I know that they will try to get me to take Metformin and Statins, (cholesterol is 3.0). Doctor says that whatever I do I will have to take these drugs and probably insulin at some point and the sooner the better from my point of view. I know it probably sounds daft but I would like to postpone it as long as possible. I have tried really hard and would like a bit longer to persevere. Is 3 months long enough to have tried? The nurse said on Tuesday, that I had given it a go and it is not low enough it should be 6.00 and I should now give in and go on medication. Any views?
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Length of time to try diet and exercise to control
- Thread starter happycat
- Start Date
Daibell
Master
Hi. I would certainly go onto Metformin (SR) and you don't need any statins. If you are suspect 1.5 then you will progress to insulin faster than a T2. I'm possibly 1.5 (my opinion) but my GP says insulin is a last resort which shows how much GPs views on insulin vary. If you have reasonable pancreas activity left then Gliclazide can help and also Sitagliptin which is why I'm on them but they still don't control my blood suagr well enough. I would try the tablet route first before going onto insulin too early
phoenix
Expert
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- 5,671
- Type of diabetes
- Type 1
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- Pump
If you do have LADA (1.5) rather than T2 then insulin will be necessary eventually. .
Personally, If I had gone to the doctors earlier (I tried to heal myself with diet and exercise) 'knowing' what I 'know' now I would have preferred to use insulin rather than most other oral medications . The problem in LADA is declining insulin, using injected insulin is merely supplying what is missing.
In retrospect, I certainly wouldn't want to have left it (as I did) until the last possible moment.
My HbA1c has been regularly in the 5s for 7 years, I started off from a fasting level in the 20s.
The evidence on appropriate interventions earlier on in LADA is sparse so no one medication is necessarily the best, It does seem though that using sulphonylureas (gliclazide) might not be a good choice, A Cochrane review said
http://onlinelibrary.wiley.com/doi/10.1 ... 3/abstract
Personally, If I had gone to the doctors earlier (I tried to heal myself with diet and exercise) 'knowing' what I 'know' now I would have preferred to use insulin rather than most other oral medications . The problem in LADA is declining insulin, using injected insulin is merely supplying what is missing.
In retrospect, I certainly wouldn't want to have left it (as I did) until the last possible moment.
My HbA1c has been regularly in the 5s for 7 years, I started off from a fasting level in the 20s.
The evidence on appropriate interventions earlier on in LADA is sparse so no one medication is necessarily the best, It does seem though that using sulphonylureas (gliclazide) might not be a good choice, A Cochrane review said
http://onlinelibrary.wiley.com/doi/10.1 ... 3/abstract
