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<blockquote data-quote="ianf0ster" data-source="post: 2478056" data-attributes="member: 506169"><p>An HbA1C of 55 isn't that bad. Neither does it seem to me to ne a level at which you would need to go on to Linagliptin. I would be hesitant about it even if unless your Insulin levels have been tested and found to be low. That would mean that your pancreas is in trouble and they want to use the linagliptin to squeeze out the most insulin they can from it., before the almost inevitable progression to insulin after the pancreas gives up.</p><p>But if your pancreas isn't producing enough insulin then weight loss alone won't help since this may reduce insulin resistance, but is unlikely to increase insulin production.</p><p></p><p>I am/was a slim T2 with an HbA1C of 53 so I didn't want to try weight loss either. </p><p>Instead I chose a Low Carb way of eating - no reduction in calories - just a reduction in the amount of Carbohydrates I ate based upon the readings my BG meter was showing me. I needed to go down to between 20gms to 40gms of carbs per day.</p><p>Low carb has a slightly better success rate than a calorie restricted diet does - though for most even if they increase their calories (I did) there can still be some weight loss, because a healthy normal weight man has around 20% or more body fat and a woman has even more. It is the fat around the internal organs an in the liver which do the damage, so if you rally have Type 2 (not a mis-diagnosed Type 1) then you do need to lose some weight , but juts that internal excess fat in and around your organs.</p></blockquote><p></p>
[QUOTE="ianf0ster, post: 2478056, member: 506169"] An HbA1C of 55 isn't that bad. Neither does it seem to me to ne a level at which you would need to go on to Linagliptin. I would be hesitant about it even if unless your Insulin levels have been tested and found to be low. That would mean that your pancreas is in trouble and they want to use the linagliptin to squeeze out the most insulin they can from it., before the almost inevitable progression to insulin after the pancreas gives up. But if your pancreas isn't producing enough insulin then weight loss alone won't help since this may reduce insulin resistance, but is unlikely to increase insulin production. I am/was a slim T2 with an HbA1C of 53 so I didn't want to try weight loss either. Instead I chose a Low Carb way of eating - no reduction in calories - just a reduction in the amount of Carbohydrates I ate based upon the readings my BG meter was showing me. I needed to go down to between 20gms to 40gms of carbs per day. Low carb has a slightly better success rate than a calorie restricted diet does - though for most even if they increase their calories (I did) there can still be some weight loss, because a healthy normal weight man has around 20% or more body fat and a woman has even more. It is the fat around the internal organs an in the liver which do the damage, so if you rally have Type 2 (not a mis-diagnosed Type 1) then you do need to lose some weight , but juts that internal excess fat in and around your organs. [/QUOTE]
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