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<blockquote data-quote="Brunneria" data-source="post: 2399263" data-attributes="member: 41816"><p>Are you in the UK?</p><p></p><p>The NHS NICE guidelines suggest treating T2 with diet and exercise initially, and if that doesn’t work adding in a single drug (usually Metformin/Sukarto).</p><p></p><p>if that fails to bring numbers down then add in another drug and <strong><em>raise</em></strong> the target HbA1c to a level <strong><em>above</em></strong> your current HbA1c of 50.</p><p></p><p>Have a read of the attached link and compare it to your personal situation</p><p><a href="https://pathways.nice.org.uk/pathways/type-2-diabetes-in-adults#path=view%3A/pathways/type-2-diabetes-in-adults/managing-blood-glucose-in-adults-with-type-2-diabetes.xml&content=view-node%3Anodes-hba1c-targets" target="_blank">https://pathways.nice.org.uk/pathways/type-2-diabetes-in-adults#path=view:/pathways/type-2-diabetes-in-adults/managing-blood-glucose-in-adults-with-type-2-diabetes.xml&content=view-node:nodes-hba1c-targets</a></p><p></p><p>It looks to me as if your nurse is accelerating your drug therapy faster than the guidelines and not taking into account that you are making changes and improvements to diet and lifestyle that are clearly having a beneficial effect, and will continue to do so.</p><p></p><p>your weight loss is impressive. Well done.</p><p></p><p>and please feel free to show your nurse the NICE info and query her thinking.</p><p></p><p>it is entirely up to you whether you use any medications. She can advise, but not instruct.</p></blockquote><p></p>
[QUOTE="Brunneria, post: 2399263, member: 41816"] Are you in the UK? The NHS NICE guidelines suggest treating T2 with diet and exercise initially, and if that doesn’t work adding in a single drug (usually Metformin/Sukarto). if that fails to bring numbers down then add in another drug and [B][I]raise[/I][/B] the target HbA1c to a level [B][I]above[/I][/B] your current HbA1c of 50. Have a read of the attached link and compare it to your personal situation [URL]https://pathways.nice.org.uk/pathways/type-2-diabetes-in-adults#path=view%3A/pathways/type-2-diabetes-in-adults/managing-blood-glucose-in-adults-with-type-2-diabetes.xml&content=view-node%3Anodes-hba1c-targets[/URL] It looks to me as if your nurse is accelerating your drug therapy faster than the guidelines and not taking into account that you are making changes and improvements to diet and lifestyle that are clearly having a beneficial effect, and will continue to do so. your weight loss is impressive. Well done. and please feel free to show your nurse the NICE info and query her thinking. it is entirely up to you whether you use any medications. She can advise, but not instruct. [/QUOTE]
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