Metformin and me.....

I suppose punching your nurs in the nose isnt an option??? If not try and see if any other local Dr's or clinics have a good reputation for diabetes care . Also suggest downloading the nice guidelines and read them there are some rules in there that the surgery's dont follow /dont want to follow due to cost. It should at very lest give you somthing to hit them over the head with. I then monitoring you bg levels would be usefull for you as it would help show how what you are eating has an effect on your levels you may find you get one or 2 surprises. There is a paragraph in the guidelines about it that you should be able to use. Either that or you couls self fund buy a machine . They are relitivly cheap of ebay and the test strips are about half price.

Hi. You are doing the right thing by losing weight so keep up the good work on that front. Are you doing that by low-carbing and smaller portion sizes or some other way? Your nurse is stupid. I'm afraid the NHS is so concerned about the cost of test strips that they discourage self-testing; it's also about who is in control. Yes, do test even if you have to buy your own strips as I used to. The HBa1C is a very good test but self-testing enables you to see what foods affect you most. Yes do download the NICE Diabetes Pathways document (Google it) as it's very good and it's what the UK docs are supposed to be guided by. Your Metformin could be increased to a max of 200mg per day but Met doesn't have that much effect. There are other drugs that can be added if needed but do keep the carbs low and see how it goes. If you are young and the sugars remain high even with a lower weight then do come back just in case we need to provide some more thoughts.