Looking for some advice - I'm due a review with the Nurse in 4 weeks, but I was thinking of getting in touch with them sooner about my recent blood sugar levels. Any input appreciated.
Background - I live a very sedentary lifestyle and was diagnosed with Diabetes 4 years ago. I was put on Metformin but I had awful GI issues - even on the slow release. I don't think my blood sugar was well controlled - especially in the past 3-6 months. A month ago my bloods came back and the Nurse/GP were very concerned and suggested I go on Gliclazide and Mounjaro. I had a BMI of 35.6 at the time. Not sure what my hba1c was but I suspect it was dangerously high - living off fast foods and drinking full sugar coke on a regular basis.
Started in Gliclazide at 40mg 4 weeks ago, whilst I wasn't consistently checking blood sugar at the start - I observed some readings like waking up with 15mmol/L, settling to around 9mmol/L in the evening. With rises also observed after my mid-day/afternoon naps. I tried to make some changes to my diet for most days, but had a couple of binge days on takeaways/fast food. Was still eating a lot of carbs.
Increased Gliclazide to 80mg after a week and I was seeing 9-12mmol/L > in morning, and my bloods seemed to settle down after spikes quicker. Hitting around 6.5mmol/L in the evening.
A week ago I started being a lot more stringent on my diet and have been consistently eating 1000-1200 calories a day at roughly 50g fat, 50-70g carbs, 70g protein. I've cut all the rubbish out and the healthy type of foods and all my carbs coming from low-GI sources.
I've been capturing bloods every morning, before every meal and then 1 hour and 2 hours after every meal. From Monday I've been waking up between 4.5mmol/L-5.5mmol/L. Bloods 2 hours after meal around 4.1mmol/L - 5mmol/L - but in the past 2 days I've had two readings in the evening at 3.8mmol/L. I reluctantly had a chocolate hobnob biscuit to help raise it up. My boyfriend had never been so confused in his life, there I was - holding a chocolate biscuit and NOT wanting to eat it. Normally I'd devour an entire packet hours after them entering the house..
Also this week - had my first Mounjaro (2.5mg) injection Tuesday morning. Yesterday and today I lowered my Gliclazide back down to 40mg - in part due to reading how it can cause weight gain - and losing weight is my my primary goal right now.
I'd like to stick on Mounjaro as I hear it's very good with weight loss. I feel confident I can stick with my meal plan and I'd rather not go back to eating high carb foods.
I'm a bit worried if I tell the nurse about my results over the past few days that they'll take the Mounjaro and tell me to stay on Gliclazide instead?
But not sure how much I can expect my bloods to go up by if I stop Gliclazide altogether, even with eating a much healthier diet - I still have a lot of weight to lose - and that may not come off for another 3-6 months if going at a reasonable pace.
Background - I live a very sedentary lifestyle and was diagnosed with Diabetes 4 years ago. I was put on Metformin but I had awful GI issues - even on the slow release. I don't think my blood sugar was well controlled - especially in the past 3-6 months. A month ago my bloods came back and the Nurse/GP were very concerned and suggested I go on Gliclazide and Mounjaro. I had a BMI of 35.6 at the time. Not sure what my hba1c was but I suspect it was dangerously high - living off fast foods and drinking full sugar coke on a regular basis.
Started in Gliclazide at 40mg 4 weeks ago, whilst I wasn't consistently checking blood sugar at the start - I observed some readings like waking up with 15mmol/L, settling to around 9mmol/L in the evening. With rises also observed after my mid-day/afternoon naps. I tried to make some changes to my diet for most days, but had a couple of binge days on takeaways/fast food. Was still eating a lot of carbs.
Increased Gliclazide to 80mg after a week and I was seeing 9-12mmol/L > in morning, and my bloods seemed to settle down after spikes quicker. Hitting around 6.5mmol/L in the evening.
A week ago I started being a lot more stringent on my diet and have been consistently eating 1000-1200 calories a day at roughly 50g fat, 50-70g carbs, 70g protein. I've cut all the rubbish out and the healthy type of foods and all my carbs coming from low-GI sources.
I've been capturing bloods every morning, before every meal and then 1 hour and 2 hours after every meal. From Monday I've been waking up between 4.5mmol/L-5.5mmol/L. Bloods 2 hours after meal around 4.1mmol/L - 5mmol/L - but in the past 2 days I've had two readings in the evening at 3.8mmol/L. I reluctantly had a chocolate hobnob biscuit to help raise it up. My boyfriend had never been so confused in his life, there I was - holding a chocolate biscuit and NOT wanting to eat it. Normally I'd devour an entire packet hours after them entering the house..
Also this week - had my first Mounjaro (2.5mg) injection Tuesday morning. Yesterday and today I lowered my Gliclazide back down to 40mg - in part due to reading how it can cause weight gain - and losing weight is my my primary goal right now.
I'd like to stick on Mounjaro as I hear it's very good with weight loss. I feel confident I can stick with my meal plan and I'd rather not go back to eating high carb foods.
I'm a bit worried if I tell the nurse about my results over the past few days that they'll take the Mounjaro and tell me to stay on Gliclazide instead?
But not sure how much I can expect my bloods to go up by if I stop Gliclazide altogether, even with eating a much healthier diet - I still have a lot of weight to lose - and that may not come off for another 3-6 months if going at a reasonable pace.
