Very interesting post. I've been managing D2 now for 18 years, currently on x4 Metformin & 1 Anagliptin a day. My D2 Nurse recently cut out the Gliclazide.
So on my last HbA1c test I was at 42, which is pre-diabetic. They followed up by saying that want to see it UP at the next test, to 48, which is presenting as Diabetic. (Oh, my Cholesterol was well reduced too, currently at 5.7)
I can only see 2 reasons for their wish to see me presenting as D2: 1) Justifying their own existence. I mean, if I continue at pre-diabetic (ie my D2 is in remission) they might have to cut back more of my medication! AND they might have to stop threatening me with Statins. Even in the UK, they must get some reward from the drug companies to push medication on us. After all, healthy people are not so lucrative.
OR 2) they are protecting my D2 status. In the NHS we have a handy system where if you're diagnosed Diabetic you get all the rest of your prescribed medication free, for life.
So I also get my heart medication, which I would not be able to afford if I didn't have my D2 diagnosis!
In this circumstance, I'm happy to eat a little more fruit to push my blood glucose up for them, if it keeps them happy!
So wozey, what do YOU think, D2 or not D2?
I think your dsn is confused between your T2 diagnosis and what levels a T1 should be aiming for!
A T2, the aim is to reduce spikes and keep fasting and hba1c levels as close to normal by reducing the cause of the T2, and a dietary regime to reduce carbs and sugars, a healthy balance of protein, good saturated fats and low carb vegetables.
Being in remission, you should still be careful with your health. As ignoring the consequences will ultimately put you back in levels that will need treatment again.
And I am speaking from experience.
I was misdiagnosed as T2 in 2009 but that was because, I had another condition that was symptomatic with T2!
Depending on my dietary intake, my body reacts, and my organs retaliate, with an imbalance of hormones, that impact my health, it can happen within a couple of hours but can last for a long time, as does T2, the best treatment is to try and avoid the food and drink that causes that reaction.
If I keep to my individual diet, the healthier I am. And it has happened a few times now. Because of certain mental and health issues.
The last time, my hba1c levels were 51! I was again in diabetic levels along with my constant threat of my other conditions. I then took action.
After three months of being extremely careful and using fasting, my latest hba1c is now 39!
And once again non diabetic.
Once you have what is known as a dysregulation or an imbalance in your first phase insulin response. You do need to be careful, about your health!