• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

New(ish) diagnosed Type 2 with very high levels

Eekey

Member
Messages
10
Hi,
I had a series of blood tests in Jan to try any find the underlying cause of nerve damage in my shoulder. One of the tests was BG which came back at 19.5 mmol/L. GP ordered second BG and HBA1C. These came back at 18 mmol/L (BG) and 93 mmol/mol (HBA1C). Diagnosis of type 2. Prescribed metformin 1500mg daily split over 3 x 500mg doses. Also made 'some' changes to my lifestyle - healthy food choices, more exercise etc.

3 months later and second set of blood tests... 18 mmol/L (BG) and 96 mmol/mol (HBA1C)! GP changes metformin prescription to 2550mg daily, split over 3 x 850mg doses. GP advised not me not to worry as 'quite usual'. Asked about testing my own BG levels and GP advised 'no need'.
As you can imagine, I was a little worried that the levels hadn't changed. I made more radical changes to my diet (avoid lots of carbs, esp. 'white carbs' etc), more exercise etc,
I gave up smoking about 8 years ago and I'd read the guidance relating to smoking and diabetes but didn't think it applied to me. However, I found an article relating specifically to nicotine and diabetes - not just smoking. Even though I'd given up smoking many years ago, I was still using nicotine replacement therapy - I.e. I was still on relatively high doses of nicotine. Given this new information I gave up the nicotine overnight.

I also purchased my own BG tester so I could track my levels myself. Initially I was getting readings of 15 mmol/L but these have, slowly, started to creep downwards. Morning readings seem higher that daytime (dawn phenomenon?) but are now around 10 mmol/L. I've also observed that after a lot of exercise, my levels can drop as low as 5.5 mmol/L.

Given the above background, my question(s) to this forum:
- My levels still seem dangerously high. Should I be concerned or is the downwards trend normal and eventually they should get to good levels?
- Since giving up the nicotine my sleeping patterns have changed completely. I always used to sleep a solid 8+ hrs and could sleep much longer if not awakened (e.g. by my alarm clock). Now I find I'm waking-up much earlier in the morning (always before my alarm clock and usually around dawn) and not able to go back to sleep. Conversely, I find I am nodding off early evening... Is this normal?
- About 1 in 3 nights I seem to now suffer from mild(ish) 'night sweats'. This doesn't seem to be a hypo as when I test my BG levels before breakfast they are around 10mmol/L.

Any advice?


Sent from the Diabetes Forum App
 
Hi. Yes, those levels are very high but not the worst we've seen on the forum! Two questions i.e. how old are you and are you overweight? If you are overweight then you probably have insulin resistance and the Metformin and improved low-carb diet should gradually bring the blood sugar down to a better area when you can then discuss any further meds with the doc if needed. If you are young and not overweight then there is always the possibility of Late onset Type 1 rather than T2. Your meter checks show your levels to be high but coming down and now not high enough to cause noticeable symptoms. I suspect your sleep pattern and tiredness are not directly related to the diabetes. Your GP should be doing another HBa1C in 3 months to see how things are going. If he hasn't done this, then do ask for one.
 
Hi, thanks for the response. To answer your questions:
- Age 44
- Not overweight -BMI 25.7
- Blood Pressure is normal (119 /80)
Next HBA1C is in a month so lets see the levels then...


Sent from the Diabetes Forum App
 
....although i have been overweight for most of the last few years (since I gave up smoking). I'm 6'3 but my weight then ballooned to over 17st... Now under better control at just over around 14 1/2 st.


Sent from the Diabetes Forum App
 
HI. It's possible, but unlikely as you have been overweight, that the diagnosis might actually be Late onset T1. As you say the next HBa1C should help guide you but if your sugars do start going up again then do see the GP just in case.
 
Back
Top