I had my first appointment with the Diabetic nurse yesterday, and have clarified some of the information that I was waiting for, I think I got confused in regards to the different ways of presenting the information.
My HbA1c level was given to me as a percentage of 16.5, but she went through this, and the reading was 157, I am a bit annoyed as it appears that when I was diagnosed with High Blood Pressure this time last year, I was actually showing as being pre diabetes of 48 (6.5%), I feel if my GP had acted then, I could of avoided the hospital admission and all of this, maybe not but it just feels that way.
I have a target of reducing my HbA1c level to 100 (11%) as she does not want to go to fast due to 'adverse' effects such as pins and needles in my feet, vision being affected etc.
My GAD antibody test was negative, so they have told me I have Type 2 diabetes, the confusion on admission to hospital was because of the way I was presenting.
My C-Peptide reading was 484.
I have now reduced my novorapid doses to 14 units, and usually I do not need to administer for my lunch time dose due to keeping it low carb at meal times, and it was causing BS to drop to 3.5-4.0 which made me feel pretty rubbish in the afternoon.
The Diabetes nurse has prescribed me Metformin, and she seems confident that eventually I will be able to go onto medication only, but she will review this when I have my next HbA1c test in September.
My lantis dose is still 24 units twice a day, she felt at present to keep this the same as fasting sugars are usually ranging between 6.5-7.5.
I am at the moment adjusting my diet, and exercise regime, trying to minimise my carb intake, but not exactly going full low carb, my average readings over the last 30 days is 8.6, which is still high but this is skewed due to very high readings when I first left hospital, so am hoping that over the next 30 days this will fall to about 7.
Thankfully my vision seems to have returned back to normal, or more or less, I am waiting for my diabetic retinopathic scan date to determine if any permanent damage, I think I will need to review my reading glasses prescription, but certainly feeling better about this.
So the future goals is to come off insulin, and for this to be controlled by medication, I need to lose at least 3-4 stone as a target, my BMI is still very high, have started back at the gym, and walking at least 14,000 steps a day.
I am due to go back to work on Tuesday and am feeling a bit anxious about it, as it will mean adjusting to the routine and making sure I take time for meals etc, I am not usually a breakfast eater, but will take it a step at a time.