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<blockquote data-quote="Daibell" data-source="post: 343465" data-attributes="member: 21149"><p>Hi Nick. As I said in my earlier post you appear to be similar to me i.e. one of the 20% of so-called T2s who aren't insulin resistant but have a failing pancreas for whatever reason. In this case no tablets will help much in the longer-term and all you can do is continue with the lowest carb diet you can live with. I was put onto Sitagliptin 2years ago as I was on max dose of Met and Glic. This helped reduce spikes initially but has now stopped having any effect. Do discuss adding Sitagliptin with the doc. I've never had any problems with any of my meds but it sounds like Gliclazide is a problem for you in which case Sitagliptin may be an alternative. I'm using an HBa1C of 7.5% as my guideline per NICE and when I go above this I will discuss insulin with the doc. I think you need to be guided by your HBa1C and ask for another one if needed. I have one every 6 months, but 3 months when you have sugar problems is recommended. This gives you a base to discuss options with the doc. Sorry you have been hit with all this so soon after diagnosis. BTW I would suggest just testing 2 hours after a meal to find out the best foods for you. This will give you some idea of your average sugar, but HBa1C is the real guide. If your sugars continue to rise then you may want to get some Ketostix and check if you have any ketones in your urine. If you do have and feel unwell then have plenty of fluids call the doc or go to A&E.</p></blockquote><p></p>
[QUOTE="Daibell, post: 343465, member: 21149"] Hi Nick. As I said in my earlier post you appear to be similar to me i.e. one of the 20% of so-called T2s who aren't insulin resistant but have a failing pancreas for whatever reason. In this case no tablets will help much in the longer-term and all you can do is continue with the lowest carb diet you can live with. I was put onto Sitagliptin 2years ago as I was on max dose of Met and Glic. This helped reduce spikes initially but has now stopped having any effect. Do discuss adding Sitagliptin with the doc. I've never had any problems with any of my meds but it sounds like Gliclazide is a problem for you in which case Sitagliptin may be an alternative. I'm using an HBa1C of 7.5% as my guideline per NICE and when I go above this I will discuss insulin with the doc. I think you need to be guided by your HBa1C and ask for another one if needed. I have one every 6 months, but 3 months when you have sugar problems is recommended. This gives you a base to discuss options with the doc. Sorry you have been hit with all this so soon after diagnosis. BTW I would suggest just testing 2 hours after a meal to find out the best foods for you. This will give you some idea of your average sugar, but HBa1C is the real guide. If your sugars continue to rise then you may want to get some Ketostix and check if you have any ketones in your urine. If you do have and feel unwell then have plenty of fluids call the doc or go to A&E. [/QUOTE]
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