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Reversal of diabetes (t2)

Messages
11
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Hi,

I seem to have a GP surgery not the best, live in an area where the 'weight loss' injections aren't given on prescription whether you have diabetes type 2 or not.

At the end of 2019 I was diagnosed with diabetes placed on Metformin a drug taken for just over 5 years, summer 2020 the diabetic nurse mentioned Trulicity which got me started looking into and taken these injections which in a way I've grown to wonder if that was ever the right thing. Before I'm accused of not telling my GP surgery they know I am on these injections by way of me saying during the likes of medication reviews carried out and other private medical professionals telling the surgery for example a private gynaecologist whose letters have gone on to my medical record under primary care.

I'd lost nearly 4 stone in a LONG time on these different injections |(alongside being active which has totally been reduced), Saxenda through to Wegovy, however in February 2025 when they made the decision I could stop Metformin I was still a big person as far as medics are concerned with a bmi in mid 40's. I've since been hit with a new medical problem which included a stay in hospital where the surgeon couldn't believe the situation and thought I was joking I was on the pathway to remission. They promised me a Hba1c would be carried out but failed to do so telling me on leaving the hospital I should go to the GP but unfortunately at that time district nurses became involved in my care which really prevented me from seeing the GP as easily. Seems I have a wound still 14 weeks on which they are happy to blame the diabetes for that but why when in January 2025 when the mmol of the HbA1c was 38 and glucose testing whether it be the libre or accu-chek comes out pretty good at 5's, 6's should diabetes get the blame.

We've reached 6 months after the date of stopping Metformin and it is becoming apparent the doctors surgery would rather like to forget I was due a review which I find very odd and rather concerning perhaps it shouldn't do as they have forgotten in the past to test an under active thyroid. I've got to the point where I am now struggling to lose any further weight on the injections, am I not just paying at cost for some alternative diabetic medication. Sorry it is after being forced to purchase anti depressants privately it has made me think. (I'm doing other proactive things like seek CBT/therapy help)

I recently had to ask to be referred to a lymphoedema clinic for my leg and seeing the referral I note that has me listed as a diabetic, nothing about reversal whatsoever. Is this just something I'm always going to see, you never lose the tag.

I just struggle knowing I have a friend whose glucose is in the 20's, they have lymphoedema and lost toes to gangrene before now, yet I'm not in the same league.
 
Hi

It seems the medical establishment (I don't mean all doctors) is still in the mindset that once a (T2) diabetic, always a diabetic, and that there's nothing that can be done. The thing is of course that high blood glucose is a symptom, not the disease, and we can do quite a bit to lower levels through diet or medication, and stop the damage that follows.

But the label, once applied, seems to stick and it's often quite easy to then use it to explain everything that happens "it's just your diabetes". I've had this (not with my GP) when you have to declare pre-existing conditions. I've not had an abnormal BG since January 2020, but still have to declare myself as a "diagnosed diabetic". Then I have to answer questions about what medication I'm on (none) - what my last HbA1c was (but that's normal!) etc etc.

The thing is that it's not that long ago - turn of the century - that T2 was still being officially called "non-insulin-dependent diabetes mellitus". A lot has changed in the intervening 25 years but maybe a lot of professional training and expectations haven't yet caught up. I guess if it had, there'd be much less need for things like this forum.
 
I'm oa bit off-topic here but posts like these show me how ilmportant it is to try diet first and not jump right onto metformin like our gp surgery wants patients to do. Not going to happen!
 
I'm oa bit off-topic here but posts like these show me how ilmportant it is to try diet first and not jump right onto metformin like our gp surgery wants patients to do. Not going to happen!
The problem for GPs is that the NICE guidelines for Type 2 recommend prescribing metformin as the first line of treatment. The same guidance advises that patients should be encouraged to aim for an HbA1c of 48 (or 53, to avoid "risk of hypos").

https://www.nice.org.uk/guidance/ng28/chapter/Recommendations

There's no mention of diet etc as a first option except as a supplementary to whetever drug is prescribed. So they are kind of caught - the NICE guidelines are recommendations but not mandatory.

If the patients say they want to try an alternative - eg a low-carb diet - first, that gets the GP off the guidelines hook.
 
Yep - thank goodness for forums like this one where we can find out all options and read up more, then decide for ourselves
 
I think if you are still taking medicine which lowers your blood sugar like wegovy then the doctors are unlikely to consider your diabetes in remission, it is however very well controlled.

Is it possible your weight loss has stalled because you are less active? Could you discuss this with the person prescribing the injections?

I would push for the review you are due including up to date blood tests.

I agree it’s very frustrating when any illness you get is blamed on diabetes.
 
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