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Message: <blockquote data-quote="Swiggy" data-source="post: 2708174" data-attributes="member: 374098">I was referred to a hospital diabetes clinic and I have just spoken to a doctor who has suggested doubling Metformin dose to 4 tablets per day and adding a SGLT2 inhibitor because my hba1c has gone up from 59 to 79 since 2021.In 2021 I had a c peptide test that the GP said showed that I was producing a very large amount of insulin, he didn't give me any figures but said it was three times what the higher end of normal was.  I have been testing for the past 6 years and eating a low carb diet but I have lost no weight at all. My GP suggested Victosza injections before COVID but when I told him that I had had a cyst on my pancreas as a child he said it wouldn't be suitable for me.  The doctor from the clinic was not aware of the cyst and has said that he suspects that my pancreas is not producing much insulin any more and that's why my blood sugar levels are increasing.  I asked if I could have a c peptide test before starting to take more medication and he said that I should try the medication for three months and then see if it's needed.I'm feeling scared and confused and I don't know whether I should pay for a c peptide test privately before taking the medication.I'm not expecting any medical advice but has anyone else been in a similar situation?</blockquote>

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