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Should I ask GP to review my medication?

R

rekotek

Member
Messages
14
Type of diabetes
Type 2
Treatment type
Tablets (oral)
I was diagnosed last Dec and start taking two 1000mg metformin a day, my hba1c was 135 last November, March blood test 41 and latest test 35.

Nurse said I am doing well but did not mention about my medication. Should I book an appointment to see my GP for a review?
 
No harm in asking. Mine was dropped down to 1 tablet a day and at the time Hba1c higher then yours.
 
Great work on getting your hb1ac down to those levels. After two such low tests I'd be discussing stopping (or at least reducing) the metformin with your doctor, as I'd have thought you should be regarded as being in remission now after two low tests.
 
rekotek said:
I was diagnosed last Dec and start taking two 1000mg metformin a day, my hba1c was 135 last November, March blood test 41 and latest test 35.

Nurse said I am doing well but did not mention about my medication. Should I book an appointment to see my GP for a review?
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Dunno how your practice is when it comes to availability of time slots, but I get a lot done just with e-mailing the doc or the assistants. Gives me time to gather my thoughts and say everything I want to say, too. ;)
 
JoKalsbeek said:
Dunno how your practice is when it comes to availability of time slots, but I get a lot done just with e-mailing the doc or the assistants. Gives me time to gather my thoughts and say everything I want to say, too. ;)
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Not easy to get a face to face appointment unless it is urgent but sending a request to the doc online he usually reply by end of next day. Can be quicker if I call and leave a message to the reception.

niblue said:
Great work on getting your hb1ac down to those levels. After two such low tests I'd be discussing stopping (or at least reducing) the metformin with your doctor, as I'd have thought you should be regarded as being in remission now after two low tests.
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I will ask if my doc happy to reduce the medication. Regarding remission I don't think I have reach that yet but definitely aiming for remission.

Recently on few occasions I had some more crabs and see how my body responds, I had big bowl of rice for dinner few days ago and BG was 10.1 after 2 hrs and only dropped to 6.5 3hrs after meal, next morning BG was 5.3. Had a bowl of pasta and BG was 5.6 after 2hrs.
 
Well done on the reduction, impressive.

I'd ask your GP, at the very least. Metformin doesn't actively lower your blood glucose - but it interferes with your liver trying to top levels up. The Handbook of Diabetes says the mechanism "isn't well understood" which means they know what it does but they don't know how.

There is now an agreed international definition of what Type 2 remission is - you have to be off medication to be defined as in remission. Link: https://link.springer.com/article/10.1007/s00125-021-05542-z
 
rekotek said:
I will ask if my doc happy to reduce the medication. Regarding remission I don't think I have reach that yet but definitely aiming for remission.

Recently on few occasions I had some more crabs and see how my body responds, I had big bowl of rice for dinner few days ago and BG was 10.1 after 2 hrs and only dropped to 6.5 3hrs after meal, next morning BG was 5.3. Had a bowl of pasta and BG was 5.6 after 2hrs.
Click to expand...
Technically you are in remission according to some definitions (there are a few different ones):

6 months with an HbA1C of less than 48 and no diabetes medications other than Metformin.

Personally the stricter one I use is 6 months with and HbA1C of less than 42 on no diabetes meds at all.

I only quote these to show you how far you have come !
 
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