Should I tell GP I never took my meds?

Firstly - well done on what you have achieved.

Nextly - your relationship with your GP is yours alone, and we cannot, should not, advise you what to share and what to keep quiet about.

I always keep the goal in sight, and play the long game. I would ask myself what could be gained and what could be lost by sharing any information that has the potential to create distrust/discord.

Lovejoy00 said:

Hi,

My HbA1c shot up to 78 in July as I was basically stupid and ate loads of carbs, bread/pasta etc.

At my annual review my GP put me back on Metformin and Forxiga Dapagliflozin. However I didn't take any of it, yes potentially stupid of me.

My blood test this week came back at an HBAC1 of 48. I have been basically eating low carb with the odd beer as a treat, ive also lost over a stone. There are areas for improvement still, ie less pints and the odd sandwich whilst out.

So should I ask my GP to reduce or stop the dose. I don't think they will be impressed I didn't take any medication but then again I got it down to 48 without it.

Some history - diagnosed 2018 - 65 HbA1c, put on Metformin. down to 38 in 3 months, 39 3 months later - taken off metformin.

Most reviews upto this year were 44 HbA1c without any medicine, and probably cheated a few times.

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I'm with Outlier here... Use your own discretion. Some don't take kindly to the patient making their own decisions and going against advice, others just go with it and see where it goes. I know what I can do and not do with mine, more often than not, but I never met yours... Maybe keep it up for a while first so they know it's not a fluke/temporary thing, at least?

GPs need to know that an HbA1c can be lowered without drugs, but hey that’s another discussion. Your situation is yours to deal with as you think, however as @lovinglife points out it’s important for Drs to know what you take especially in an emergency situation.

First well done, in getting back control.
Regarding what to say to the GP, It's your decision, but personally I wouldn't withhold the fact that you did not take the medication.
You can point to having sustained a low HbA1c with diet before and that the last HbA1c was enough motivation to go back to low carb. The fact that it worked, should be acknowledged by your GP. Simply state that diet -low carb and weight loss did this, not medicine.
Unless you want to be put back on Metformin, you can say No, even if the GP is advising it.

Five years ago, my GP prescribed Gliclazide, this is when I decided to lose weight, I never took the Gliclazide and did not pick up the prescription When I went back 3 months later with a significantly reduced HbA1c, I readily agreed with the GP to keep doing what I am doing and if it the HbA1c kept reducing, to stop the Metformin as well, which is what happened. I helps that I am a scientist and I know how to argue with the GP if necessary.

Hi @Lovejoy00

I agree with most of the previous posters. I think that it's good for your records to have accurate information. If you can't talk to your doctor honestly maybe you need to consider finding a different doctor. It certainly took me some time to find a doctor that accepted the fact that I did keto.

Congratulations on your results!!!!

Personally, I would be honest so that my medical records are accurate but your decision obviously.

Very well done on getting back to 48 on your own, fabulous!