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Message: <blockquote data-quote="Roger5544" data-source="post: 1988608" data-attributes="member: 375672">Hi Peter,Here is an update on the situation from my original posting 12 months ago.I was not convinced with the dermatologist's advice that Dapsone was not affecting the HbA1c test and consequently did some research on the internet. I discovered several medical papers stating that Dapsone (and other medications) can lead to false HbA1c measurements.  I discussed this with my GP who advised that it was not a concern and if the levels rise then further investigation would be required.  I enquired about an alternative test (fructosamine) but apparently it is not as reliable.Since my post, it has been confirmed that I have Coeliac Disease and I continued to lose weight throughout the year with a low of 10st 3lbs.  The gastroenterologist advised that the weight loss was probably due to a lack of nutrition from food because of the Coeliac Disease but arranged for CT and MRI scans to investigate 'if there was anything else going on'.  Fortunately the results were clear.  I have subsequently managed to gain some weight to 11 st.I still have to take Dapsone for the Dermatitis Herpetiformis.  I have tried reducing the dose with the hope of being able to wean myself off it, but each time the rash has reappeared.  I continue to see the dermatologist every 2 to 3 months and have blood tests to see how the Dapsone is affecting my blood count, etc.  Unfortunately there is no cure for Dermatitis Herpetiformis or Coeliac Disease and they just have to be managed.My HbA1c levels have continued to drop since my original posting 12 months ago.  My last reading was 24 in January but has been as low as 21.Hope this is useful.</blockquote>

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