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Type 2 Diabetes
Target for glucos control with medication
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<blockquote data-quote="san-777" data-source="post: 2321880" data-attributes="member: 531206"><p>Hello</p><p></p><p>Did anyone get told by their doctors of the target of BG levels they should aim for (with medication such as Metformin)? What are your told targets?</p><p></p><p>Yes I have read <a href="https://www.diabetes.co.uk/features/pre-and-post-meal-testing.html" target="_blank">https://www.diabetes.co.uk/features/pre-and-post-meal-testing.html</a></p><p>that NICE guideline says the aim for fasting is <7 mmol/l, for 2 hr post meal < 8.5.</p><p></p><p>This is week 4 on medication and my husband's post meal level is far off 8.5 (usually around 10, these a few days it even went back to 13~16.3! Tonight it's 9.1 but he ate a very small meal), and he is already on relatively low carbs diet. Somehow I have a feeling that the doctors may say this is fine, no need to strictly follow the NICE targets . And do the doctors rely on hbA1c solely?</p><p></p><p>PS: I just read on a piece of article (a case in Asia, where self-testing is greatly encouraged) that an elderly man heard that hbA1c is the gold standard so he stopped finger prick testing, and only went to have his blood tested every 6 months. Due to the lack of track of his BG level and reacting in timely manner, in only 2 yrs time he got bad complication with his eyes - too late to really do anything to reverse the tragedy.</p><p></p><p>I have to say I am a bit worried about my husband not getting near the target and nothing else will be done to help him get there....</p></blockquote><p></p>
[QUOTE="san-777, post: 2321880, member: 531206"] Hello Did anyone get told by their doctors of the target of BG levels they should aim for (with medication such as Metformin)? What are your told targets? Yes I have read [URL]https://www.diabetes.co.uk/features/pre-and-post-meal-testing.html[/URL] that NICE guideline says the aim for fasting is <7 mmol/l, for 2 hr post meal < 8.5. This is week 4 on medication and my husband's post meal level is far off 8.5 (usually around 10, these a few days it even went back to 13~16.3! Tonight it's 9.1 but he ate a very small meal), and he is already on relatively low carbs diet. Somehow I have a feeling that the doctors may say this is fine, no need to strictly follow the NICE targets . And do the doctors rely on hbA1c solely? PS: I just read on a piece of article (a case in Asia, where self-testing is greatly encouraged) that an elderly man heard that hbA1c is the gold standard so he stopped finger prick testing, and only went to have his blood tested every 6 months. Due to the lack of track of his BG level and reacting in timely manner, in only 2 yrs time he got bad complication with his eyes - too late to really do anything to reverse the tragedy. I have to say I am a bit worried about my husband not getting near the target and nothing else will be done to help him get there.... [/QUOTE]
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