oldgreymare
Well-Known Member
- Messages
- 537
- Type of diabetes
- Type 1
- Treatment type
- Pump
- Dislikes
- Commuting, overcrowded spaces, especially after the arrival of covid-19...
Hi Ness,Hi Oaldgreymare,
Thanks for your reply. I was diagnosed in 2012 and rumbled along well until this year.
Saw my gp in Feb and told him my monitor was measuring from high teens to mid 20's with no apparent reason (no dietary/lifestyle changes). He increased my metformin to 2g daily and added 80mg glicazide.
I asked him if he'd let my endo know and refer me for an appointment, which he refused to do.
I went to the surgery yesterday and saw a locum, who pointed out the hbAc 1 test result, I just wondered if, once my gp had the test result, he should have made the referral, as my endo appt has been postponed until 31st July.
Sorry if it's all a bit rambling, but I really don't want to encounter the complications that can result from chronic high bg. I've tried to get an earlier endo appointment, but they won't make one without a letter from my gp - I feel as if I'm going around in circles.
Given the target HbAc1 for Type 2 is 48 (6.5%) or less, it is disappointing that your GP isn't offering more proactive support. That said, I note your result is from February and your GP did up your medication. Are you still monitoring your BG levels - have they changed at all since you have increased medication? Until your BG control is acceptable I think it is reasonable to ask for a HbAc1 test every 3 months. Once stabilised on a regime that works for you many doctors may reduce monitoring to every 6 or 12 months. Just ask your GP to rerun the HBAc1 this month and give you the results before your next endo appointment. Worst case I understand that you can order a private HbAc1 via Lloyds pharamcy.
But diet and exercise can be very powerful tools for some Type 2's to manage their BG levels, with or without additional medication, as many on this site can attest. Reducing carbohydrate intake can work very well plus regular aerobic exercise (even just brisk walking). Lots of references and resources on this site.