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Type 2 meds and testing?

H

Heliocentric

Newbie
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1
Hello all,
I'm new to here so firstly hi and apologies in advance for any mistakes I may make .

A question please. I have type 2 and at the minute I'm suffering from Encapsulitis (Frozen shoulder) I visited my GP surgery today for some pain relief to help with Physio.
While there I asked for my repeat prescription. As he went through what I did and didn't need I told him I didn't need lancets and test strips.
He told me that as I was taking Metformin and Sitagliptin together I had no need to test my blood sugar level.
Would this be correct (this was a doctor that I don't normally see)
Many thanks in advance.
 
Hi there, I'm type 2 and have been for 3 years now, I do not test my sugar levels as I'm on metformin also and Gliclazide

Just go along with watching what you eat and take your medicine as prescribed, so your docs advice is the same as mine, have your 6 monthly checks and look after your feet, check them regular and cut your toe nails straight across and not to short, if you have a treat now and again just take an extra metformin but don't over indulge!

If your worrying at all over anything related to diabetes don't hesitate to make an appointment to see your diabetic nurse and seek advice

Remember that I and a lot of other people live a nice healthy life style with diabetes and it's not the end of the world

Kind regards

Jimmy


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I am glad I do not see your Dr.


What do you suggest to people on the maximum dose of Metformin when they have a treat?
Gliclazide is a medicine that can cause hypos and you should be testing.

To the OP, I would say to go back and to the Dr. you normally see to get your strips reinstated. It may be that the surgery has decided that for financial reasons they are not going to issue Type2's with any more.
 
Actually my doctor is one of the best in London and takes Diabetes extremely seriously, I've been managing absolutely fine over the lady 3 years just be following his guidelines and medicine prescribed SO you should see my doctor, I've been taking Glicaside foe 3 years and my my 5 monthly blood checks prove that my average is 6.9

You obviously don't know what your talking about!!!


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6.9 is that your HbA1c Bulldogblu? Or is it an average from your meter readings? In my book that is way too high for either. At those sort of levels you are more at risk for retinopathy and neuropathy.
 

If the figure represents HbA1C that converts to an average of 8.4 mmol/L. According to guidelines, persistent blood glucose above 7.0 mmol/L is best avoided. Has your specialist commented on this?
 
Bulldogblu,
Do you drive?
If so,not checking your BG before driving (and each 2hrs) is verboten :thumbdown: if you are under ANY drug that can cause hypoglyceamia. As is not informing DVLA if you are on Gliclazide.
 
if you take gliclazide, which CAN cause hypos, and you drive, you should by law test BEFORE driving and EVERY 2 hours, if you have an accident and it is discovered your blood glucose is lower than 5mmol, you WILL be prosecuted, your insurance WILL be invalid, as driving with a glucose levels of UNDER 5 mmol is illegal

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Bulldogblu,
Just noticed, you're a taxi driver. As a professional driver you should be testing as previously mentioned. The danger to your ability to continue your job is not woth not doing so, no matter what your "good" doctor tells you!
 
Some years ago between jobs I approached a friend who runs a taxi firm. He did some checks and told me that driving a taxi was an absolute no no as I am insulin dependent. I would imagine this applies to any one on medication that can cause a hypo. He did give me some parcel delivery work that helped me out!
 

I am glad that I am not alone in thinking you have not been given good advice.
 

My understanding is that it is persistent (chronic) high blood glucose that we are all meant to be avoiding and is the ultimate purpose of blood glucose management. The official 'no-go' region begins at 7.0 bG. Persistent means remaining on or above that level over a period of time. This is opposed to individual spikes which return to normal since, by definition, they do not cause persistent highs.

Think I'll stick with my 'cheapo' practice in the armpit of Sussex.
 
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