1. This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies. Learn More.
  2. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  3. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2019 »
    Dismiss Notice
  4. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

What Medication

Discussion in 'Type 2 Diabetes' started by davidn, Feb 8, 2019.

  1. davidn

    davidn Type 2 · Member

    Messages:
    5
    Likes Received:
    2
    Trophy Points:
    23
    I'm Type 2, my Hba1c has just gone from 54 to 57, my Practice Nurse has said if it goes to 58 they'll change my medication from Metformin to ?
    Would anyone have an idea of what they may change it to as I forgot to ask.
    Any help would be appreciated as I like to research side effects.
     
    • Like Like x 1
    • Hug Hug x 1
  2. JoKalsbeek

    JoKalsbeek Type 2 (in remission!) · Well-Known Member

    Messages:
    2,216
    Likes Received:
    1,986
    Trophy Points:
    178
    Hey David,

    I'm a little surprised, as your numbers aren't extreme or anything... Diabetic, yes, but not startlingly so. No idea what they'll come up with next, don't think anyone here can say for sure. For me it was gliclazide, but that was because I responded badly to metformin. There's a load of medication out there. Pills, shots...

    Have to ask though, seeing as you're "not that bad" when looking at your HbA1c... Have you tried just going the low carb/high fat diet route? I think you'd be in the non-diabetic range (and off metformin) in a relatively short amount of time. Couple of months, maybe weeks? (It is a for life kind of deal though, up the carbs again and your HbA1c will rise again too).

    If you're interested, check dietdoctor.com, the low carb recipies on diabetes.co.uk's site, or Dr. Jason Fung's books, especially The Diabetes Code. I think you could gain a lot just by a diet change, and you wouldn't have to worry about side effects... But it's just an idea.
     
    • Like Like x 1
  3. Guzzler

    Guzzler Type 2 · Master

    Messages:
    10,363
    Likes Received:
    6,883
    Trophy Points:
    278
    To be fair, we could only guess. It is up to your pr3scriber to decide what to offer in regard to your personal circumstances. My A1c was 98 on diagnosis and I was prescribed Metformin. I applied changes in diet and have managed to avoid stronger medication. A rise from 54 to 57 is not a great leap but for your DN to say that a further point rise would result in stronger meds seems a little arbitrary.
     
    • Like Like x 2
    • Agree Agree x 1
  4. kitedoc

    kitedoc Type 1 · Well-Known Member

    Messages:
    4,798
    Likes Received:
    3,344
    Trophy Points:
    198
    I recall my first diabetes doctor 52 years ago: Always think of diet before medication.
     
    • Agree Agree x 2
  5. davidn

    davidn Type 2 · Member

    Messages:
    5
    Likes Received:
    2
    Trophy Points:
    23
    Thanks, that's good advice
     
    • Friendly Friendly x 1
  6. davidn

    davidn Type 2 · Member

    Messages:
    5
    Likes Received:
    2
    Trophy Points:
    23
    Thanks, that's good advice
     
  7. Grazer

    Grazer · Well-Known Member

    Messages:
    3,109
    Likes Received:
    146
    Trophy Points:
    103
    I think your DN was using the one point as a threat to get you to whatever they have told you to. As said before, 1 point is neither here nor there. Get on the diet as suggested, and you'll whack many more points than one off the score.
    BTW, at a guess I'd say the meds referred to are Gliclazide, a pretty standard 2nd level med.
     
    • Agree Agree x 1
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook