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What was your Hba1c when you were put on metformin?
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<blockquote data-quote="TimLaws" data-source="post: 1186808" data-attributes="member: 183287"><p>Hmm a confusing picture isn't it? I was initially going for dietary changes to come off all Meds.</p><p>I am on 1000mgs Metformin, 7-5 mg Ramipril & 20mg Pravastatin although my Blood Pressure & Cholesterol levels were OK for a non diabetic, they need to be lower once diagnosed as diabetic, to prevent micro, renal and cardiovascular problems. However even if we are diet controlled the fact is being diabetic means that we are at a greater risk of cardiovascular disease, and the outcome following cardiovascular events is worse. Metformin appears to limit cardiovascular death in patients with type 2 diabetes. Some studies have demonstrated that metformin limits (myocardial) ischemia and reperfusion injury, independent from its glucose-lowering effect. So all the bog standard advice is still good ie Stop smoking, lose weight, take exercise, eat more healthily( The LCHF program is a great resource and a good start. </p><p>I am now coming to the conclusion that I will stay with the 3 agents above but I am still researching the side effect profiles of the various agents I am on, before making a judgement call. Moan at your Gp re self testing, it might work, if it does not then it is well worth the money , as you can work out what foods are really a no go area for you</p><p><strong><u>Current Numbers May 2016</u></strong></p><p>HbA1c - 37 mmol/mol IFCC standardised, BMI 28,Serum LDL Cholesterol level 1.9 mol/l</p><p>Exercise 3 times per week for an hour High Intensity, 7 days per week 60 mins Cardio/Fat Burning level, Diet - Low/No Carb and Higher Fat (though I may change to Low fat soon)</p><p>Hope this helps in some way, it took me ages to take control of my diabetes & future and not blame myself for the past etc</p></blockquote><p></p>
[QUOTE="TimLaws, post: 1186808, member: 183287"] Hmm a confusing picture isn't it? I was initially going for dietary changes to come off all Meds. I am on 1000mgs Metformin, 7-5 mg Ramipril & 20mg Pravastatin although my Blood Pressure & Cholesterol levels were OK for a non diabetic, they need to be lower once diagnosed as diabetic, to prevent micro, renal and cardiovascular problems. However even if we are diet controlled the fact is being diabetic means that we are at a greater risk of cardiovascular disease, and the outcome following cardiovascular events is worse. Metformin appears to limit cardiovascular death in patients with type 2 diabetes. Some studies have demonstrated that metformin limits (myocardial) ischemia and reperfusion injury, independent from its glucose-lowering effect. So all the bog standard advice is still good ie Stop smoking, lose weight, take exercise, eat more healthily( The LCHF program is a great resource and a good start. I am now coming to the conclusion that I will stay with the 3 agents above but I am still researching the side effect profiles of the various agents I am on, before making a judgement call. Moan at your Gp re self testing, it might work, if it does not then it is well worth the money , as you can work out what foods are really a no go area for you [B][U]Current Numbers May 2016[/U][/B] HbA1c - 37 mmol/mol IFCC standardised, BMI 28,Serum LDL Cholesterol level 1.9 mol/l Exercise 3 times per week for an hour High Intensity, 7 days per week 60 mins Cardio/Fat Burning level, Diet - Low/No Carb and Higher Fat (though I may change to Low fat soon) Hope this helps in some way, it took me ages to take control of my diabetes & future and not blame myself for the past etc [/QUOTE]
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