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When don't you need medication!

6cats

6cats

Well-Known Member
My HbA1c has gone from 137 in March down to 48 in July. Saw GP yesterday, he lowered my thyroxine dose from 200 to 175, but left my Metformin and Gliclazide exactly the same. With these results I expected him to at least reduce the Metformin! When or at what stage might they be reduced!
 
Probably when your A1c has put you very low in the non-diabetic range for one or more tests?

Grant
 
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137 down to 48 is tremendous progress and you should be proud of it. HOWEVER, remember to keep in mind that you got to that point WITH medication. There is no set stage/level where your medication would be reduced further (that I'm aware of). Personally, I wouldn't be considering a reduction in medication until my a1c was in the low 30s, but that's just me. The worst thing that could happen is that you reduce your medication and your a1c increases.

Either way, that's something best discussed with your doctor.
 
When my A1c went down to 39 my GP took me off Metformin it has since dropped a little to 38. I am now a little concerned that it may have been a little premature to come off medication. So as good as your results are and they are good I would not be too anxious to abandon medication just yet you really should try and get down to lower than pre diabetic levels before you consider doing so.in my opinion.

Regards John
 
I asked my doc to reduce my Glic as I was not losing weight (and my BS levels had come way down too). At the same time I was diagnosed as having an underactive thyroid too.

How much Glic / Metformin are you on?
 
HbA1c of 48 is still in the diabetic range. I suspect your doctor wants to see you down a bit further, possibly to 41, which is the highest non-diabetic level.

Having said that, my HbA1c was 53 on diagnosis but medication was never mentioned to me and never has been since.

On Gliclazide you just have to be careful of hypos - the fewer carbs you eat, the less Glic you actually need or you could end up with a hypo.

Why not have a word with your nurse?
 
6cats said:
My HbA1c has gone from 137 in March down to 48 in July. Saw GP yesterday, he lowered my thyroxine dose from 200 to 175, but left my Metformin and Gliclazide exactly the same. With these results I expected him to at least reduce the Metformin! When or at what stage might they be reduced!
Click to expand...

As TorqPenderloin says, you have reached those numbers with medication. If you should start having hypos on a daily basis, then is the time to start talking about reducing medication.

When I lowered my carb intake to about 80gms per days (as per my WeightbyDate software), that's what happened to me (hypos every day). I was able to drop the Gliclazide (and Januvia) and for the last 4 years, my HbA1c is always good. Sometimes my BG can be a bit weird but there are so many other things that can effect BG, like stress, total knee replacements, appendicitis and peritonitis, infections in general (last 18 months have been a bit weird).

I'm still taking Metformin and accept that I may have to for ever.
 
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