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<blockquote data-quote="DCUKMod" data-source="post: 1884495" data-attributes="member: 345386"><p>To be honest, Geoff, if your A1c comes back as predicted at 6.7%, it's not that likely you will be given additional meds, because in all likelihood, your team would be happy with that, as it usually signals decent control on the charts.</p><p></p><p>If you are keen to try to make a further step change, you could try a few weeks of hard core and really just give the pasta, porridge and KFC a wide berth. A few weeks of meat and veg, or if you like meat enough, some have great success on a largely carnivorous diet, could be worth a whirl. Those aren't specific advice, just suggestions you might care to mull.</p><p></p><p>Your B12 being a bit low and D really quite low need to be addressed, and like all things our bodies will function best where there aren't points of strain, like vitamin deficiencies or inadequacies. </p><p></p><p>There are loads of threads on here on those vitamins being low. It's really not uncommon. Lower B12 can be a side-effect of Metformin, and low Vitamin D is incredibly common. Heading into winter, it's highly unlikely you'll be able to boost the Vit D naturally, in UK. A loading dose of D3 + K2, then a maintenance dose, at least through the winter should sort that out. </p><p></p><p>Very often the NHS will prescribe the loading does of D3, with the maintenance dosing down to us to fund. Just to be clear though, for maximum impact, the D3 should be taken with K2, and some say also Magnesium, for optimum uptake and efficacy. There's loads out there on t'interweb on that, and they're not expensive supplements. You will want those tests re-run in a few months time, although probably not the C-peptide. The fasting glucose is a but unreliable if you experience dawn phenomenon.</p></blockquote><p></p>
[QUOTE="DCUKMod, post: 1884495, member: 345386"] To be honest, Geoff, if your A1c comes back as predicted at 6.7%, it's not that likely you will be given additional meds, because in all likelihood, your team would be happy with that, as it usually signals decent control on the charts. If you are keen to try to make a further step change, you could try a few weeks of hard core and really just give the pasta, porridge and KFC a wide berth. A few weeks of meat and veg, or if you like meat enough, some have great success on a largely carnivorous diet, could be worth a whirl. Those aren't specific advice, just suggestions you might care to mull. Your B12 being a bit low and D really quite low need to be addressed, and like all things our bodies will function best where there aren't points of strain, like vitamin deficiencies or inadequacies. There are loads of threads on here on those vitamins being low. It's really not uncommon. Lower B12 can be a side-effect of Metformin, and low Vitamin D is incredibly common. Heading into winter, it's highly unlikely you'll be able to boost the Vit D naturally, in UK. A loading dose of D3 + K2, then a maintenance dose, at least through the winter should sort that out. Very often the NHS will prescribe the loading does of D3, with the maintenance dosing down to us to fund. Just to be clear though, for maximum impact, the D3 should be taken with K2, and some say also Magnesium, for optimum uptake and efficacy. There's loads out there on t'interweb on that, and they're not expensive supplements. You will want those tests re-run in a few months time, although probably not the C-peptide. The fasting glucose is a but unreliable if you experience dawn phenomenon. [/QUOTE]
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