Ho
@zanoni1972 and welcome to the forum. The positive thing is that you have been given a meter.....the negative thing is that you have not been told how to get the best from using it! Never mind, at least we can help with that.
You have been given a meter which measures both blood glucose and blood ketones. As a general thing, T2's do not have a problem with ketones unless your blood glucose levels are very high and as such it is unusual to be given a meter which will measure them. So I will try and simplify things by suggesting that the first thing you get to understand is what the blood glucose readings mean.
For somebody without diabetes, blood glucose levels will vary from around 4mmol/l to 9mmol/l through the day. They will be highest after eating as the carbohydrate in your food is converted to glucose but will begin to fall as your pancreas reacts to the higher level and produces the insulin needed for the glucose to be absorbed, as fuel, into your body. If for some reason or other that does not work properly, then your blood glucose goes up and you get a diagnosis of diabetes. As a general thing, your blood glucose needs to average above about 8mmol/l for that to happen.
So lets look at your readings.
They are entirely consistent with a diabetes diagnosis. Always in double figures which means the average is going to be well above 8mmol/l. As such the HbA1c results of 114 mmol/mol and 117 mmol/mol which are a long way above the diagnosis of 48 mmol/mol, are not surprising.
What do these results mean? One thing for sure is that if something is not done to bring them down you are running a risk of complications down the line that you could well do without. Looks like your surgery recognises this by putting you on gliclazide, giving you a meter, and asking you to come back for further monitoring. It all has the objective of getting your blood glucose down to nearer normal levels.
There are, basically, four things you can do to get your blood glucose down. lose weight (if you need to), reduce the amount of carbohydrate you eat, increase the exercise you do and take medication. Quite how you tackle it depends on you. There are no rules, you have to work out how to fit things into your life. The real strength of having a meter is that as you experiment you can quite quickly see what is working. You do not have to wait for another HbA1c test in three months.
The most spectacular thing is the effect of what you eat. Test before a meal, and, if you test an hour later you should see a much higher blood glucose. test an hour later and it should be coming back down again. To cut down on the testing, normal advice is to test before eating and two hours after with a target of the second reading being not much more than two units above the first. You can experiment with amounts and type of carbohydrate till you find what your system can cope with.
My top tip is to start to keep records right from the beginning.... Date, time, blood glucose reading alongside a food diary detailing what you ate and when you ate it. By looking at the two together you can begin to see the patterns that will help you to work out a plan. Does not have to be complicated. Although there are apps available, I use my trusty old Mont Blanc fountain pen and hard back note book to record things. OK, I then feed the info into a database to do some analysis but you do not have to be that sophisticated.
Hope that helps to put a bit of a perspective on things.
