Hello. Thanks for your comments.Hi and welcome to the thread.
Those are unpleasantly high readings to be getting on a regular basis over a prolonger period and must be making you feel pretty rough!
I have just looked through your other posts and the various changes in medication you have had. Are you still on Sitagliptin and have you made any changes to your diet over the years? Type 2 diabetes medication needs to be used in conjunction with lifestyle changes to be most effective and help prevent the condition from becoming progressive. Losing weight, becoming more active (a brisk daily walk is ideal if you are able) and reducing carbohydrate intake (ie sugar, cakes, biscuits and sweets BUT ALSO bread, pasta, rice, potatoes, breakfast cereals, pastry etc and even the type and quantity of fruit) are the key factors in managing BG levels.
What sort of things do you typically eat in a day? That may have a bigger impact than any oral medication you do or don't take. Self testing is also really helpful in seeing which foods cause you the most BG turmoil and using that information to tailor your diet to improve your diabetes management. Testing before food and then 2 hours afterwards will show you how that food impacted your levels and enable you to make educated choices about which foods to avoid and which to reduce the portion size or frequency of it appearing on your menu.
We can make suggestions of tasty swaps and alternatives if you are consuming particularly high carb foods on a regular basis. Changing your diet can be an incredibly powerful tool in managing your diabetes and it doesn't have to be all "sack cloth and ashes". For instance a full English breakfast (minus the toast/fried bread) is much lower carb than a bowl of breakfast cereal. If you fancy something lighter, many of us have creamy natural Greek yoghurt with a few berries, seeds and chopped nuts added, or eggs however yopu like them but go steady on the bread toast with them. I often enjoy a 2-3 egg omelette with a whole variety of fillings usually including cheese served with a salad and a big dollop of coleslaw.
Anyway, just something to think about if you haven't made any adjustments to your diet or perhaps just cut out a bit of sweet stuff.
Still on Sitagliptin, for the moment.
I did see a practice nurse very recently. Hbac1 is 89.
We discussed meds, and agreed to try Glicazide.
Prescription appeared, but it was for Empagliflozine, which I know nothing about.
I also have Parkinson's and atrial fibrillation, and have a long list of meds, so I'm always wary of interactions, having a couple of times been prescribed meds with major interaction warnings.
My diet is rubbish. I cook my wife very nice meals, but eat garbage myself. I think it's something to do with Parkinson's...that or I'm barmy.
I have no sense of taste or smell due to Parkinson's, which ruins the pleasure of eating. When consistency is all you have, it's not easy.
Average day food for me.
Breakfast....2 rounds of toast and butter.
Lunch...tomato sandwich on seeded brown bread, or Cornish pasty (the rubbish brand, not a real one) or a weird dried Polish sausage I've found that is virtually 100% pork.
Dinner.....some sort of fish cakes, or breaded chicken breast.
Sometimes I just have bio yoghurt or Greek yoghurt.
I eat zero vegetables apart from tomatoes.
My beloved seafood is out....just slimy slippery tasteless.
Occasionally go out for full English breakfast, which I enjoy.
I enjoy omelette, with cheese, but I don't often bother to make myself one.
Most things I eat are for the consistency....crunchy stuff is good.
I know.....it's pathetic.