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Hba1c 2024 result has arrived

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Sharron1

Well-Known Member
Relationship to Diabetes
Type 2
So, December Hba1c result has arrived, I only had the blood test yesterday morning, it's very quick. It is 36. I have updated my signature but note it is all the wrong way round, with the most recent at the bottom of the list. Sorry.

Apparently recent NICE guidelines are to test all diabetics for thyroid and liver function. Mine both returned as normal, as well as kidney function. I am now only waiting for the dreaded cholestrol, but that always takes a little longer. I expect it will be highish and in the New Year I will have the Statin discussion with GP, but after last year's adventure I am rather loathe for a repeat performance of elevated liver enzymes.

Still at least I can cut myself a bit of slack over Xmas.

Once the cholestrol result appears there will be the call from the surgery. However, I (again) want to discuss a reduction in metformin, currently three (two in the morning and obviously one in the evening). No doubt, there will be audible sighs and tuttings when I broach the subject. Ridiculous 🙄 :rofl:
 
Sharron1 said:
So, December Hba1c result has arrived, I only had the blood test yesterday morning, it's very quick. It is 36. I have updated my signature but note it is all the wrong way round, with the most recent at the bottom of the list. Sorry.

Apparently recent NICE guidelines are to test all diabetics for thyroid and liver function. Mine both returned as normal, as well as kidney function. I am now only waiting for the dreaded cholestrol, but that always takes a little longer. I expect it will be highish and in the New Year I will have the Statin discussion with GP, but after last year's adventure I am rather loathe for a repeat performance of elevated liver enzymes.

Still at least I can cut myself a bit of slack over Xmas.

Once the cholestrol result appears there will be the call from the surgery. However, I (again) want to discuss a reduction in metformin, currently three (two in the morning and obviously one in the evening). No doubt, there will be audible sighs and tuttings when I broach the subject. Ridiculous 🙄 :rofl:
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Congrats on the numbers!

I'm newly diagnosed, I have a question... with your numbers being so low for the past few years! Why would they not reduce medication? I thought they would have done that long before now?
 
guybrush said:
Congrats on the numbers!

I'm newly diagnosed, I have a question... with your numbers being so low for the past few years! Why would they not reduce medication? I thought they would have done that long before now?
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Thank you

Excellent question, one which I ask
myself. Every time over the years I have ask I am told 'if it ain't broke don't fix it' Absolutely ridiculous. So, this year, I will have another go

The cynic in me thinks it is a case of GP arrogance, ie we are the professionals etc etc and will decide. Most of the GPs in this surgery don't really do much in the way of discussion or listening, however they are super good at writing prescriptions. Sigh
 
Sharron1 said:
Thank you

Excellent question, one which I ask
myself. Every time over the years I have ask I am told 'if it ain't broke don't fix it' Absolutely ridiculous. So, this year, I will have another go

The cynic in me thinks it is a case of GP arrogance, ie we are the professionals etc etc and will decide. Most of the GPs in this surgery don't really do much in the way of discussion or listening, however they are super good at writing prescriptions. Sigh
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That is really worrying they have that response.

How many metformin are you on?

It might be a pipe dream but I'm hoping to come off all meds eventually. I kinda feel that I need to know if my body can do it on its own without the metformin.
 
Congrats on the good current result...
 
Could you not just reduce the dose anyway. Tell them you're going to take x instead of y regardless of what they prescribe?
 
guybrush said:
That is really worrying they have that response.

How many metformin are you on?

It might be a pipe dream but I'm hoping to come off all meds eventually. I kinda feel that I need to know if my body can do it on its own without the metformin.
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I am not that concerned about taking the Metformin but find the Surgery's reaction to my questions rather odd. I originally started on 4 tabs and last year my review was undertaken by a new member of the surgery who reduced it to three. A fresh pair of eyes I guess. I suspect now the Metformin is doing very little for me and I have done and am doing the heavy lifting.
 
dannybgoode said:
Could you not just reduce the dose anyway. Tell them you're going to take x instead of y regardless of what they prescribe?
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Yes, I could do that but prefer it came from them rather than end up in a stroppy conversation with them. Had one of those before with GP who quickly mounted her high horse when we discussed statins.
 
Sharron1 said:
Yes, I could do that but prefer it came from them rather than end up in a stroppy conversation with them. Had one of those before with GP who quickly mounted her high horse when we discussed statins.
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I get that. Luckily I've not had to have a stroppy conversation with mine yet. There is one Dr at our surgery though where I can imagine I would have to. The rest are excellent though.

I've already had an early chat about statins and told them I'm not interested thank you and the chap I saw left it at that...
 
Great result!

Before I ‘officially’ stopped Metformin I stopped taking it for a while to see what the results was with finger pricks. It didn’t seem to be making any difference. So when the nurse (Who was surprised I'd been taking 500mg for 2 years despite normal hba1c in all that time) told me to stop it and do another hba1c in 3 months I wasn't expecting a huge change.

Luckily my surgery is a bit more open minded, but there does not appear to be any sort of 'guidelines' for stopping anti-diabetic medication - so I guess it's down to the experience/knowledge of the healthcare people.
 
dannybgoode said:
I get that. Luckily I've not had to have a stroppy conversation with mine yet. There is one Dr at our surgery though where I can imagine I would have to. The rest are excellent though.

I've already had an early chat about statins and told them I'm not interested thank you and the chap I saw left it at that...
Click to expand...

Yeah, I had one blood test where my cholesterol was up, and I said I'd rather use diet and they were fine about it. They always make it clear it's my choice.
 
Congrats on another great HbA1c @Sharron1

Still just that one 'lost, then found' result that breaks the pattern.

Did your eating habits change very much between 2018 and 2019? And are you still careful about your menu now, or do you eat quite freely? Your initial diagnosis does seem shrouded in confusion and uncertainty!
 
Congratulation @Sharron1 you have done incredible well and maintained it over all these years :star:

Alan😉
 
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