Hello

[ireneswietnicki]

I’ve just joined the site, although ive had type2 for many years, the past few years ive struggled with high blood sugar, currently I’m told it’s 83. I’m desperate to get this down. I’m on 4 Metformin a day and 1 Sitigliptin. I’m trying to avoid going onto other meds because of side effects. I find the info provided from the diabetic nurses conflicting each time I see them. I’m not overweight infact I’m loosing weight. I’ve now been told to take all 4 Metformin with dinner, the sitigliptin can be taken any time. Anyone else had a similar issue, and what did you do? Thanks

 

[Inka]

Welcome @ireneswietnicki 🙂 Do you test your blood glucose yourself with a home glucose meter?

 

[Leadinglights]

I’ve just joined the site, although ive had type2 for many years, the past few years ive struggled with high blood sugar, currently I’m told it’s 83. I’m desperate to get this down. I’m on 4 Metformin a day and 1 Sitigliptin. I’m trying to avoid going onto other meds because of side effects. I find the info provided from the diabetic nurses conflicting each time I see them. I’m not overweight infact I’m loosing weight. I’ve now been told to take all 4 Metformin with dinner, the sitigliptin can be taken any time. Anyone else had a similar issue, and what did you do? Thanks

If it is the slow release metformin then it is usual to take them all at once as it then works in the background helping the body use the insulin it produces more effectively and preventing the liver releasing glucose.
However the sitagliptin is a medication that encourages the pancreas to produce more insulin but it does appear that it can be taken with or without food and works in combination with diet and that is usually by reducing carbohydrates.
What approach are you taking at the moment as it looks as if there is a bit more work to do if your HbA1C is as high as 83mmol/mol.
However if you are loosing weight that might send up a red flag that you may not be Type 2 so bare that in mind if the meds do not have much effect.

 

[everydayupsanddowns]

Welcome to the forum @ireneswietnicki

Sorry to hear you are struggling to steer your glucose levels back towards the recommended range

Have you never been overweight since diagnosis? And how long ago was that?

Have you adjusted your menu to reduce the overall carbohydrate content so that it balances with the meds you are taking? Though as others have said, you need to be careful to do this gradually, and to ensure you have sufficient carbs to avoid low blood glucose.

We have had some members over the years who have eventually found out that their diabetes was a slowly developing form of T1 sometimes called LADA after several years of being told they were T2. In some people the autoimmune attack can be quite gradual, and there can be enough beta cells left in the pancreas for oral meds to have an effect for a while, but ultimately once the beta cell mass reduces past a certain point their glucose levels rise no matter how carefully they eat.

Might be worth bearing that possibility in mind if your levels remain high and the oral meds don’t seem to be working? You can request a cPeptide check which will show how much insulin your body is able to produce.