Hi

[Sunflower71]

Just to say Hi to everyone.
I have had Type 2 for 10 years now, but recently my hba1c level has shot up! I am feeling very fed up about it as I can see no reason. At last my GP does seem to be taking notice, and hopefully we can get it sorted. It is making me feel awful, tired, headaches etc.. Sorry to start with a moan!! I am not usually so negative, but am not feeling great about it all.

 

[Leadinglights]

Just to say Hi to everyone.
I have had Type 2 for 10 years now, but recently my hba1c level has shot up! I am feeling very fed up about it as I can see no reason. At last my GP does seem to be taking notice, and hopefully we can get it sorted. It is making me feel awful, tired, headaches etc.. Sorry to start with a moan!! I am not usually so negative, but am not feeling great about it all.

Welcome to the forum.
Something must have changed such that your HbA1C has gone up, it is easy for people's diet to drift or your tolerance to carbohydrates has changed and you need to be more vigilant.
What was your result and are you taking any medication as that information will help people make suggestions that will help you get back on track.
There are a whole range of different approaches that people find successful but what you choose has to be sustainable.

 

[Docb]

Hi @Sunflower71 and welcome from me.

Snap! I was bumbling along happily with a T2 diagnosis for 10 years or so when my HbA1c suddenly jumped up when I was 73. A bit of carb control, a bit of weight loss and a bit of medication brought things back under control although my blood glucose levels are once again beginning to go up again. I put it down to my systems beginning to creak as I get older - my pancreas is not the only thing that does not work as well as it used to!

If you have any questions, then fire away. There are always people around to give ideas and help you figure out what might be best for you.

 

[everydayupsanddowns]

Welcome to the forum @Sunflower71

Sorry to hear your diabetes has been messing you around recently. Changing the rules does seem to be something diabetes is particularly fond of!

T2 Diabetes was once considered to be an ‘inevitably progressive’ condition - and while recent research has demonstrated that some people with T2 can put their diabetes into remission and regain pancreatic function, for others occasional changes to their diabetes still occur, and an adjustment of meds, menu, or both can be needed.

Hopefully swapping notes and exchanging experiences with folks on the forum will give you a few ideas of things you could try.

Do you take any medications for your diabetes? Has your weight been stable recently? And have you experimented with a moderate or low carbohydrate diet?

 

[Inka]

Welcome @Sunflower71 🙂 It’s perfectly reasonable to be fed up in your situation. Not having any reason for the higher HbA1C must be frustrating. How high was it and what was it before it shot up?

 

[Sunflower71]

Thank you all for your replies and the supportive comments. I saw my GP last week and she can see that I have tried everything I can to keep my readings low. I have very few carbs in my diet and stay away from things I know aren't suitable for me. Anyway, she has changed my medication now, as she could see how frustrated I am; I now have a combination of Metformin and dapagliflozin which I hope will improve my readings. At the moment, I still have many of the symptoms, but am hoping that with time, these will decrease.

 

[childofthesea43]

I think a full understanding of why the figure can rise after years of good control must await future research. However I have read in some papers that a key issue is whether fat has remained in the pancreas during those years of good control. HbA1c can be kept at normality for years by meds and low-carbing and that is of course a good thing, to stave off complications. But if the beta cells are still bearing the insult of intra-pancreatic fat then a time will come when they de-differentiate and are no longer amenable to re-differentiation and at that point insulin secretion falls and serum glucose rises. Then more meds will be the future course. This is why Taylor et al are so emphatic about early and sustained major weight loss, because the primary aim of that is not to reduce HbA1c but to reverse the underlying patho-physiology and get those beta cells healthy again. But whether any of this applies to the poster I cannot say.