Morning reading getting higher

[t2me]

Hi all I am 73 male and have had T2 oficially since 2000 and probably 10-15 years before that undiagnosed. I was put on Jenuviar some years back and my BSL was about 4.5-5 down from 12 mmole/litre using my Accucheck mobile.
as of 2025 my morning sugars are variable from a high of 13 once but average 8.5.but low of 7.5 so guess they are too high.
Per day Im taking metformin 2 gm, Januviar(sitaglyptin) X 1 , Glemiperide X3 and also thyroxin . I was prescribed Jardiance (empaglyflozine to make me pee out sugars more but was just kept awake at night going to the loo all the time. The diabetic nurse said Im at the end of the road now and possibly go to insulin which I prefer not to do. I am going toask my GP for a referal to an Endochrinologist at our local Hospital to get a second opinion is that ok to do as I dont want to upset anyone at the GP practice. Recently my prescription for cartriges for myAccu-check was stopped and a whole new Diabetic monitor with the older push in tabs that I moved from 15 years ago but since I have two Accucheck mobile monitors I find very easy to use have refused the new ones as if needs be I can buy the cartiges from my Pharmacy which is fine by me as they each have 50 tests in them- areally good system and dont know why NHS is phasing them out or is it just Chester?

 

[Inka]

The AccuChek Mobile meter has been discontinued @t2me so that might be part of the reason:

Product Support Page

The Accu-Chek Mobile blood glucose meter is no longer available in the United Kingdom and Republic of Ireland. But don't worry: the test cassettes continue to be available, so there is no need to switch to another meter unless you require a replacement. You can access support for your meter...

www.accu-chek.co.uk

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[Captainmartin]

I’ve got the mobile meter as well, best one I’ve ever tried. I managed to get a spare one when my finger pricker let go and the nurse said they were obsolete, that was several years ago. Boots were selling them at one point, I don’t know if they still do though. I was on a similar regime with tablets but after a hospital admission with DKA and sepsis I am now on insulin. It is a lot better at managing my levels and I feel a lot better now. Also has the advantage of having a CGM as well for the constant monitoring

 

[rebrascora]

@t2me Can I ask if you have made any dietary/lifestyle changes since you were diagnosed and if so what changes ie. Can you tell us the sort of things you typically eat each day for breakfast, lunch and evening meal? Unfortunately NHS dietary advice for Type 2 is a bit behind the curve and if you have been following old advice from 25 years ago then maybe even less helpful. Diabetes meds on their own are unlikely to prevent your diabetes from being progressive and needing increasing amounts of meds, but the right dietary changes can have a massive impact. Getting more exercise like walking if you are able is also really helpful.

As regards the Accuchek, They have stopped production of those meters and whilst the test strip cartridges are still available, they will eventually be phased out. Those test strip cartridges are also much more expensive than some other meters and as less people use them, the price will increase (supply and demand), so it is not surprising that the NHS is stopping prescribing them. It does seem a shame as many people have found them really convenient to use.