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My 4th month review

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Stuvart

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Relationship to Diabetes
Type 2
So I'm into t2 for 4 months now and just had a review. My hba1c is at 60 (was 143 at diagnosis) so that's good, though they have increased my metformin to 4 a day from 3 and put me on statins (atorastatin 20mg) as my cholesterol is a bit high at 5.3 rather than the 4ish they'd like. They have also taken bloods for a GAD test as no one in my family has ever had diabetes.
Overall I'm doing ok and have to go back in 3 months unless the 'gad' shows an issue.
 
Many congratulations on a great HbA1c reduction. Hope they gave you a big pat on the back as that reflects a lot of hard work on your part. Well done!
Interestingly, my cholesterol was 5.2 at diagnosis and they said I didn't need statins.... which I was pleased about. I now eat about 4x as much fat as I used to and it has reduced to 4.5. Still above the NICE guidelines of 4 that they want diabetics to be under but thankfully my HCPs have assessed my risk as low.

Good to hear that they are doing GAD testing. Let us know how that goes.
 
Well done on reducing that HbA1c @Stuvart. Keep up the good work.
 
Thanks all, though I forgot to mention they have me checking my blood pressure now for a week as it seems a little high so that could be another set of pills or not. At this rate I'll rattle when I move lol.
 
Well at least they no longer chuck BP pills at people from two BP measurements taken at the surgery!

OH's was mega high at the hosp the other week - like c180/c90 and he felt like it was too - but at least it's reduced to something a bit more like - mid 150s/mid 70s - even though still high - during the last week's testing twice a day and ignore the first one. Just delivered form reporting those back to GP surgery this morning.
 
Well done with your A1c ! onwards and downwards ....
 
trophywench said:
Well at least they no longer chuck BP pills at people from two BP measurements taken at the surgery!

OH's was mega high at the hosp the other week - like c180/c90 and he felt like it was too - but at least it's reduced to something a bit more like - mid 150s/mid 70s - even though still high - during the last week's testing twice a day and ignore the first one. Just delivered form reporting those back to GP surgery this morning.
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Yep thats what I have to do 2×in the morning and 2× in the evening a minute apart write down the results and hand the form back in, in 7 days or as its weekend the Monday after.
 
Well done, I’m impressed they’ve taken bloods for GAD! No one in my family has ever had diabetes, and I was diagnosed age 20, still couldn’t ever convince anyone to do the tests, so it’s great sign of their diabetes knowledge that they’re testing you for it.
 
Lucyr said:
Well done, I’m impressed they’ve taken bloods for GAD! No one in my family has ever had diabetes, and I was diagnosed age 20, still couldn’t ever convince anyone to do the tests, so it’s great sign of their diabetes knowledge that they’re testing you for it.
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Yeah I was suprised myself when the nurse suggested it, though with me being a victim of a hit and run last November causing a major head wound then a few weeks later starting to show diabetic symptoms (never even connected the symptoms with diabetes as no-one has had it in family) I think she wants to be sure its actually t2 and not something exotic. Either way its a definite increase in info from my surgery so all good. (Fingers crossed)
 
Stuvart said:
Yeah I was suprised myself when the nurse suggested it, though with me being a victim of a hit and run last November causing a major head wound then a few weeks later starting to show diabetic symptoms (never even connected the symptoms with diabetes as no-one has had it in family) I think she wants to be sure its actually t2 and not something exotic. Either way its a definite increase in info from my surgery so all good. (Fingers crossed)
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Them knowing about GAD tests, and potential for misdiagnosis is definitely a positive sign of their being knowledgeable so hopefully they’ll be helpful whatever the results.
 
Hi. At your next bloods test have a full 'lipids panel' fasting test so you can find out your various ratios e.g. HDL, LDL are as these are far more important than the NICE total of 4. Statins are only relevant if the ratios are not good rather than the total. Obviously best to avoid the statins for a day or so before the blood test to get a valid result.
 
DaveB said:
Hi. At your next bloods test have a full 'lipids panel' fasting test so you can find out your various ratios e.g. HDL, LDL are as these are far more important than the NICE total of 4. Statins are only relevant if the ratios are not good rather than the total. Obviously best to avoid the statins for a day or so before the blood test to get a valid result.
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I was surprised I didn't get the full works this time round just an hba1c as 3 month ago I got tested for them all, but as I'm new to this I'm not sure whats what though in 3 months I'm getting the lot done when I'm next in for my review.
 
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