Hi everyone
I am looking for some shared experience of Type 2 progression into higher blood sugar levels.
I am 70 years old and was diagnosed with Type 2 in 2009. I started to diet and lost weight. I was also prescribed metformin. Blood sugars came down and were managed. My HbA1C at the six monthly and then annual checks were fine. However, in 2021 the test was higher so I started finger pricks on a daily basis for a month or so and then went back to the GP. Following a discussion with the GP we added sitagliptin to the metformin. The GP said that sometimes Type 2 that has been managed for a while might have to move to insulin but we didn't need to think about it if the sitagliptin worked. I kept up the finger pricks to check that the sitagliptin was working. It was and I stopped the regular checks but just tested when I was feeling unwell. I was also tested when I was in hospital for a procedure for metastatic cancer on the lung. All of these checks seemed OK.
About a fortnight ago I went for a pre-assessment for a cataract operation and my blood sugar in the mid morning was 10. I have started regular morning finger pricks and they are moving between 6.3 and 7.5 with the majority around 7.0. I am going to keep going until I have a month of tests and then see the nurse at the GP practice.
Has anyone else any experience of progression onto insulin in a similar situation and did they move to insulin or further medication? I would like to have some practical experience before I speak with the nurse.
Thanks all
The original post was in early July. I have continued to monitor the waking blood sugar. Evening meal at 6.00pm. and blood sugar around 7.30am the next morning with nothing other than, occasionally, a couple of oatcakes or handful of redskin peanuts in the evening. No alcohol and no big nights out in all the period. The average is 6.5. The lowest 5.6 and the maximum 7.8. There was a 7.6 yesterday and I can see no reason for this other than the fact that I was feeling ill the day before. The question is, is that cause or effect. Today I am going to the GP arrange to bring forward my annual diabetes check. The last time my HbA1C had increased the doctor (not my usual GP) had mentioned insulin but had said that we could try sitagliptin with the metformin before moving on. I will see what happens this time but I feel that, thanks to the comments I received to the original post, I will be better prepared for the discussion that may follow.
I am looking for some shared experience of Type 2 progression into higher blood sugar levels.
I am 70 years old and was diagnosed with Type 2 in 2009. I started to diet and lost weight. I was also prescribed metformin. Blood sugars came down and were managed. My HbA1C at the six monthly and then annual checks were fine. However, in 2021 the test was higher so I started finger pricks on a daily basis for a month or so and then went back to the GP. Following a discussion with the GP we added sitagliptin to the metformin. The GP said that sometimes Type 2 that has been managed for a while might have to move to insulin but we didn't need to think about it if the sitagliptin worked. I kept up the finger pricks to check that the sitagliptin was working. It was and I stopped the regular checks but just tested when I was feeling unwell. I was also tested when I was in hospital for a procedure for metastatic cancer on the lung. All of these checks seemed OK.
About a fortnight ago I went for a pre-assessment for a cataract operation and my blood sugar in the mid morning was 10. I have started regular morning finger pricks and they are moving between 6.3 and 7.5 with the majority around 7.0. I am going to keep going until I have a month of tests and then see the nurse at the GP practice.
Has anyone else any experience of progression onto insulin in a similar situation and did they move to insulin or further medication? I would like to have some practical experience before I speak with the nurse.
Thanks all
The original post was in early July. I have continued to monitor the waking blood sugar. Evening meal at 6.00pm. and blood sugar around 7.30am the next morning with nothing other than, occasionally, a couple of oatcakes or handful of redskin peanuts in the evening. No alcohol and no big nights out in all the period. The average is 6.5. The lowest 5.6 and the maximum 7.8. There was a 7.6 yesterday and I can see no reason for this other than the fact that I was feeling ill the day before. The question is, is that cause or effect. Today I am going to the GP arrange to bring forward my annual diabetes check. The last time my HbA1C had increased the doctor (not my usual GP) had mentioned insulin but had said that we could try sitagliptin with the metformin before moving on. I will see what happens this time but I feel that, thanks to the comments I received to the original post, I will be better prepared for the discussion that may follow.
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