Worried about Hubby

[cazscot]

My hubby has been T2 since 2000 and was diet controlled for 6 months. He is on the maximum amount of metformin and gilmperide (?) for quite a few years now. He also takes Ramapril and Simvistatin. Although his hBA1c is not high (6.9) it has risen steadily for the past few years and looks as though it will continue to rise. He has the start of complications (was told in his last eye repinopothy that changes were occurring but needed no treatment, if he has a wound it takes ages to heal, and is prone to fungal infections).

He dosent ever test (dont get me started on that one 😡) so has no idea of what foods effect him. I can control what he eats in the house but not outside! We had chicken and pasta (only 40g of pasta) the other night and he was 14.4 after 2 hours, I was down to 6.4.

My question is this, how high does your hBA1c need to be before they start considering insulin or other drugs like Byetta? As I said before, I realise that 6.9 is not high but it is rising steadly and complications are setting in.

Because hubby has never been overweight the nurse suspects that it was the lack of insulin more than insulin resistance that caused the D in his case. Now that he has been diabetic for 10 years I suspect that his Beta cells are about to give up on him (especially because he has already been on sulfonylureas for years).

Any advice appreciated, thanks.

 

[Steff]

Hi Carol i cant say for sure but i would say it all is down to the particular surgery i know my doctor said to me when i asked if i had 2 hbAs say one in may and the next august and they where both over 10 he would have put me on insulin.

 

[falcon123]

HbA1c is an average. However if it is an average of extremes it is not a good thing. A friend was max'ed out on Metformin and having side effects. He is now on insulin (two shots a day) and is far healthier. Like your husband there was never a weight problem.This type of change is sometimes outside the scope of GP's and it may be sensible to get your husband referred to a specialist.

 

[bev]

You could always get him to join the forum! Sounds like things need looking at again. If he isnt testing then he probably already knows things are bad.😱🙂Bev

 

[Caroline]

Encourage hubby to join this forum.

It is difficult, my dad is diabetic and my mum has taken over his control because he just wont, he thinks there is nothing to worry about! If he is out my dad wont even take his tablets for fear of others prying!

 

[cazscot]

Thanks everybody, have suggested many a time for hubby to join this forum (really dont know where I would be without all the excellent advice from everybody ).

Will "nag" him a bit more to try and get him to join x