Replies to This Discussion

Permalink Reply by Anthony Holko on December 9, 2009 at 4:32pm

On 80 units of insulin last A!c was 5.6% no problem with lows.

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Permalink Reply by Judith on December 9, 2009 at 6:06pm

I'm at 4.9 at the moment on diet and exercise only. Don't trust that to last. Scared of the next one, of course.....

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Permalink Reply by Cheri on December 11, 2009 at 5:35am

Through low carb, exercise, and tight control, my last A1c was 5.4 - my goal is to stay below 6.

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Permalink Reply by Teena on December 11, 2009 at 6:06am

My last A1C test (Oct) was 6. My goal is in the range 5... level (at least for my next test).

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Permalink Reply by msann59 on December 11, 2009 at 10:31pm

hey teena isnt that going to low, to have complications down the road,did you check with your doc, let me know

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Permalink Reply by Teena on December 12, 2009 at 12:08am

Type 2 here. I started with A1C of 9...when first diagnosed more than 2 years now. 8 months after it was 6.6 a year after it was 6.1 Just last Oct it was 6. My doctor reduced meds dosages already. Before it was metformin 500 mg and glimiperide 2mg twice daily to just metformin 500 mg once daily (gradually though for 2 years now). My long term goal is to manage my diabetes by just diet and exercise (if possible). Hopefully (although its "Food season now") I can go bit lower in the range of 5 (like 5.9) by January 30 which is my next blood work. Its not easy...but my doctor says its possible....Just like the "Little engine that could" says..."I think I can...I think I can...I think I can,...." =)

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Permalink Reply by Carl Edholm on December 11, 2009 at 8:48am

Ive been under 7...but it seems my sugar tests have been awful lately. Like my metformin has stopped working. I need a new A1c and need to do something drastic. Im scared...and trying to ignore it...

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Permalink Reply by msann59 on December 11, 2009 at 10:28pm

hey carl nice to meet you, better get back on track, diabetes nothing to play with ,you have great day

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Permalink Reply by Gerri on December 12, 2009 at 1:04am

Hi Carl,

More Type 2s are using insulin when Metformin & other meds don't work. Hope you'll discuss this option with your endo. Insulin will get your BG under better control & preserve your beta cells.

Understand being scared, but please, please don't ignore it.

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Permalink Reply by Anthony Holko on December 12, 2009 at 1:56pm

I second Gerry. the longer you wait before the insulin the more damage to your pancreas and the harder the diabetes will be to control. It will become your worst nightmare is the pancreas dies completely.

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Permalink Reply by Cheri on December 12, 2009 at 3:04pm

As I posted previously, my goal is to remain <6 and my last A1c was 5.4. For those who say there's "no way" to accomplish that without insulin, I say, why not? If I had known "then" what I know now, I would have started insulin much sooner. In my opinion, it is much safer - and more "natural" - than a lot of the oral meds T2s take and I'm pretty convinced that my beta cells burned out sooner because of these meds. In any event, control is control - whether you can do it with diet, exercise, meds, insulin - the important thing is to control it in order to avoid long term complications.

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Permalink Reply by Terry on December 12, 2009 at 7:23pm

I'm a T1 diabetic, diagnosed in 1984. Up until about three years ago my A1c ran in the 6% range. In the last three years my A1c moved higher. It first moved to the low 7% area then moved up to as high as 8.5%.

I could not offer a reasonable cause of this upward A1c move so I worked with my doctors to rule out infections and heart disease, two main suspects. Once these two principal causes were eliminated I began to closely monitor my eating, blood sugar numbers, and exercise. It appears that I just needed to return to the basics and match my carb intake with appropriate insulin as well as get out for a vigorous walk most days of the week.

Doing that, combined with starting on a Dexcom continuous glucose monitor, my A1c dropped to 7.2% then to 6.5% at the last test. I believe my next A1c result (based on my 24/7 Dexcom numbers) will come in at closer to 6%.

I am studying and considering a low carb diet to drive my A1c down to 5.5% (that's an average BG of about 111 mg/dl). That is my ultimate goal.

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