Little background. was diagnosed with type 2 years ago altho I barely met the criteria. Over the last year and for sure the last 3 months something flipped and my BS has gone crazy. My a1c's have been between 6 and 7 for years. (I do have DP tho that most all the time went away as soon as I ate)
Suddenly my a1c was 8.7. I knew something was up when i checked my sugar, after having not done so for months, was close to 300. I spiked to 400 the other night. Well, Dr called me and wanted to see me when she found my high a1c. She put me on amaryl. (I'm already on metformin xr.)
Amaryl has done nothing for me over the last week, neither has met as far as i know. My lowest BS has been 189 and that was first thing in the morning.
I admit I have been lazy over the years because it didn't matter what I ate BS stayed the same and a1c always came back in a range I was satisfied with. (My BS goes down slowly after eating)
I started back to LC eating as soon as I discovered my high BS. This is not working. between the high sugars and the amaryl, I feel like death warmed over.
I just feel like I don't want to mess around with a med that doesn't work. I feel like perhaps I need to go back to the dr and tell her to put me on insulin until I can get things under control. of course if I can and my pancreas hasn't worn out. Seems to me I could spend months dicking around trying meds with more and more damage being done or cut to the chase and use some insulin!
p.s tried byetta and victoza before. way to expensive. my pharm insurance it awful.
You checked your blood sugar after not having done so for months???. No matter how well controlled your diabetes is, you still need to check your blood sugar.
Ok, having gotten that out of my system, I'll share my first thought: Are you sure you're type 2? Have you had antibody testing and c-peptide test? You say you were diagnosed two years ago? That is well within the range of how long people can maintain their D on oral meds before the slow destruction of beta cells kicks in with LADA which is a slow onset form of type 1 that occurs in adults. I suggest you get tested to confirm your Type.
It stands for Latent Autoimmune Diabetes in Adults. Basically it is Type 1, but a type 1 that is diagnosed in adults and takes longer to develop. I am LADA. i was diagnosed at age 58 with what they said was Type 2. I was put on oral meds and did fine with very stable blood sugars for 15 months. Then my numbers started to go up and up. I came on here and did the research and realized I was Type 1 not type 2 and needed to be on insulin. Some things that can indicate this might be the case are, as I said, doing ok for a few months to a few years on oral meds than numbers going up. Also being normal weight, thin, or losing weight when diagnosed. Also having another autoimmune disorder such as thyroid. But the definitive diagnosis is getting antibody and c-peptide tests. Many doctors are behind the times. They think Type 1 only happens to children. They are wrong.
Ask for a referral to an endo and then ask for antibody testing.
If you can't get your blood sugar down, yes, go to insulin. The sooner the better, in my personal opinion.
If metformin isn't working you don't want to go on sulfonureas (these try to make your failing pancreas kick out more insulin) - the next step is insulin.
Insulin is a wonderful tool for managing diabetes and getting blood sugars down.
Mind you, an A1C of 7 = an average blood sugar of 180, which although the ada says it's ok, isn't really (complications are known to occur when blood sugars are above 140). You can also compare this with non-diabetic A1Cs which are usually in the 4s (totally normal is 4.3 - 4.6 range).
If you can acheive it safety (without lows) a much better target is to try to keep blood sugars between 80 and 140 all the time, and ideally less than 120.
thank you, Super Sally :-)