Blood sugars

[drsmagic]

I am type 2, 60 yrs old male, my morning sugars are between 125 and 130, while 2 hrs after meals between 160 and 170. My A1C is 6.2, I take 1500mg of metformin. My doctor says I am under control even thogh my morning and after meals are high. He say if A1c is 6.2, he would not change anything. Should I be adding one more med to the mix

[WaveRider]

Your doctor is old school, tired, and needs re-education on diabetes control & management techniques.

[Super_sally888]

Hi,

it may be time to find another doctor who will help you achieve tighter control than your current one aims for.

The levels you are having will be causing damage in the long run.  Maximum should be 140 and less.

Best wishes

[Zoelula]

Unfortunately, over time, Type 2's, in addition to being insulin resistant become insulin deficient. I find it interesting that you say you are insulin deficient (have you had a c-peptide test, how much was it?) and your doctor doesn't want you on insulin. Once your body no longer produces sufficient insulin, you can take all the oral meds you want and your numbers will be high. I suggest you get a c-peptide test to see how much insulin you are actually producing. Yes, I agree that it is better to be under 140 as much of the time as possible. Studies show that protracted time spent above 140 is when complications start to form. Most doctors imho are much too lax in their expectations of control.

[drsmagic]

My A1C is as of  a couple of weeks,  I do exercise 3 times a week, and am just 165 lbs, for being 5ft 9inches(i am insulin deficient). Just that my sugar readings have been slow and steadily increasing. When I first started on metformin which was 9 years ago, my fasting and post luch were under 105 and 150. My A1C used to be 5.5. Over the yrs it has steadily risen, There is some information on the web, that it is better to tightly control sugars, there are even some who say that it would make sense to go on insulin to get fasting sugars at 105, and post prandials under 140. But my doctor is not in that school, he is happy for readings under 7.00. I was trying to see if any one has had any luck with adding januvia to metformin and what were the side effects

[adhyaru]

Hey!

Do not change your medications.
Although, your BS seems higher than normal limits it is not that high as to change / add your medications.
Instead, try changing your diet. Avoid refined carbohydrates and grains as far as possible or minimize it.
Try this for a week and things will get normal.

All the best,
Parth Adhyaru

[Zoelula]

Found it: 6.2 A1C is an average blood sugar of 131. Your typical blood sugars sound a bit higher than that, so I'm wondering if they have gone up recently and that A1C is older. Again, A1Cs are just an average and lows could skew it. Your daily numbers tell the story and if those are consistent then you want them lower. Doctors, unfortunately, have higher goals because the ADA is behind on what blood sugars should be and that is their guidelines.

[Zoelula]

Your fasting blood sugar should be cloer to 100 and you want your post prandials under 140. Other factors you can control blood sugar with as a type 2 include exercise, lowering carb intake and weight loss if needed. Do you have lows that make your blood sugar average out to 6.2? There is a forumula that shows what average blood sugars are for each A1C but I can't find it at the moment. I would try the other things I mention before adding another med.