Just diagnosed diabetic: A1C 12%: what worked?

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Hate to tell you but diet alone is not bringing your 12 down to anything reasonable. So while this is all good above advice, you will need the drugs (you are starting at a high dose of metformin so hopefully it works for you!).


+1. This is serious. See an endocrinologist and dietitian.


+2. Not sure why you are asking a bunch of random Internet strangers for medication advice rather than getting recommendations from a more specialized doctor.


+3. So strange to be polling randos rather than looking for a specialist. 12 is really really high.


Nothing wrong with seeking other peoples' experiences. It helps inform the poster and helps them know more what questions to ask their doctor(s). Clearly this isn't someone who just randomly tested their glucose and self-diagnosed. They are seeing a doctor. Responders suggesting it's more of an emergency might unnecessarily be alarming OP or they might be rightly encouraging OP to be more aggressive with their doctor.


If OP has an A1c of 12, that’s severely uncontrolled diabetes and they are facing risks of serious complications like vision loss and kidney disease. That’s not something to mess around with doing your own “research” on the Internet asking a bunch of random people on DCUM.

Op is seeking medical advice, not other people’s “experiences.” Several people on this thread have posted false information that shows they have the medical knowledge of the average 5th grader. I would hate if the OP took that incorrect medical advice seriously and harmed their health because they were not smart enough to differentiate between the anonymous idiot and someone actually qualified to give medical advice.
Anonymous
Anonymous wrote:I think OP is trolling us as before.


Why do you think they are trolling?
Anonymous
OP here. Have an appointment for an endocrinologist! Currently checking blood glucose in morning and after every meal and vigorous exercise 6 to 7 days a week. Numbers are coming down with metformin but not normal yet. But then again it’s only been 10 days. But I am eating very well.
Anonymous
Anonymous wrote:OP here. Have an appointment for an endocrinologist! Currently checking blood glucose in morning and after every meal and vigorous exercise 6 to 7 days a week. Numbers are coming down with metformin but not normal yet. But then again it’s only been 10 days. But I am eating very well.


You don’t specify what you mean by “very well,” but for diabetics, carbs are the enemy, regardless what the diabetes association might say at any given time.

Metformin is a standard treatment. There are drugs you can add to increase insulin production (e.g., repaglanide), send sugar out through the kidneys (e.g., jardiance), and the various metabolic injections (e.g., Ozempic), as well as short and long-acting insulin.

The endocrinologist is the person to see.
Anonymous
How did you not feel sick with an A1c that high?
Anonymous
Anonymous wrote:
Anonymous wrote:OP here. Have an appointment for an endocrinologist! Currently checking blood glucose in morning and after every meal and vigorous exercise 6 to 7 days a week. Numbers are coming down with metformin but not normal yet. But then again it’s only been 10 days. But I am eating very well.


You don’t specify what you mean by “very well,” but for diabetics, carbs are the enemy, regardless what the diabetes association might say at any given time.

Metformin is a standard treatment. There are drugs you can add to increase insulin production (e.g., repaglanide), send sugar out through the kidneys (e.g., jardiance), and the various metabolic injections (e.g., Ozempic), as well as short and long-acting insulin.

The endocrinologist is the person to see.


Yes, you surely know better than the diabetes association!

Anonymous
Anonymous wrote:
T2 is high sugar. T1 is low. Please don’t comment about things you fundamentally don’t understand. She has T2.


Ummmm, no.

Both present with high blood glucose and high A1C. Further blood tests necessary to distinguish difference.

Type 1 is insulin dependent. The body does not make enough insulin and insulin injections/pump required.

Type 2 is insulin resistant. The body is still producing insulin, but resistant to it.

Low blood glucose can happen to anyone; however, blood glucose can drop dangerously low in Type 1.


T1 goes low because of insulin injections via needle or pump. They are also really high because they cannot produce insulin on their own.
Anonymous
Anonymous wrote:
Anonymous wrote:
T2 is high sugar. T1 is low. Please don’t comment about things you fundamentally don’t understand. She has T2.


Ummmm, no.

Both present with high blood glucose and high A1C. Further blood tests necessary to distinguish difference.

Type 1 is insulin dependent. The body does not make enough insulin and insulin injections/pump required.

Type 2 is insulin resistant. The body is still producing insulin, but resistant to it.

Low blood glucose can happen to anyone; however, blood glucose can drop dangerously low in Type 1.


T1 goes low because of insulin injections via needle or pump. They are also really high because they cannot produce insulin on their own.

Going low is true of anyone on exogenous insulin or taking medications that lower glucose levels including type 2s. It's not exclusive to type Is.
Anonymous
Anonymous wrote:How did you not feel sick with an A1c that high?


Most people would not even at that level. You would never even know it if you did not test. That is why type 2 is so bad. Silent and deadly.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Hate to tell you but diet alone is not bringing your 12 down to anything reasonable. So while this is all good above advice, you will need the drugs (you are starting at a high dose of metformin so hopefully it works for you!).


+1. This is serious. See an endocrinologist and dietitian.


+2. Not sure why you are asking a bunch of random Internet strangers for medication advice rather than getting recommendations from a more specialized doctor.


+3. So strange to be polling randos rather than looking for a specialist. 12 is really really high.


Nothing wrong with seeking other peoples' experiences. It helps inform the poster and helps them know more what questions to ask their doctor(s). Clearly this isn't someone who just randomly tested their glucose and self-diagnosed. They are seeing a doctor. Responders suggesting it's more of an emergency might unnecessarily be alarming OP or they might be rightly encouraging OP to be more aggressive with their doctor.


If OP has an A1c of 12, that’s severely uncontrolled diabetes and they are facing risks of serious complications like vision loss and kidney disease. That’s not something to mess around with doing your own “research” on the Internet asking a bunch of random people on DCUM.

Op is seeking medical advice, not other people’s “experiences.” Several people on this thread have posted false information that shows they have the medical knowledge of the average 5th grader. I would hate if the OP took that incorrect medical advice seriously and harmed their health because they were not smart enough to differentiate between the anonymous idiot and someone actually qualified to give medical advice.


Not PP but I think you are wrong. OP is asking for people's experience. Not to treat but to see how treatments worked and to be readu to talk to the doctor.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Hate to tell you but diet alone is not bringing your 12 down to anything reasonable. So while this is all good above advice, you will need the drugs (you are starting at a high dose of metformin so hopefully it works for you!).


+1. This is serious. See an endocrinologist and dietitian.


+2. Not sure why you are asking a bunch of random Internet strangers for medication advice rather than getting recommendations from a more specialized doctor.


+3. So strange to be polling randos rather than looking for a specialist. 12 is really really high.


Nothing wrong with seeking other peoples' experiences. It helps inform the poster and helps them know more what questions to ask their doctor(s). Clearly this isn't someone who just randomly tested their glucose and self-diagnosed. They are seeing a doctor. Responders suggesting it's more of an emergency might unnecessarily be alarming OP or they might be rightly encouraging OP to be more aggressive with their doctor.


If OP has an A1c of 12, that’s severely uncontrolled diabetes and they are facing risks of serious complications like vision loss and kidney disease. That’s not something to mess around with doing your own “research” on the Internet asking a bunch of random people on DCUM.

Op is seeking medical advice, not other people’s “experiences.” Several people on this thread have posted false information that shows they have the medical knowledge of the average 5th grader. I would hate if the OP took that incorrect medical advice seriously and harmed their health because they were not smart enough to differentiate between the anonymous idiot and someone actually qualified to give medical advice.


OP is seeing a doctor who immediately put them on metformin and OP is taking medication. Meanwhile, OP is asking for other input from people who might know or have some personal experience. I don't think OP is relying solely on the widely diverging viewpoints on DCUM. In general, there is almost always someone snarkily commenting when someone asks for others' experiences or advice that they shouldn't be consulting DCUM. I personally find it interesting and informative to read the responses, and I know these people are not medical experts. I still find others' experiences worth keeping in mind and oftentimes I'm made aware of important issues/the exchanges help me know what questions to ask or what other things to research. If that's not something you find worthwhile, why do you bother reading and commenting on such posts?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Hate to tell you but diet alone is not bringing your 12 down to anything reasonable. So while this is all good above advice, you will need the drugs (you are starting at a high dose of metformin so hopefully it works for you!).


+1. This is serious. See an endocrinologist and dietitian.


+2. Not sure why you are asking a bunch of random Internet strangers for medication advice rather than getting recommendations from a more specialized doctor.


+3. So strange to be polling randos rather than looking for a specialist. 12 is really really high.


Nothing wrong with seeking other peoples' experiences. It helps inform the poster and helps them know more what questions to ask their doctor(s). Clearly this isn't someone who just randomly tested their glucose and self-diagnosed. They are seeing a doctor. Responders suggesting it's more of an emergency might unnecessarily be alarming OP or they might be rightly encouraging OP to be more aggressive with their doctor.


If OP has an A1c of 12, that’s severely uncontrolled diabetes and they are facing risks of serious complications like vision loss and kidney disease. That’s not something to mess around with doing your own “research” on the Internet asking a bunch of random people on DCUM.

Op is seeking medical advice, not other people’s “experiences.” Several people on this thread have posted false information that shows they have the medical knowledge of the average 5th grader. I would hate if the OP took that incorrect medical advice seriously and harmed their health because they were not smart enough to differentiate between the anonymous idiot and someone actually qualified to give medical advice.


Not PP but I think you are wrong. OP is asking for people's experience. Not to treat but to see how treatments worked and to be readu to talk to the doctor.


+1
Anonymous
Anonymous wrote:
Anonymous wrote:How did you not feel sick with an A1c that high?


Most people would not even at that level. You would never even know it if you did not test. That is why type 2 is so bad. Silent and deadly.

Yeah, but excessive thirst and urination and eating, weight loss, blurred vision, mood changes. BS has to be high for a long time to get those levels You’d have to know something is wrong.
Anonymous
Cut out alcohol and sweet drinks.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:How did you not feel sick with an A1c that high?


Most people would not even at that level. You would never even know it if you did not test. That is why type 2 is so bad. Silent and deadly.

Yeah, but excessive thirst and urination and eating, weight loss, blurred vision, mood changes. BS has to be high for a long time to get those levels You’d have to know something is wrong.


I did not. A1c was 11. No symptoms. Came down to normal in less than 6 months on metformin and mounjaro. Lost 50 pounds. But there was no aha moment like oh I had these symptoms and did not know it.
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