Reply to Just diagnosed diabetic: A1C 12%: what worked?

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[quote=Anonymous]This isn’t a wait a few weeks to see an Endo kind of thing is what people are trying to tell you. A fasting blood glucose close to 300 is ridiculously high.  I have two diabetic kids, the first one was diagnosed in DKA and spent four nights in the hospital, 2 in the PICU. He had an A1c in your range…. This is really serious stuff and I cannot believe that metformin is all you walked away with.  Or that your doctor let you walk away at all.  Someone with type two diabetes that is creeping up on them should be getting metformin by the time their A1c is in the low sixes.  There’s no way a type two who is having regular appointments and in good shape like you and just one day has an A1c over 12.  That should take years of a slow climb.

Yes, you will be well served by taking them metformin and going on a very hard-core low-carb diet immediately just to try to avoid hospitalization, but you need a lot of follow up and it needs to happen quickly

You need a CGM. Get a Stelo or whatever brand you want immediately so you can get some data. You need bloodwork for all 5 diabetic autoantibodies and C peptide, these are easy LabCorp type tests and your primary care should be able to write you an order in five minutes.

If you can get your fasting blood sugar down to maybe 150 on diet and exercise, then it’s less of an emergency, beyond that, this feels like an ER visit to me. [/quote]

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