Author Topic: HbA1c  (Read 745 times)

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Offline Alan

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Re: HbA1c
« Reply #15 on: 17 May 2018, 02:17:41 AM »
I know the Daily Mail is regarded as a rubbish paper by academics and scholars, but along with its sensationalism there can be some valid points made.  There was a long artical in yesterday's paper about the over medication of the elderly.
Whilst acknowledgeing that the people reading these threads are not elderly I do think the article is worth a read.  I'm sure it'll be available online somewhere.
The reported incidence of over prescribing is frightening, especially statins.

You're correct. The people who read these threads are not elderly. Elderly is people my mother's age. She is 93. I am 71 :).

And yes, over-medication is a massive problem which is not restricted to the elderly.
Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey (latest: Slow Cooked Beef Brisket)
Born Under a Wandering Star (Surviving Long-haul Flights in Cattle Class)

Offline sedge

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Re: HbA1c
« Reply #16 on: 17 May 2018, 12:50:07 PM »
Well a retired academic GP in Nuneaton, who was still involved with University of Warwick Medical School when I was part of the Lay Diabetes Group there, did a lot of research on this very subject - for instance oldies who had a terminal prognosis and in Nursing Homes dying of whatever still being on eg statins which was never going to stop their eg Motor Neurone disease killing them anyway.

He said one of the problems was if they were still compus mentis though - when they had been taking drug X for years already and had been told in the past how essential that drug was - could become very worried indeed if it was withdrawn - so it wasn't just a matter of the doctor and the family saying 'OK let's stop it then'.

I thought this research was a B good idea myself.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Alan

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Re: HbA1c
« Reply #17 on: 17 May 2018, 10:25:39 PM »
Well a retired academic GP in Nuneaton, who was still involved with University of Warwick Medical School when I was part of the Lay Diabetes Group there, did a lot of research on this very subject - for instance oldies who had a terminal prognosis and in Nursing Homes dying of whatever still being on eg statins which was never going to stop their eg Motor Neurone disease killing them anyway.

He said one of the problems was if they were still compus mentis though - when they had been taking drug X for years already and had been told in the past how essential that drug was - could become very worried indeed if it was withdrawn - so it wasn't just a matter of the doctor and the family saying 'OK let's stop it then'.

I thought this research was a B good idea myself.

I agree, it is a subject which should be investigated in more depth and across a wider range of subjects. Although I don't define myself as elderly there is no doubt the problem becomes more prevalent for over-fifities as we develop the medical problems associated with being a little past our peak.

As just one part of the problem too often I see new arrivals on diabetes forums who have just been diagnosed T2 and are immediately prescribed two or three diabetes meds based on initial high numbers. I'll see if I can find a recent example. In most cases they would have been far better off using insulin in the short term to get below glucotoxicity levels and minimal meds with lifestlyle changes for continuing treatment.

One of the most useful web-sites I have used over the years is the Medscape Multi-drug Interactions Checker. It will not only look for interactions with prescribed meds but also over-the-counter meds and supplements.
Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey (latest: Slow Cooked Beef Brisket)
Born Under a Wandering Star (Surviving Long-haul Flights in Cattle Class)

Offline Alan

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Re: HbA1c
« Reply #18 on: 17 May 2018, 10:51:54 PM »
Some recent intros on other forums as examples of initial over-medication IMO:
  • Diagnosed on May 4, 2018 A1c was 14.5 BG was 440 500mg metformin in the evening 10 units of Toujeo injectible in the evening Lisinopril morning Atorvastatin morning 81 mg aspirin in the morning...Very overwhelmed at this point.  It is so hard to get this under control.  I think I eat well during the day and my BG jumps 40.  I think I blow it and it drops down 40.
  • I was diagnosed T2 back in January with an A1C of 11%. Doc prescribed Metformin, Actos, and Bydureon bcise. Turned my diet upside-down and started CrossFit 5 days a week. I'm down 45 lbs, right where I should be (I just need to work on my body fat ratio). Overall, I'm feeling pretty good.I went for a check up last week and my doctor doubled my Metformin to 1000mg twice daily and added Farxiga.
I see many more like this.
Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey (latest: Slow Cooked Beef Brisket)
Born Under a Wandering Star (Surviving Long-haul Flights in Cattle Class)

Offline sedge

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Re: HbA1c
« Reply #19 on: 17 May 2018, 11:29:31 PM »
Ridiculous as you say.

I think we have more or less the opposite here though on many occasions, where people are diagnosed T2 diabetic by their GP and nor prescribed anything but just told to make an appointment with the surgery nurse which could be over a month hence.  No advice or scant items like cut down on sugar and stop eating fat (Aaarghh) until they see the nurse who prescribes metformin tells em to eat carbs with everything (and no fat) and come back in 6 months ......
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Pattidevans

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Re: HbA1c
« Reply #20 on: 19 May 2018, 09:59:47 AM »
What Sedge said.  Far too often!  At least my surgery is a bit more proactive and they get a test kit.  How long they are allowed strips I am unsure, but they certainly push Statins.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline colette3

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Re: HbA1c
« Reply #21 on: 23 May 2018, 09:48:03 AM »
Well have done the yearly MOT chat with a DN I had never met, and what a sweetie.  We had a really in-depth chat about my results and she agreed with me that my HbA1C is creeping up 7.1.  Offered another metformin but with IBS I thought that might be overload.  I am now on Sukkarto, 3 per day.  I have read its credentials and I know people have had problems with them but I am going to persevere for at least two weeks, writing down my numbers and making a decision then.  If I have to go back to Metformin with a dose of 1500 I will do so, and keep my finger crossed that my IBS doesn't object too much.  She mentioned my cholesterol had gone down from last year, i.e. 5.7 to 5.4.  Gave her the figures Alan had worked out for me and she thought my results were really good (the Statin word was not mentioned). Everything else was unremarkable so all in all I am pleased.  What I am more pleased about is the fact that she is a really good person to talk to - allowed me to speak, commented that it was nice to speak to someone who knows what she is talking about (thanks DSF) and she has agreed to allow another HbA1c in November.

Now all I have to do is try to persuade the doc to refer me to a gastro for my horrible reflux.  Been taking a PPI and I might as well take a smartie.  Hope she actually diagnoses this in the middle of June.  It isn't GERD - no heartburn and if it is LPR (Silent Reflux) then I have had it for some months and PPI's won't do a thing for the Pepsin invading my throat!!

Offline Pattidevans

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Re: HbA1c
« Reply #22 on: 23 May 2018, 11:19:07 PM »
Hiya Colette as you know I do think you should’ve been tested or helicobacter Pylori but failing that you could try Bimuno powders for a month.  I am trying them and two friends of mine are finding that they have cured their digestive problems.  I think, reservedly, after only a week they may be eloping my bowel probs.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Pattidevans

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Re: HbA1c
« Reply #23 on: 23 May 2018, 11:23:51 PM »
PS.  Sukkarto was horrible for me.  Ask for Glucophage SR instead.

Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline colette3

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Re: HbA1c
« Reply #24 on: 25 May 2018, 08:50:12 AM »
Patti, I looked up Bimuno (you can get them at Boots online).  Powders 42.1 carbs per 100g!!  What size are the powders?  I would like to have pylori test but I wouldn't dare ask.  I am having enough trouble being referred for the horrible reflux and I'm sure they think I'm a complete hypochondriac.  I'll hang on keeping a note of my bgs on the the Sukkarto and then swoop!  My mother in law used to say 'we should just have a tablet - save us cooking and washing up'.  Think this could possibly be the only way I might have good bgs atm.

Offline Pattidevans

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Re: HbA1c
« Reply #25 on: 25 May 2018, 11:03:55 AM »
Colette


There is 3,62grams per sachet.  See here [size=78%]https://www.bimuno.com/bimuno-daily[/size]


I got mine in Holland and Barrett in town.  Same price as Boots, but I see Boots are offering 3or 2.


 If you’re referred for your reflux ask the specialist if you can get helicobacter Pylori.


Sukkarto were OK for BGs but gave me the runs.

Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline colette3

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Re: HbA1c
« Reply #26 on: 25 May 2018, 01:48:10 PM »
That sounds good - I will not take if it gives me massive bgs, - I can tolerate the 'runs' so I think its a case of which is worse!!  I will get bimuno (grr I've just come back from the shopping centre I will and thought Holland and Barrett might have it and discounted it!!!).  I'll get it next week, working tomorrow.