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Ratter51 05-20-2019 15:20

A1C up
 
Hi, back again after a break. Still taking Metformin one tablet a day.
Since I have been here my last two A1C results are 7.1 and my morning Fasting numbers now and then have risen to an average of 163 area every time. Not sure the earlier 6.4 and again 6.4 leaped to 7.1 but it has. The pcp told me not to increase the Metformin, keep taking one a day. He said the numbers are still excellent. But I donít feel good a lot. Can this 7.1 make a person not feel good? Thanks

div2live 05-20-2019 16:30

That is a tricky question...from my experience the A1c is an indicator of how well you have done 'on average' over the last 90 days. It does not always give a clear picture, if you understand averages. As an example, you could be having really high, highs offset by really low, lows and still get that A1c. In that case yes, those highs and lows can make you feel bad at the time you are experiencing them.

More important is your daily readings that you take! Especially, if you are having times you feel bad...If I feel bad, shaky or whatever, the first thing I do is check my blood sugar. Then I can adjust my behaviors to try and offset those highs or lows that impact my short-term 'not feeling good' and the long-term impacts these can have on my overall health.

Good Luck

Ratter51 05-20-2019 20:15

I forgot to mention Iím not on insulin. I assume if the A1C goes higher then the Dr will increases the Metformin.

div2live 05-20-2019 20:27

As far as increasing the metformin, yes he might! My doctor put me on one time a day, slow acting insulin, I give my self a shot every night. It is best, for me on controlling my blood sugar. These shots are painless once you get trained, and because it is slow acting the chance of having a dangerous low blood sugar with it is much lower than those that take fast acting insulin before meals....

Whatever, just know if you manage your carb intake, preferably by follow the Low Carb High Fat model most of us use on this website, you will minimize your drug requirements for diabetes....

Good Luck

itissteve 05-20-2019 21:24

Quote:

Originally Posted by Ratter51 (Post 1319427)
But I donít feel good a lot. Can this 7.1 make a person not feel good?

What are your symptoms for "don't feel good"? When my blood sugar is extraordinarily high, I'm listless and feel really tired, and I know that I'm not with it mentally. I'm even aware of my vision fuzzing a little until the carbs work through my system. Sometimes I even feel a little nauseous (but that may just be guilt about eating that many carbs :smile2:).

7.1 is not an immediately life-threatening level of blood sugar. But it is enough to damage your body, and staying around 7 will bring on the classic diabetic symptoms (nerve pain, vision problems, cardiac issues, slow healing,...). It's not a good sign that your numbers are getting bigger; it indicates that your pancreas can no longer supply even the insulin it did (eventually it can quit entirely and then you're injecting insulin).

I'm a bit surprised your doctor hasn't bumped up your metformin dose to handle your higher levels of blood sugar. But your doctor knows your medical history better, so maybe he's looking at some other issue. Some doctors also prefer that people with diabetes run higher levels of blood sugar to avoid possibly-fatal episodes of very low blood sugar -- but, to me, that's like revving an engine to 6000 rpm on every shift to make sure you don't stall. It's not that hard to avoid stalling; you should not have to wear out the engine prematurely in the effort. But, again, your pcp knows you better than I do.

hftmrock 05-21-2019 01:04

Quote:

Originally Posted by Ratter51 (Post 1319427)
Hi, back again after a break. Still taking Metformin one tablet a day.
Since I have been here my last two A1C results are 7.1 and my morning Fasting numbers now and then have risen to an average of 163 area every time. Not sure the earlier 6.4 and again 6.4 leaped to 7.1 but it has. The pcp told me not to increase the Metformin, keep taking one a day. He said the numbers are still excellent. But I don’t feel good a lot. Can this 7.1 make a person not feel good? Thanks

what do you think about this? your thoughts, your inclinations?

what do you want to do?

mbuster 05-21-2019 03:31

Your doctor keeps telling you that your numbers are excellent, we keep telling you that they are not excellent. I think that if you really believed your doctor, you would not be feeling "bad".

Unless you change something, your doctor's proclaimed "excellent numbers" will continue to rise and the damage will belong to you. Wanna know what the doctor will say when you start having problems due to high BG levels? "Well, diabetes is progressive you know." I think most of us here believe that too, with one very important caveat, IF WE LET IT.

alamogirl 05-21-2019 15:55

Hi Ratter, not sure why your doc is telling you that your numbers are excellent. An A1C of 7% is considered "uncontrolled." I don't know if all labs are the same, but the below are ranges from LabCorp:

< 5.7 (Normal)
5.7 - 6.4 (Pre-diabetes)
> 6.4 (Diabetes)
> 7.0 (Uncontrolled)

Other than your diabetes, how is your blood pressure? Is it under control?

Ratter51 05-21-2019 19:55

Quote:

Originally Posted by alamogirl (Post 1319461)
Hi Ratter, not sure why your doc is telling you that your numbers are excellent. An A1C of 7% is considered "uncontrolled." I don't know if all labs are the same, but the below are ranges from LabCorp:

< 5.7 (Normal)
5.7 - 6.4 (Pre-diabetes)
> 6.4 (Diabetes)
> 7.0 (Uncontrolled)

Other than your diabetes, how is your blood pressure? Is it under control?


I donít know. The last two A1C were both 7.1 I asked him if I should take 2 Metformin and he said no it still very well controlled to be exact. Whatís funny a couple years ago when my A1C was 6.5 he started me two pills a day then cut it down to one. I gotta see him tmrw. He probably will say Iíll give you a blood test next time. Seems to the pattern.
I donít recall my last blood pressure but itís within the good range.Im taking BPH meds too so maybe thatís has something to do with it.
I can say for sure my mouth gets dry a lot. Iíll mention it to him tmrw. I guess they say I have Diabetes officially a couple years ago.
Still kinda hard for me to accept. I donít know where this is going.
Kinda hoping it stays in the good range and not think about it. But the Sun gets to me now in the Summer.
Iím not sure why I resent being called a diabetic but it is what it is. Thanks for replying.

itissteve 05-21-2019 22:46

Quote:

Originally Posted by Ratter51 (Post 1319475)
when my A1C was 6.5 he started me two pills a day then cut it down to one. I gotta see him tmrw. He probably will say I’ll give you a blood test next time. Seems to the pattern.

I will admit I have been stricter on myself than my doctor was. She was ready to put me on metformin and call anything in the mid-6s good. I thought I could do better than that (and I have). I want to delay or completely avoid the complications I see in so many people I know with diabetes. Now my doctor knows I mean business and she lets me manage my own care. tbh if your doctor were my doctor I'd find another one, but maybe he's good in other ways. He's a little too old-school for diabetes care in my book. But that's me.
Quote:

Originally Posted by Ratter51 (Post 1319475)
I don’t recall my last blood pressure but it’s within the good range.Im taking BPH meds too so maybe that’s has something to do with it.

I'm taking BP meds, too; to my knowledge mine are not bumping up my blood sugar. But others here can mention if they have experienced higher blood sugars with some blood pressure medications. Sometimes just changing the medication can affect blood sugar levels.
Quote:

Originally Posted by Ratter51 (Post 1319475)
I’m not sure why I resent being called a diabetic but it is what it is.

I don't like being a diabetic, either, but I look upon it as just one more descriptor of me. I don't have to shout that term out to the world. Maybe easier to hide the fact that I'm diabetic rather than try to hide other descriptors like "bald" or "tall" or "brown-eyed". :smile2:


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