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Was diagnosed with Type 2 a little over a month ago and my first A1C test came back at 11.8

The doctor put me a 15/500 Janumet. After 30 days I had another A1C that came back at 8.8 - now the doctor wants to change my medication to actose.

First, while realizing that 8.8 is still too high it makes perfect sense to me that 11.8 to 8.8 in a month is a reasonable drop.

I have protested that Janumet and Actose are both too expensive of medications to take but the doctor will not write a prescription now for anything but Actose or Insulin. Seems crazy to me - I have asked to try Metoforin and he is refusing to write it.

Does this make sense.....or am I crazy about what I am expecting?
 

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Janumet IS metformin - it's been combined with Januvia. Actos is another ballgame entirely . . . http://www.diabetesforum.com/diabetes-treatment/6386-question-about-actos.html - I'd be a little leery of a doc who pushed that hard for one certain drug.

But I would have trouble getting along with any doc who was so stubborn & arrogant. Thirty days is too soon to be ordering a new A1c - you'd have gotten even better results if he'd waited 90 days. There's just something wrong with this picture in my opinion.
 

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Did the doctor explain his insistance on the Actos? Part of his job, it seems to me, is giving you sufficient information to make informed decisions. He's failed. Look for another doctor.

Oh - and congratulations on your improvement! Great work.

Jen
 

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Get a new MD.

the A1C is a test that checks your BG over a 3 month time frame so the 8.8 has 2 months of your high reading still in it. you may actually be just fine. get a BG meter and test yourself.
 

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My husband has used Actos for almost 14 years. It does work for him, but it is expensive. Since our insurance doesn't pay for Rx's until we hit our deductible we have to pay the full price. At a US pharmacy the Actos costs us close to $220 per month. We now buy it in Canada for $188 for a 3 month supply. Usually doctors will prescribe metformin first since it is generic and very cheap. I would insisit your doctor writes an Rx for the metformin or find a new doctor that will. That is a big HbA1c drop in a month and I am sure if you stick to a lower carb diet and add exercise it will fall further.
 

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I agree with everyone else, the doctor works for you, not the other way around. He was foolish to order an A1C so soon and that's a big enough indicator for me. If he won't let you take medicine you're comfortable with (and it's obviously working for you), he does not seem to have your best interest in mind.

As for the A1C, as Shanny said, he should have waited 2 more months. I'm betting your numbers are great since you're averaging 1 month of good control in with 2 months of bad control (the >11 A1C) and still coming out wiht a decent number. I wouldn't be surprised if you keep it up and in 2 months, when the A1C is supposed to be drawn, you'll be <7. Keep up the great work!!
 

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Just my personal opinion, :)

This is not Auschwitz and you are not there for your Nazi doctor's medical experiments. Find a doctor that is interested in your heath instead of his Nazi medical experiments.

REF: Auschwitz concentration camp - Wikipedia, the free encyclopedia

And I thought that the American Tuskegee type experiments were outlawed but your Nazi doctor doesn't seem to think so.

REF: Tuskegee syphilis experiment - Wikipedia, the free encyclopedia

Note: This was started when syphilis was considered yet another "incurable" disease by the AMA (before the wide spread use of Penicillin) just like diabetes is considered another "incurable" disease by the AMA today.

By The Way: Insulin would be the much better choice.

ColaJim
 

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Thanks for all the feedback. I am very new to all this but basic math averaging told me what he was doing did not make sense to me. And I am on the search for a new GP.

Thanks

I agree with the others. It is important to remember that you are employing the physician. I'd run like a scared rabbit to another doctor who doesn't have control issues. Keep up the good work.:canada:
 
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