I’m a type 2 who was diagnosed 9/13 of this year. BG at the time was over 300 and an A1c of 11.1. Doctor put me on 2000mg metformin and 10mg farxiga. Had me monitoring BG 3 times a day. I followed up on 10/1. He looked at my meter results and told me I can stop self monitoring because the numbers are in safe ranges and we’ll do A1c blood tests quarterly. I was kind of alarmed because it was less than 3 weeks since I was diagnosed. My numbers had improved but I had not figured out any kinds of trends in what I can and can’t eat to avoid spikes.
He wanted to see me again in a month. Get new blood work done on 11/8. Result come back with an A1c of 7.4. I had also dropped weight from 239 to 220 pounds (I’m 6’2). I’m pretty encouraged by those results in less than 2 months from diagnosis. Doctor says my A1c is still high and wants to add a once a week injectable (Bydureon) to lower my A1c and increase weight loss. I was confused because I had continued self monitoring at home, when I wake up, after lunch, and after dinner. My numbers are always between 95 and 125. I know A1c is about a 90 day average so there’s still plenty of red blood cells floating around my body from when I was walking around at 300.
I bring up my meter results and how they’re more reflective of a 6. He tells me since theres only a few samples a day you can’t really know if I’m having spikes that I don’t know about and that the A1c is a more complete pictures that’s why he told me to stop testing. Ummmm? What? How can a once quarterly blood test average show highs and lows better than regular metering? I was frustrated that he gave me no credit for lowering my blood sugar and body weight and insists that I need more medication to get good control.
Should I start taking the Bydureon? I’ve set up an appointment with an endo but won’t see him until after the new year
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