lnr: Halloween 2023 (Default)

Got blood tests on 14th March, used GP form on 26th March to request a GP review my medication in light of the blood tests. Text back from them to say a GP would look at my request on 7th April(!) - presumably the one GP who specialises in diabetes was on leave or something? I dunno.

Finally got a text message this morning to say I can reduce my Metformin dose though, from two 500mg pills twice daily, to one 500mg pill twice daily, with another HbA1c in three months time, and then a review with the diabetic team if needed. I best put a reminder in the diary to book the blood test.

lnr: Halloween 2023 (Default)

Having been on the Wegovy since November I asked my GP to do another HbA1c test, to see how my diabetes is responding to the additional drug and weight loss associated with it. HbA1c is down from 43 in November to 36 on Friday. That's the first time below the pre-diabetic range (42-48) since well before I was diagnosed in November 2020. Now waiting to see what GP wants to do with this information. (Suspect I no longer need to be on a high dose of Metformin though, which is why I wanted them to check).

My iron levels are also still low-end of normal, but it looks like I can now safely give blood again too, so I've booked that in for the Friday after next. We'll have to see how long it takes them to recover from that!

ETA: It's now the 26th and I still haven't actually heard from GP what they think about the results. I asked for an update from the admin team and just got a "result is normal" text, which wasn't very helpful, so have sent the medical team a request to review. Will see what they say!

lnr: Halloween 2023 (Default)

For those who think fat people should "watch their weight" it turns out I have indeed been watching it, in probably far too much detail, for nearly all my adult life. Having just added entries from my medical records, before I started tracking it myself in 2001, and for the last year in order to inform my diabetic review next week, the graph shows a ludicrous number of points.

graph, with no numbers, but lots of up and down lines )

lnr: Halloween 2023 (Default)
Well, I finally got round to getting my HbA1c tested - basically average blood sugar levels for the last 3 months. It was last done in January 2019, and was a bit raised - and since then I've been through the NHS preventing diabetes course, starting January 2020. Admittedly I've not actually *done* much to change my lifestyle as a result of that, and my weight has crept up a bit since 2019, including with lockdown (by around 5 kg).

Anyway, I was not 100% surprised to see I've tipped over the boundary, and I'm now officially diagnosed with type 2 diabetes.

I've been advised to lose weight, and specifically to reduce carbs and increase green veg. My currently levels of exercise were deemed acceptable though. They'll invite me to Sawston soon to get a photo of the back of my eyes. And back in 3 months to test blood sugar levels again, and they'll check cholesterol then as that hasn't been done recently. Recommended Diabetes UK as a resource.

In the meantime I've asked if I can start Metformin now, in the hope it will make it easier to lose weight as well as manage the blood sugar. Advised to start with 1-a-day with main meals, increase to 2-a-day after a week if it's not upsetting my digestive system, then to 3-a-day after another week (but 2-a-day is fine if I won't tolerate 3-a-day).

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