I am new to this! I received my Type 2 diagnosis about two months ago an an annual checkup. My A1C was 8.5. While I am overweight and have a family history, this surprised me because just a few months earlier my numbers were normal (5.5 I think, fasting of 85 most times I would use my husband’s monitor). My doctor suggested I try diet and exercise first.
Regardless, over the last two months I have dropped 15 lbs and really cut out a lot of my carbohydrates, though at 120-160 g a day, it’s not very low. After the first month when I was struggling to see blood sugar improvements, the last month I have been able to stay between 110-130 for two hours after eating - but that is also my fasting range. I only rarely can get below 100, even if it’s been many hours since I ate. Somehow my body keeps finding glucose to burn, and I will often find (with repeated testing) that my numbers are rising with no food. For a while my highest readings (140-160) were in the morning no matter what I did the night before (exercise, eat a snack, don’t eat a snack, have a super low-carb dinner with no snack, etc). They have trended down now, but they are never below 100.
After I let my doc know about my higher morning readings, she suggested taking metformin ER once a day. But she didn’t say if I should take it in the morning or evening, and I am open to experimenting. Does anyone have any thoughts?
Also, I should say that I am about to embark on a (no doubt related) voyage with my liver, because repeated liver panels returned very high ALT and high AST numbers, which indicates some liver damage. An ultrasound found some evidence of fatty liver, but my doc said they were too high to be explained by the fatty liver. I am heading to a specialist soon to be evaluated further. Personally, I suspect autoimmune hepatitis, as I have a history of autoimmune issues.
Anyway I really appreciate this community and any thoughts people have about this - particularly what I might try with metformin and what specific things I might want to talk to my specialist about regarding my liver and diabetes. Thanks!